Haiti is one of the countries that is known to be highly endemic for the parasite Cyclospora.
The lake contains highly endemic fish biodiversity, and some of the species, including four endemics, are seriously endangered.
There are a number of problems with serological testing: in highly endemic areas, not everyone who becomes infected will actually develop clinical disease or require treatment.
This species is highly endemic to Chinese Guangxi province.
Recent research has shown that Sphaeromimus populations are highly endemic, since individuals are not able to travel between forest patches.
"It's at the point where people don't want to go to certain posts that are highly endemic."
The spectrum of disease in children treated for tuberculosis in a highly endemic area.
Although combinations including artemisinins have been widely advocated, they are expensive and relatively untested in highly endemic areas.
As a highly endemic and rare vegetation type of the Dinarids it needs protection.
Its river and spring habitat ecosystems are relatively intact and support a highly endemic fish fauna.