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Post-arrival medical information was gotten through health chart abstraction in collaboration with state wellness partners in nine participating states. We evaluated observed splenomegaly duration and connected medical sequelae between 130 case customers from east Congo and 102 controls through adjusted hierarchical Poisson designs, accounting for familial clustering. Regarding the 130 case customers, 95 (73.1%) had noticeable splenomegaly after arrival. Associated with