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In less wealthy countries the dominant approach to priority setting has been Burden of Disease BOD and cost-effectiveness analysis CEA , which is helpful, but insufficient because it focuses on a narrow range of values — need and efficiency — and not the full range of relevant values, including legitimacy and fairness. Data were collected in three landscapes differing in plague incidence. A cross sectional study was conducted between April and June among randomly selected students in 10 secondary schools using a self administered pre-tested questionnaire. The source of knowledge on these agents was from relatives and friends Associations between trematode infections in cattle and freshwater snails in highland and lowland areas of Iringa Rural District , Tanzania.

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