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422 patients were treated in health centers supported by MSF and teams vaccinated around 100,000 children. Surgical treatment will depend on the pathology to be intervened and may consist of removing one side or lobe of the thyroid, right or left hemithyroidectomy or the entire gland total thyroidectomy. Sometimes, to reduce the incidence of some complications, it is possible to leave small remains of the gland subtotal or almost total thyroidectomy. In the Kivus and, more recently, in the north of Katanga province, growing insecurity and the resumption of fighting constitute an additional obstacle preventing people from seeking treatment. In the Orientale, Maniema, Equateur and Katanga provinces, the health system is overwhelmed and few other medical actors are present. Among the 19,009 women who were randomly assigned mean age, 45 years 10th - 90th percentile, 30th - 59th, 16,374 8,296 86.
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