1.Prevalence and Associated Risk Factors of Toxocara vitulorum Infections in Buffalo and Cattle Calves in Three Provinces of Central Cambodia.
Pierre DORNY ; Brecht DEVLEESSCHAUWER ; Valerie STOLIAROFF ; Meas SOTHY ; Rortana CHEA ; Bunthon CHEA ; Hor SOURLOING ; Sum SAMUTH ; Seth KONG ; Koemseang NGUONG ; San SORN ; Davun HOLL ; Jozef VERCRUYSSE
The Korean Journal of Parasitology 2015;53(2):197-200
		                        		
		                        			
		                        			The prevalence and associated risk factors of Toxocara vitulorum infection in buffalo and cattle calves was studied in 3 provinces in central Cambodia. Fecal samples were collected from 517 calves between the age of 1-15 weeks and processed for nematode egg counts by a modified McMaster method. A total of 64 calves were found to excrete T. vitulorum eggs in their feces (12.4%; 95% exact CI: 9.7-15.5). The mean fecal egg count was 2,798 EPG (SD=16,351; range=0-224,400). A multivariable generalized linear mixed model showed higher odds of T. vitulorum infection for buffalo versus cattle, for animals aged 4-8 weeks versus younger and older ones, and for animals with strongyle infection. There was no association with fecal consistency. Farmers should be aware of the potential impact of T. vitulorum, and treat their calves at the age of 2-3 weeks with anthelmintics such as benzimidazoles or pyrantel.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Buffaloes
		                        			;
		                        		
		                        			Cambodia/epidemiology
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/*epidemiology/*parasitology/physiopathology
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Toxocara/isolation & purification/physiology
		                        			;
		                        		
		                        			Toxocariasis/epidemiology/*parasitology/physiopathology
		                        			
		                        		
		                        	
2.Current Status of Taeniasis and Cysticercosis in Vietnam.
Nguyen VAN DE ; Thanh Hoa LE ; Phan Thi Huong LIEN ; Keeseon S EOM
The Korean Journal of Parasitology 2014;52(2):125-129
		                        		
		                        			
		                        			Several reports on taeniasis and cysticercosis in Vietnam show that they are distributed in over 50 of 63 provinces. In some endemic areas, the prevalence of taeniasis was 0.2-12.0% and that of cysticercosis was 1.0-7.2%. The major symptoms of taeniasis included fidgeted anus, proglottids moving out of the anus, and proglottids in the feces. Clinical manifestations of cysticercosis in humans included subcutaneous nodules, epileptic seizures, severe headach, impaired vision, and memory loss. The species identification of Taenia in Vietnam included Taenia asiatica, Taenia saginata, and Taenia solium based on combined morphology and molecular methods. Only T. solium caused cysticercosis in humans. Praziquantel was chosen for treatment of taeniasis and albendazole for treatment of cysticercosis. The infection rate of cysticercus cellulosae in pigs was 0.04% at Hanoi slaughterhouses, 0.03-0.31% at provincial slaughterhouses in the north, and 0.9% in provincial slaughterhouses in the southern region of Vietnam. The infection rate of cysticercus bovis in cattle was 0.03-2.17% at Hanoi slaughterhouses. Risk factors investigated with regard to transmission of Taenia suggested that consumption of raw meat (eating raw meat 4.5-74.3%), inadequate or absent meat inspection and control, poor sanitation in some endemic areas, and use of untreated human waste as a fertilizer for crops may play important roles in Vietnam, although this remains to be validated.
		                        		
		                        		
		                        		
		                        			Albendazole/*therapeutic use
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Anthelmintics/therapeutic use
		                        			;
		                        		
		                        			Antiprotozoal Agents/therapeutic use
		                        			;
		                        		
		                        			Cattle/parasitology
		                        			;
		                        		
		                        			Cattle Diseases/parasitology
		                        			;
		                        		
		                        			Cysticercosis/*drug therapy/*epidemiology/parasitology/transmission
		                        			;
		                        		
		                        			Feces/parasitology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Meat/parasitology
		                        			;
		                        		
		                        			Praziquantel/*therapeutic use
		                        			;
		                        		
		                        			Raw Foods/adverse effects
		                        			;
		                        		
		                        			Risk Factors
		                        			;
		                        		
		                        			Swine/parasitology
		                        			;
		                        		
		                        			Swine Diseases/parasitology
		                        			;
		                        		
		                        			Vietnam/epidemiology
		                        			
		                        		
		                        	
3.Recent Situation of Taeniasis in Mongolia (2002-2012).
Anu DAVAASUREN ; Temuulen DORJSUREN ; Tetsuya YANAGIDA ; Yasuhito SAKO ; Kazuhiro NAKAYA ; Abmed DAVAAJAV ; Gurbadam AGVAANDARAM ; Tsatsral ENKHBAT ; Battsetseg GONCHIGOO ; Nyamkhuu DULMAA ; Gantigmaa CHULUUNBAATAR ; Akira ITO
The Korean Journal of Parasitology 2014;52(2):211-214
		                        		
		                        			
		                        			Epidemiological situation of taeniasis in Mongolia was assessed based on mitochondrial DNA identification of the parasite species. Multiplex PCR was used on a total of 194 proglottid specimens of Taenia species and copro-PCR and loop-mediated isothermal amplification (LAMP) assays were utilized for detection of copro-DNA of 37 fecal samples from taeniasis patients submitted to the Mongolian National Center for Communicable Diseases (NCCD) from 2002 to 2012. In addition, 4 out of 44 calcified cysts in beef kept in formalin since 2003 were evaluated for histopathological confirmation of cattle cysticercosis. All proglottid specimens and stool samples were confirmed to be Taenia saginata by multiplex PCR and by copro-PCR and LAMP, respectively. Cysts collected from cattle were morphologically confirmed to be metacestodes of Taenia species. T. saginata taeniasis was identified from almost all ages from a 2-year-old boy up to a 88-year-old woman and most prominently in 15-29 age group (37%, 74/198) followed by 30-44 age group (34.8%, 69/198 ) from 15 of Mongolia's 21 provinces, while cattle cysticerci were found from 12 provinces. The highest proportion of taeniasis patients was in Ulaanbaatar, the capital of Mongolia.
		                        		
		                        		
		                        		
		                        			Adolescent
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Aged, 80 and over
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Cattle/parasitology
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Child, Preschool
		                        			;
		                        		
		                        			Cysticercosis/*epidemiology/parasitology
		                        			;
		                        		
		                        			DNA, Helminth/*genetics
		                        			;
		                        		
		                        			DNA, Mitochondrial/*genetics
		                        			;
		                        		
		                        			Feces/parasitology
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Geography
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Meat/parasitology
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Mitochondria/genetics
		                        			;
		                        		
		                        			Mongolia/epidemiology
		                        			;
		                        		
		                        			Neglected Diseases/epidemiology
		                        			;
		                        		
		                        			Nucleic Acid Amplification Techniques/veterinary
		                        			;
		                        		
		                        			Questionnaires
		                        			;
		                        		
		                        			Taenia saginata/*genetics
		                        			;
		                        		
		                        			Taenia solium/genetics
		                        			;
		                        		
		                        			Taeniasis/*epidemiology/parasitology
		                        			;
		                        		
		                        			Young Adult
		                        			
		                        		
		                        	
4.Ixodid Tick Infestation in Cattle and Wild Animals in Maswa and Iringa, Tanzania.
You Shine KWAK ; Tae Yun KIM ; Sung Hyun NAM ; In Yong LEE ; Hyung Pyo KIM ; Simon MDUMA ; Julius KEYYU ; Robert FYUMAGWA ; Tai Soon YONG
The Korean Journal of Parasitology 2014;52(5):565-568
		                        		
		                        			
		                        			Ticks and tick-borne diseases are important in human and livestock health worldwide. In November 2012, ixodid ticks were collected and identified morphologically from cattle and wild animals in the Maswa district and Iringa urban, Tanzania. Amblyomma gemma, A. lepidum, and A. variegatum were identified from Maswa cattle, and A. variegatum was the predominant species. A. marmoreum, Hyalomma impeltatum, and Rhipicephalus pulchellus were identified from Iringa cattle in addition to the above 3 Amblyomma species, and A. gemma was the most abundant species. Total 4 Amblyomma and 6 Rhipicephalus species were identified from wild animals of the 2 areas. A. lepidum was predominant in Maswa buffaloes, whereas A. gemma was predominant in Iringa buffaloes. Overall, A. variegatum in cattle was predominant in the Maswa district and A. gemma was predominant in Iringa, Tanzania.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Animals, Wild
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/epidemiology/*parasitology
		                        			;
		                        		
		                        			*Ixodidae
		                        			;
		                        		
		                        			Tanzania/epidemiology
		                        			;
		                        		
		                        			Tick Infestations/epidemiology/*veterinary
		                        			
		                        		
		                        	
5.Prevalence and molecular characterization of Cryptosporidium spp. in dairy cattle from farms in China.
Journal of Veterinary Science 2012;13(1):15-22
		                        		
		                        			
		                        			Fecal samples of 2,056 dairy cattle from 14 farms were collected in three geographical regions of China and stained using a modified acid-fast staining technique to identify Cryptosporidium oocysts. A total of 387 (18.82%) positive samples were identified and further analyzed by polymerase chain reaction (PCR) using primers designed to amplify DNA fragments from the small subunit ribosomal RNA. The PCR products were sequenced and the sequences were deposited in the GenBank database under accession numbers EU369377-84 and GU070730-33. Phylogenetic analysis was performed and a distances matrix generated from these sequences confirmed the existence of Cryptosporidium (C.) parvum 'mouse' genotype, C. bovis, C. andersoni, C. hominis, and C. serpentis in cattle. These results represent the first report on the prevalence and genetic identification of Cryptosporidium species, and may contribute to a better understanding of the epidemiology of Cryptosporidium in cattle in China.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Base Sequence
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/epidemiology/*parasitology
		                        			;
		                        		
		                        			Chi-Square Distribution
		                        			;
		                        		
		                        			China/epidemiology
		                        			;
		                        		
		                        			Cryptosporidiosis/epidemiology/parasitology/*veterinary
		                        			;
		                        		
		                        			Cryptosporidium/genetics/*isolation & purification
		                        			;
		                        		
		                        			DNA, Protozoan/chemistry/genetics
		                        			;
		                        		
		                        			Feces/parasitology
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Molecular Sequence Data
		                        			;
		                        		
		                        			Phylogeny
		                        			;
		                        		
		                        			Polymerase Chain Reaction/veterinary
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			RNA, Ribosomal, 18S/chemistry/genetics
		                        			;
		                        		
		                        			Sequence Alignment
		                        			;
		                        		
		                        			Sequence Analysis, DNA
		                        			
		                        		
		                        	
6.Detection of Babesia bovis in blood samples and its effect on the hematological and serum biochemical profile in large ruminants from Southern Punjab.
Samreen ZULFIQAR ; Sadia SHAHNAWAZ ; Muhammad ALI ; Arif Mahmood BHUTTA ; Shahid IQBAL ; Sikandar HAYAT ; Shazia QADIR ; Muhammad LATIF ; Nazia KIRAN ; Ali SAEED ; Muhammad ALI ; Furhan IQBAL
Asian Pacific Journal of Tropical Biomedicine 2012;2(2):104-108
OBJECTIVETo determine the presence of Babesia bovis (B. bovis) in large ruminants in southern Punjab and its effect on hematological and serum biochemical profile of host animals.
METHODSBlood samples were collected from 144 large ruminants, including 105 cattle and 39 buffaloes, from six districts in southern Punjab including Multan, Layyah, Muzaffar Garh, Bhakar, Bahawalnagar and Vehari. Data on the characteristics of animals and herds were collected through questionnaires. Different blood (hemoglobin, glucose) and serum (ALT, AST, LDH, cholesterol) parameters of calves and cattle were measured and compared between parasite positive and negative samples to demonstrate the effect of B. bovis on the blood and serological profile of infected animals.
RESULTS27 out of 144 animals, from 5 out of 6 sampling districts, produced the 541-bp fragment specific for B. bovis. Age of animals (P=0.02), presence of ticks on animals (P=0.04) and presence of ticks on dogs associated with herds (P=0.5) were among the major risk factors involved in the spread of bovine babesiosis in the study area. ALT concentrations were the only serum biochemical values that significantly varied between parasite positive and negative cattle.
CONCLUSIONS: This study has reported for the first time the presence of B. bovis in large ruminant and the results can lead to the prevention of babesiosis in the region to increase the livestock output.
Alanine Transaminase ; blood ; Animals ; Aspartate Aminotransferases ; blood ; Babesia bovis ; genetics ; Babesiosis ; blood ; epidemiology ; parasitology ; Blood Glucose ; analysis ; Buffaloes ; Cattle ; Cattle Diseases ; blood ; epidemiology ; parasitology ; Cholesterol ; blood ; India ; epidemiology ; L-Lactate Dehydrogenase ; blood ; Polymerase Chain Reaction ; RNA, Protozoan ; blood ; RNA, Ribosomal ; blood ; Surveys and Questionnaires
7.A molecular survey on cystic echinococcosis in Sinnar area, Blue Nile state (Sudan).
Kamal IBRAHIM ; Romig THOMAS ; Kern PETER ; Rihab Ali OMER
Chinese Medical Journal 2011;124(18):2829-2833
BACKGROUNDCystic echinococcosis (CE) is a zoonosis caused by the cestodes of the Echinococcus species. Its life cycle involves dogs and other canids as definitive hosts for the intestinal tapeworm, as well as domestic and wild ungulates as intermediate hosts for the tissue-invading metacestode (larval) stage. The disease has a special impact on disadvantaged pastoralist communities and is listed now among the three top priority neglected tropical disease (NTD). Therefore, CE is a neglected disease even in high endemicity regions. This study aimed at investigation of the prevalence of CE in different animals slaughtered for food consumption in Sinnar area, Blue Nile states in Sudan.
METHODSA survey of CE in livestock was conducted from April 2009 to March 2011 in Sinnar area, Blue Nile state in Sudan. Location, parasitological status and fertility conditions were determined. In addition, 120 hydatid cysts (30 from camels, 62 from cattle and 28 from sheep) were examined by polymerase chain reaction (PCR) and mitochondrial gene sequencing for the genetic allocation of Echinococcus strains or species
RESULTSThe prevalence of CE was 29.7% (30/101) in camels, 2.7% (62/2310) in cattle and 0.6% (26/4378) in sheep. It was shown that infection rates increased with age in camels, cattle and sheep. In camels, 67% (20/30) of the infected animals were aged between 2 - 5 years whereas 58% (36/62) of the infected cattle were > 5 years. In sheep, the prevalence rate was distributed equally between animals ranging 2 - 5 years and > 5 years. Even though multiple cysts were found in some animals, the average number of cysts per animal was close to 1 in all examined species. Lungs were found to be the predilection sites for the parasite in both camels and cattle, while most of the cysts found in sheep were located in the liver. About 63.4% of cysts encountered in camels were considered as large (5 - 7 cm), whereas those in cattle and sheep were medium (2 - 4 cm) and small (< 2 cm) respectively. The highest fertility rate was found in camel cysts with 85.4% (35/41) followed by cattle (50.0%, 32/64) and sheep (39.0%, 11/28). All examined cysts belonged to Echinococcus canadensis G6, which was confirmed to be the overwhelmingly predominant species in that area.
CONCLUSIONThe epidemiological situation in Sinnar area, Blue Nile state is characterized by intense transmission of Echinococcus canadensis G6, thereby closely resembling the situation in most other regions of Sudan.
Animals ; Camelus ; parasitology ; Cattle ; Cattle Diseases ; epidemiology ; Echinococcosis ; epidemiology ; Echinococcus ; genetics ; pathogenicity ; Geography ; Polymerase Chain Reaction ; Sheep ; parasitology ; Sheep Diseases ; epidemiology ; Sudan ; epidemiology
8.Intestinal Parasite Infections in Pigs and Beef Cattle in Rural Areas of Chungcheongnam-do, Korea.
Hassan Ahmed Hassan Ahmed ISMAIL ; Hyung Kyu JEON ; Yong Man YU ; Changhee DO ; Young Ha LEE
The Korean Journal of Parasitology 2010;48(4):347-349
		                        		
		                        			
		                        			The present study was performed to investigate the infection status of intestinal parasites in pigs and beef cattle in rural areas of Chungcheongnam-do, Korea. From November 2009 to April 2010, a total of 241 fecal samples of pigs and beef cattle (136 and 105, respectively) were examined by direct smear and centrifugal sedimentation methods. The overall positive rates of intestinal parasites among pigs and beef cattle were 73.5% and 4.8%, respectively, and the double-infection rate was 10.3% in pigs. Of 136 specimens from pigs, Balantidium coli, Ascaris suum, and Entamoeba spp. infections were found in 88 (64.7%), 24 (17.6%), and 5 cases (3.7%), respectively. Of 105 beef cattle, Entamoeba spp. infections were detected in 5 cases (4.8%). From these results, it is shown that pigs raised on rural farms in Chungcheongnam-do had a high B. coli infection rate and a moderate A. suum infection rate. These results demonstrate that environmentally resistant cysts or eggs could be widespread on the farms examined, and thus an effective hygienic management system is needed to prevent them from serving as the source of infection for human beings.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/*epidemiology/parasitology
		                        			;
		                        		
		                        			Feces/parasitology
		                        			;
		                        		
		                        			Intestinal Diseases, Parasitic/epidemiology/*veterinary
		                        			;
		                        		
		                        			Korea/epidemiology
		                        			;
		                        		
		                        			Parasitic Diseases, Animal/*epidemiology
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Rural Population
		                        			;
		                        		
		                        			Swine
		                        			;
		                        		
		                        			Swine Diseases/*epidemiology/parasitology
		                        			
		                        		
		                        	
9.Fatal cases of Theileria annulata infection in calves in Portugal associated with neoplastic-like lymphoid cell proliferation.
Sandra BRANCO ; Joao ORVALHO ; Alexandre LEITAO ; Isadora PEREIRA ; Manuel MALTA ; Isabel MARIANO ; Tania CARVALHO ; Rui BAPTISTA ; Brian R SHIELS ; Maria C PELETEIRO
Journal of Veterinary Science 2010;11(1):27-34
		                        		
		                        			
		                        			This study was carried out to investigate fifteen cases of acute lethal infection of calves (< or = 4 months of age) by the protozoan parasite Theileria (T.) annulata in the south of Portugal. Calves developed multifocal to coalescent nodular skin lesions, similar to multicentric malignant lymphoma. Infestation with ticks (genus Hyalomma) was intense. Theileria was seen in blood and lymph node smears, and T. annulata infection was confirmed by isolation of schizont-transformed cells and sequencing of hypervariable region 4 of the 18S rRNA gene. At necropsy, hemorrhagic nodules or nodules with a hemorrhagic halo were seen, particularly in the skin, subcutaneous tissue, skeletal and cardiac muscles, pharynx, trachea and intestinal serosa. Histologically, nodules were formed by large, round, lymphoblastoid neoplastic-like cells. Immunohistochemistry (IHC) identified these cells as mostly CD3 positive T lymphocytes and MAC387 positive macrophages. A marker for B lymphocytes (CD79alphacy) labeled very few cells. T. annulata infected cells in these nodules were also identified by IHC through the use of two monoclonal antibodies (1C7 and 1C12) which are diagnostic for the parasite. It was concluded that the pathological changes observed in the different organs and tissues were caused by proliferation of schizont-infected macrophages, which subsequently stimulate a severe uncontrolled proliferation of uninfected T lymphocytes.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Base Sequence
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/epidemiology/*parasitology/pathology
		                        			;
		                        		
		                        			Cell Growth Processes/physiology
		                        			;
		                        		
		                        			DNA, Protozoan/chemistry/genetics
		                        			;
		                        		
		                        			Disease Outbreaks/*veterinary
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Immunohistochemistry/veterinary
		                        			;
		                        		
		                        			Lymphocytes/parasitology/*pathology
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Molecular Sequence Data
		                        			;
		                        		
		                        			Polymerase Chain Reaction/veterinary
		                        			;
		                        		
		                        			Portugal/epidemiology
		                        			;
		                        		
		                        			RNA, Ribosomal, 18S/chemistry/genetics
		                        			;
		                        		
		                        			Sequence Analysis, DNA
		                        			;
		                        		
		                        			Skin Diseases/epidemiology/parasitology/pathology/*veterinary
		                        			;
		                        		
		                        			Theileria annulata/*isolation & purification
		                        			;
		                        		
		                        			Theileriasis/epidemiology/parasitology/*pathology
		                        			
		                        		
		                        	
10.Fecal and Molecular Survey of Neospora caninum in Farm and Household Dogs in Mashhad Area, Khorasan Province, Iran.
The Korean Journal of Parasitology 2009;47(4):417-420
		                        		
		                        			
		                        			Neospora caninum is an important cause of abortion in dairy cattle worldwide. Dog is the definitive host for N. caninum and can infect dairy cattle. The aim of this study is to determine the prevalence of Neospora oocysts in feces of dogs from dairy farms. A total of 174 fecal samples was collected from 89 farm dogs and 85 household dogs during 2006 and 2008. Fecal samples of dogs were microscopically examined for detecting Hammondia Neospora-like oocysts (HNLO) by Mini Parasep(R)SF fecal parasite concentrator. HNLO were microscopically detected in 4 fecal samples (2.2%). The fecal samples with HNLO were examined by N. caninum-specific PCR. Two of the samples were positive for N. caninum. The 2 positive fecal samples were selected for inoculation to calves. Two inoculated calves were seronegative by ELISA for 4 months post-infection. This is the first report of finding N. caninum DNA in feces of farm dogs in Mashhad area, Iran.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Antibodies, Fungal/blood
		                        			;
		                        		
		                        			Cattle
		                        			;
		                        		
		                        			Cattle Diseases/immunology/parasitology
		                        			;
		                        		
		                        			Coccidiosis/epidemiology/parasitology/*veterinary
		                        			;
		                        		
		                        			DNA, Fungal/genetics/isolation & purification
		                        			;
		                        		
		                        			Dog Diseases/*epidemiology/*parasitology
		                        			;
		                        		
		                        			Dogs
		                        			;
		                        		
		                        			Enzyme-Linked Immunosorbent Assay/methods
		                        			;
		                        		
		                        			Feces/*microbiology
		                        			;
		                        		
		                        			Iran/epidemiology
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Microscopy/methods
		                        			;
		                        		
		                        			Neospora/*genetics/*isolation & purification
		                        			;
		                        		
		                        			Oocysts/cytology
		                        			;
		                        		
		                        			Polymerase Chain Reaction/methods
		                        			;
		                        		
		                        			Prevalence
		                        			
		                        		
		                        	
            
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