“…The highest burden is documented along the ancient silk road, which runs from the eastern Mediterranean and the Middle East to East Asia, with estimated prevalence rates of 421 per 100,000 in Turkey, 660 per 100,000 in Jordan, 100 per 100,000 in Iran, 35.0 per 100,000 in South Korea, 13.5 per 100,000 in Japan and 10.0 per 100,000 in China 147 , 149 – 152 , 154 . In the USA, studies have reported estimated prevalence rates of between 0.33 and 10.6 per 100,000 and in South America, rates of 0.3 per 100,000 have been reported in Brazil and 1.1 per 100,000 in Colombia 144 – 146 , 153 . A 2018 meta-analysis showed that pooled estimates of prevalence proportions were 10.3 per 100,000 for all studies included, and 31.8 per 100,000 for the Middle East, 4.5 per 100,000 for Asia and 3.3 per 100,000 for Europe 12 .…”