<p>The content is good however we need to</p><ul><li>Review and improve on the Title of the abstract</li><li>the Author needs to provide more information on what could be likely predisposing factors among the highest affected age group 5-14 years(Teens and infants). Also it would be better to understand if &nbsp;any of the etiological factors are associated with this age group .for instance do children stay out late in the night? what are lifestyle practices are exhibited by communities around rivers and water bodies.&nbsp;</li><li>The conclusion can also be improved to suggest a more specific intervention for both the affected age groups, gender as well as addressing environmental/geographically associated challenges</li></ul><p>If this information is available, this would be a great piece of new knowledge&nbsp;</p>