The places you’ve lived or visited are no longer a defining factor on contracting a parasitic infection anymore in the USA, and doctors just don’t ”get it”.
Other people you’ve had contact with, clothing you’ve purchased and worn (also any other textiles you’ve been in contact with such as towels, bedsheets, mattresses, pillows), hotels you’ve stayed in, restaurants you’ve eaten at..... hell even food you’ve purchased at a supermarket and meals you’ve prepared yourself. Insects such as mosquitoes and gnats/biting midges, etc, are all likely vectors for transmission of parasitic infecti ...
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