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Fig 1.

Map of the study area and spatial distribution of microhematuria (typical symptom of S. haematobium in school-aged children) prevalence created using the following data sources: Major rivers and town locations were obtained from CERSGIS, Accra, Ghana; hillshade relief surface was created from elevation data obtained from ASTER Global Digital Elevation Model (v2); mining locations were digitized from Sentinel-2 satellite imagery; microhematuria prevalence data were collected by A. Kulinkina.

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Fig 2.

Spatial definitions associated with the analysis conducted at the “community” level.

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Table 1.

Summary of surface reflectance data used in the study.

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Table 2.

Six environmental indices computed with Landsat 8 (OLI) and Sentinel-2 data.

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Table 3.

Environmental (top) and WASH (bottom) predictor variables.

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Fig 3.

Modeling approach explaining raster data extraction methods to be matched to each point-prevalence location.

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Fig 4.

Schematic images of study communities showing settlements and water bodies (A1 and B1), NDWI values (A2 and B2), and MNDWI values (A3 and B3) generated using Landsat 8 data.

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Table 4.

Results of environmental models for various extraction masks showing the R2 value and Spearman’s rank correlation value (r) between model predicted and observed prevalence values.

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Fig 5.

Predicted prevalence from Landsat 8 data (A) and Sentinel-2 data (B) for five extraction masks {1, 2, 4, 5, and 6}.

Surface water access points are shown as + symbols. The scale and extent of the image match Fig 4(B).

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Fig 6.

Predicted prevalence for the entire study area; for two smaller zoom windows (A and B); and variable importance values for the final model conducted with Landsat 8 environmental, topographic, and WASH variables.

The scales and extents of A and B match Figs 4 and 5. Surface water access points are shown as + symbols.

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