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[DOI] [PubMed] [Google Scholar] 41.Veljaca M., Chan K., Guglietta A

In 2015, Lantos and colleagues reviewed the geographic expansion of Lyme disease in the Southeast and found a marked increase in Lyme disease cases in Virginia, particularly from 2007 onwards with development of a new disease cluster in the southern Virginia mountain region. Since 2009, five counties in North Carolina have been considered endemic for Lyme disease

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Timmins L, Kern LM, O'Malley AS, Urato C, Ghosh A, Rich E

Its important to note that these uses are considered off-label and exploratory