Final answer:
Infections with Mycobacterium ulcerans, causing Buruli ulcer, are most likely in tropical and subtropical regions, especially West and Central Africa, Asia, the Western Pacific, and Latin America, near aquatic environments like swamps and slow-moving waters.
Step-by-step explanation:
Mycobacterium ulcerans, the bacterium that causes Buruli ulcer, is most frequently encountered in specific tropical and subtropical regions. These include West and Central Africa, parts of Asia, the Western Pacific, and Latin America.
Aquatic environments, such as swamps and slow-moving waters, are typical habitats for M. ulcerans. The risk of infection is higher for individuals living near or having frequent contact with these waters. The exact mode of transmission of M. ulcerans is not fully known, but it often involves contact with contaminated water or possibly insects that bite, such as aquatic bugs.
High-risk areas are often characterized by a combination of environmental factors such as poor water quality, low socioeconomic conditions, and lack of proper sanitation. Anyone visiting or living in these regions, particularly in areas with known outbreaks, should be aware of the risks and take preventative measures against infection.