“…It is remarkable that Table 1 contains six Brazilian studies reporting macrocyclic lactone resistance, which is almost half of all studies reporting resistance to this anthelmintic class. Several of these studies documented clearly reduced macrocyclic lactone efficacy in several groups and to several members of this class ( Toscan et al, 2012 ; Flores et al, 2020 ; Martins et al, 2021 ; Lignon et al, 2021 ), and one of them was a terminal study with intestinal worm counts confirming resistance to ivermectin in two cohorts ( Felippelli et al, 2015 ), providing strong evidence for these findings. In 2020, we documented the first case of macrocyclic lactone resistance in equine strongylids in the US ( Nielsen et al, 2020 ).…”