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96%) than in the successive 3 years (2014 [6.93%], 2015 [4.24%], 2016 [5.09%], 1-sided binomial test, P less then 0.01). It is concluded that risk-based and adaptive surveillance is an effective methodology for detection of IMS, and that application of governmental management measures in combination with mosquito control has stabilized the situation.Herein we report the first recorded arrival of Aedes aegypti on Trindade Island, approximately 1,140 km from the Brazilian coast, posing potential health risks to the human inhabitants thereof
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