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It has been recently documented as the most frequently identified PVL positive MRSA clone in skin and soft tissue infections in some communities of northern Canada [ 35].
However, in some communities of Northern India, TBAs often do not get involved until after delivery, which is usually carried out by a family member.
About 50% - 80% of households in some communities of Far-western region have at least one family member working in India, and most of these migrants (mainly male) especially from Doti, Achham, Kailali, and Kanchanpur districts seasonally return home [ 32].
Moreover, although the full range of human landscapes were covered in this area in the third of sub-areas sampled, the lack of complete coverage makes it likely that we failed to detect significant clustering in some communities of the study area which were not sampled.
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