Volume 91, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



We investigated whether infection remains endemic in rural Kentucky's Appalachian regions; 7 of 378 (1.9%) participants tested positive for antibodies. We identified no statistically significant association between a positive test and travel to a known endemic country ( = 0.58), indicating that transmission in rural Kentucky might be ongoing.


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  • Received : 19 May 2014
  • Accepted : 28 Jul 2014

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