Tularemia -- United States
Tularemia is an uncommon but debilitating arthropod-borne zoonosis caused by _Francicella tularensis_. Although human infection occurs sporadically throughout the continental USA, historically, cases have been concentrated in the south central states of Louisiana, Arkansas, and Missouri. We used 2 methods to assess changes in the geographic distribution of human tularemia cases reported to CDC through the Nationally Notifiable Diseases Surveillance System during 1965-2013.
Reported cases
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