a) all projects subject to the May 2010 or later dated revisions to the Procurement Guidelines and Consultant Guidelines; and b) to all projects subject to earlier editions of the Procurement Guidelines and Consultant Guidelines for which the legal agreements have been amended to give effect to the cross-debarment regime, with the exception of projects in the following countries for which such amendments have not taken effect: 1. Federative Republic of Brazil (not including States and other financing recipients in Brazil) 2. Bulgaria 3. State of Eritrea 4. Republic of Kazakhstan (not including Kazakhstan Electricity Grid Operating company - KEGOC) 5. Republic of Kenya 6. Serbia
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Our analysis suggests that onchocerciasis infection has declined over the last two decades throughout western and central Africa. Focal areas of Angola, Cameroon, the Democratic Republic of the Congo, Ethiopia, Ghana, Guinea, Mali, Nigeria, South Sudan, and Uganda continue to have mean microfiladermia prevalence estimates exceeding 25%. At and above this level, the continuation or initiation of mass drug administration with ivermectin is supported. If national programs aim to eliminate onchocerciasis infection, additional surveillance or supervision of areas of predicted high prevalence would be warranted to ensure sufficiently high coverage of program interventions. 2ff7e9595c
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