1. Condition is usually seen in malaria-endemic areas like Africa and Indian subcontinent. 2. Mass chemotherapy should cover the entire endemic area at the same time. 3. Resistance is increasing in endemic areas and recurrent treatments may be necessary. 4. Nonetheless, wearing shoes in endemic areas helps reduce the prevalence of infection. 5. In endemic areas of the United States, homogeneously red rashes are more frequent. 6. Yellow fever : Required and recommended for travelers to endemic areas . 7. In endemic areas , vaccination is often used to reduce the incidence of infection. 8. Clonorchiasis has been reported in non endemic areas ( including the United States ). 9. In Chagas-endemic areas , the main mode of transmission is through an insect triatomine bug. 10. Infection rates in children in endemic areas are on the order of 50 %.
