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001) but had a longer episode duration (5 years 35.5 days (interquartile range (IQR) 17-88) vs. ≥5 years 5.5 days (4-12)). High pneumococcal loads were associated with age (1 year aOR 25.4, 95% CI 7.4-87.6; 1-4 years aOR 13.5, 95% CI 8.3-22.9; 5-14 years aOR 3.1, 95% CI 2.1-4.4 vs. 45-65 year olds) and HIV infection (aOR 1.7; 95% CI 1.2-2.4). We observed high levels of pneumococcus colonization across all age groups. Children and people living with HIV were more likely to be colonized and had higher pneumococcal loads. Carriage du