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Prevalence of Strongyloides stercoralis Antibodies among a Rural Appalachian Population—Kentucky, 2013

Elizabeth S. RussellKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Elizabeth B. GrayKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Rebekah E. MarshallKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Stephanie DavisKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Amanda BeaudoinKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Sukwan HandaliKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Isabel McAuliffeKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Cheryl DavisKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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Dana WoodhallKentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

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

Author Notes

* Address correspondence to Elizabeth B. Gray, Centers for Disease Control and Prevention, 1600 Clifton Road NE MS A06, Atlanta, GA, 30333. E-mail: EBGray@cdc.gov

Financial support: C.D. acknowledges travel support from an Institutional Development Award (IDeA) from National Institute of General Medical Sciences, National Institutes of Health Grant 5P20GM103436-13.

Authors' addresses: Elizabeth S. Russell, Kentucky Department for Public Health, Frankfort, KY, and Centers for Disease Control and Prevention, Atlanta, GA, E-mail: wjv4@cdc.gov. Elizabeth B. Gray, Rebekah E. Marshall, Stephanie Davis, Sukwan Handali, Isabel McAuliffe, and Dana Woodhall, Parasitic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: EBGray@cdc.gov, RMarshall@cdc.gov, vic6@cdc.gov, Shandali@cdc.gov, IMcAuliffe@cdc.gov, and DWoodhall@cdc.gov. Amanda Beaudoin, EIS Officer, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: ABeaudoin@cdc.gov. Cheryl Davis, Department of Biology, Western Kentucky University, Bowling Green, KY, E-mail: cheryl.davis@wku.edu.

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