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A medium endemicity level is most realistic [ 15].
A medium endemicity level of around 6%and20%0% in hospitals and ICUs, respectively, was analysed as well.
The effect of the combined intervention in settings with medium endemicity level is shown in the additional file (Additional file 1: Figure S2).
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With a medium patient prevalence endemicity level, the difference is 0.7% with 100% efficacy, and 1.2%, 1.6% and 1.6% with 75%, 50%and25%5% efficacy, respectively (see Figure 1).
Also the ITN coverage (presented in upper right hand side of Figure 6) reflects the endemicity level of malaria.
In Brazil, schistosomiasis has been reported in 19 states, showing areas of high and medium endemicity and a wide range of areas of low endemicity (ALE).
The endemicity level of onchocerciasis in the study setting was mesoendemic.
In the area of medium endemicity, the accuracy of RDTs performed by health workers was not as high as in settings of high and very high endemicity with a sensitivity of 82.8%, and specificity of 72.2%.
Result of this study may suggest that the endemicity level of onchocerciasis in the study area was mesoendemic.
Multiplicity of infection was high, with most individuals harboring more than one parasite genotypes, reflecting both the high endemicity level and malaria transmission in the area.
However, to the best of our knowledge, there was little or no information on onchocerciasis endemicity level and implementation of CDTI in our study area.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com