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Given this situation it is particularly concerning that MDA campaigns show that PZQ cure rates are often less than 50% and modeling studies demonstrating that these campaigns with PZQ alone are unlikely to interrupt transmission, and once MDA is suspended, the prevalence of infection is likely to rebound to pre-MDA levels 9,10,11

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Cell 169.1 (2017): 132-147.e16

This process is akin to a skilled mediator diffusing a volatile situation, preventing it from escalating into widespread chaos

The injection is given every three months and contains a synthetic hormone called progestin