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Fig 1.

Flow diagram of study selection for the systematic review and meta-analysis.

* Due to some studies simultaneously investigating humans, intermediate hosts, and reservoir hosts, the total number of literatures included in the systematic review (271) does not equal the sum of literature for different types of hosts. Similarly, several studies reported infection rates of both lung flukes in crustaceans, resulting in the total number of literature included in the study for the second intermediate host (172) being less than the sum of literature for P. westermani and P. skrjabini.

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Fig 1 Expand

Fig 2.

Spatial distribution of human paragonimiasis cases docummented in China.

The base layer of the map was downloaded from Resource and Environment Science Data Center of the Chinese Academy of Sciences (RESDC, http://www.resdc.cn).

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Fig 2 Expand

Table 1.

Characteristics of human paragonimiasis cases documented in China.

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Table 1 Expand

Table 2.

Estimates of pooled prevalence and subgroup analysis of Paragonimus infection in humans.

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Table 2 Expand

Table 3.

Estimates of pooled prevalence and subgroup analysis of Paragonimus infection in the first intermediate hosts.

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Table 3 Expand

Fig 3.

Spatial distribution of P. westermani infection in the first intermediate hosts in China.

The base layer of the map was downloaded from Resource and Environment Science Data Center of the Chinese Academy of Sciences (RESDC, http://www.resdc.cn).

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Fig 3 Expand

Fig 4.

Spatial distribution of and P. skrjabini infection in the first intermediate hosts in China.

The base layer of the map was downloaded from Resource and Environment Science Data Center of the Chinese Academy of Sciences (RESDC, http://www.resdc.cn).

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Fig 4 Expand

Table 4.

Estimates of pooled prevalence and subgroup analysis of Paragonimus infection in the second intermediate hosts.

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Table 4 Expand

Fig 5.

Spatial distribution of P. westermani infection in the second intermediate hosts in China.

The base layer of the map was downloaded from Resource and Environment Science Data Center of the Chinese Academy of Sciences (RESDC, http://www.resdc.cn).

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Fig 5 Expand

Fig 6.

Spatial distribution of P. skrjabini infection in the second intermediate hosts in China.

The base layer of the map was downloaded from Resource and Environment Science Data Center of the Chinese Academy of Sciences (RESDC, http://www.resdc.cn).

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Fig 6 Expand

Table 5.

Estimates of pooled prevalence and subgroup analysis of Paragonimus infection in animal reservoirs.

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Table 5 Expand

Fig 7.

Environmental characteristics of areas with reported Paragonimus infections in China.

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Fig 7 Expand