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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.
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: firstname.lastname@example.org. 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, email@example.com, 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: firstname.lastname@example.org.