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Fig 1.

Map of the study area showing a 10 km radius onchocerciasis transmission focus area around Ottou community.

Parasitology findings, shown as pie charts, indicate the proportion of individuals positive for microfilariae (mf+) detected via skin snip (March 2021). Serology findings are represented by colour-graded squares, with size and shade reflecting Ov16 antibody prevalence (March 2021). Star symbols mark blackfly collection sites, with dark blue stars indicating detection of infective L3 larvae (October 2020). Coloured circles show locations where blackfly larvae were found. The size is proportional to the number of larvae detected. This map has been modified from our previous publication [11]. The base map uses national and district administrative boundaries from the geoBoundaries Global Database (https://www.geoboundaries.org/countryDownloads.html; license: CC BY 4.0, https://www.geoboundaries.org/metadata.html). Additional data sources include HydroATLAS hydrography (https://www.hydrosheds.org/hydroatlas; CC BY 4.0), manually digitized roads from high-resolution satellite imagery, and primary field-collected population and survey data. The map was created in ArcGIS Pro software using only openly licensed datasets.

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Table 1.

Overview of activities and timelines.

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Fig 2.

Study design and procedure.

All steps involved strong community engagement and participation.

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Fig 3.

Map of verified settlements.

The circle indicates a 10 km radius transmission focus, defined based on parasitological, serological, and entomological data. These data show a peak in transmission intensity at the center of the circle, gradually declining to undetectable levels at the 10 km boundary [11]. Data Sources and References: The base map uses national and district administrative boundaries from the geoBoundaries Global Database (https://www.geoboundaries.org/countryDownloads.html; license: CC BY 4.0, https://www.geoboundaries.org/metadata.html). Population density and survey results were obtained from primary field-collected data. Additional data sources include HydroATLAS hydrography (https://www.hydrosheds.org/hydroatlas; CC BY 4.0), manually digitized roads derived from high-resolution satellite imagery, and other primary field-collected population and survey data. The map was created in ArcGIS Pro software using only openly licensed datasets.

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Fig 4.

Complaints after ivermectin intake among 73 respondents.

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Table 2.

Ivermectin Coverage Evaluation by Settlement.

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Table 3.

Factors associated with participation in Community-Directed Treatment with Ivermectin among participants who were 15 years or older.

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