| http://www.w3.org/ns/prov#value | - Although the virus is distributed worldwide, it is highly endemic in areas of southern Japan.1 Endemic foci also have been documented in Jamaica and other countries of the Caribbean basin, as well as in some South and Central American countries.1,2 The primary modes of transmission of HTLV-1 (i.e., breast-feeding, sexual activity, and parenteral exposure to contaminated blood) are well established
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