The ohio river valley is significant because -
a. it's lush forests provide ideal locations to hide from british officers
b. it's location was ideal for hunting whales and other sea life creatures
c. it allowed freedom of worship due to its isolation from other settlements
d. it's fertile soil could support profitable farms

The constant presence of diseases or infectious agents within a given geographic area or population group. it may also refer to the usual prevalence of a given disease with such area or group. it includes holoendemic and hyperendemic diseases. a holoendemic disease is one for which a high prevalent level of infection begins early in life and affects most of the child population, leading to a state of equilibrium such that the adult population shows evidence of the disease much less commonly than do children (malaria in many communities is a holoendemic disease). a hyperendemic disease is one that is constantly present at a high incidence and/or prevalence rate and affects all groups equally. so probably family history.