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. 2023 Jan 19;14:303. doi: 10.1038/s41467-023-35813-9

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — a Map of South America, with Paraguay highlighted, and as an inset. Paraguay’s departments are colored by population size density and points indicate the two largest urban centers in Paraguay, where we conducted focused genomic surveillance. b Notification rate of TB per 100,000 people in prisons (red) and in the general population (blue) from 2009 to 2020. Source data are provided as a Source Data file.