“…sequencing (NGS) from clinical samples in the United States in 2015 [1]. Since then, the presence of APPV in new born piglets with congenital tremor (CT) has been reported in many countries worldwide [2,3], such as USA [4], the Netherlands [5], Germany [6], Austria [7], Spain [8], Brazil [9], Hungary [10], England [11], Canada [12], Sweden [13], China [14], Korea [15], Switzerland [16], Italy [17] and so on, showing that APPV has wide geographical distribution around the world. Two independent studies have been reported that congenital tremor (CT) was reproduced following experimental inoculation with serum or tissue-homogenate-pools containing APPV, demonstrating that APPV could be a very likely causative agent of CT in piglets [4,5].…”