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. 2021 Feb 18;21:193. doi: 10.1186/s12879-021-05866-6

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© The Author(s) 2021

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Fig. 3 — Distribution scrub typhus cases during major outbreaks in Nepal. In 2016, a total of 831 scrub typhus cases (based on peripheral reporting) were reported from 47 of the 75 districts (a), of which a total of 401 cases from 42 districts were confirmed at national reference laboratory and included in further analysis (b), while 141 scrub typhus cases from 25 districts were reported to EDCD in 2015 based on aggregated data available from EDCD (c), and a total of 267 cases were confirmed from 30 districts in 2017 (d). Respectively 8, 14 and 3 deaths due to scrub typhus were confirmed in 2015, 2016 and 2017. From 2015 through 2017, 52 out of 75 districts of the country reported cases of and/or deaths due to scrub typhus (Source: EDCD data using Arc GIS software)