<p>In the background, please indicate if the condition is endemic to the area or not&nbsp;</p><p>The actual time period of the study should be included in the title. One assumes that it is since the beginning of 2023, which is not the case.</p><p>The time of investigations "from 11th to 17th January 2023" in the first sentence of the methods and this "1st October 2022 and 13th February 2023" are confusing.&nbsp;</p><p>It is not clear in the methods how the risk factors were assessed, what method did the authors use?</p><p>In the results. what does (± 5.4) represent?Is it the standard deviation?&nbsp;</p><p>&nbsp;</p>