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The 2006 2007 AMIS sample was selected in three stages stratified by epidemiological regions (hyperendemic: in the north and in the lowlands of the Atlantic coast, mesoendemic stable: in central and eastern areas and mesoendemic unstable: in southern and eastern areas) and urban/ rural status, with sampling probability proportional to the population size of selected communes.
Lastly, the 12 districts of Guangzhou were classified into three epidemiological regions (Fig. 5).
A hierarchical clustering method was applied to classify the 12 districts of Guangzhou into several epidemiological regions.
Commercial ELISA kits need thus to be evaluated and cut-offs need to be established for specific epidemiological regions.
In all, 26 risk factors were quantified, each by age and sex, and within 14 WHO epidemiological Regions, as well as for the world.
Districts of Guangzhou could be classified into 3 epidemiological regions according to the syphilis burden over the last 3 years of the study period.
Similar(51)
For instance, in Guangzhou, the syphilis burdens for the four districts in epidemiological Region 2 were similar, and were heavier than burdens for other districts, suggesting that this region requires more intervention resources.
Clustering is a major method to group districts with similar disease burdens and provide information on which districts are suffering similar syphilis epidemics and should be classified into the same epidemiological region [ 14, 15].
Information on the countries pertaining to these two WHO epidemiological sub regions can be found in appendix 1 on bmj.com.
The figure depicts the cost-effectiveness of multiple interventions in an epidemiological sub-region of Africa, called AfrD (see Table 1 for the countries in this sub-region).
Intervention costs at the level of epidemiological sub-regions of the world have been expressed in international dollars (I$).
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