<p>&nbsp;<strong>Methods</strong>: A descriptive cross-sectional survey followed by an unmatched community-based case-control study among 326 cases and 326 controls were employed. A lesion swabs from 11 patients were taken for laboratory confirmation of the etiologic agent.&nbsp; Active cases search was done house-to-house using epidemiologically linked case definitions. A semi-structured questionnaire was used to collect data from cases and controls through face-to-face interviews. A binary logistic regression analysis was fitted and variables with P-value of ≤ 0.05 were considered as statistically significant risk factors.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p>