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Also, many high risk counties were located in areas for which HFMD clusters have been detected [ 27].
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Her native Baringo County was identified as one of the high-risk counties.
The number of high-risk counties increased from 25 in 2004 to 54 in 2010.
In Jilin Province, the number of high-risk counties increased from zero in 2004 to three in 2010.
In Heilongjiang Province, the number of high-risk counties decreased from two to zero between 2004 and 2010.
Once high-risk counties and their characteristics are identified, studies more specific to identifying environmental causes will become feasible.
The number of high-risk counties in Shanxi Province increased from zero in 2004 to two in 2010.
We present a method for defining high-risk counties based on observed versus expected number of reported human Lyme disease cases.
This method has the potential to be applied in real-time to identify high-risk counties before the major influx of cases during the transmission season.
The number of high-risk counties in the Inner Mongolia Autonomous Region was the largest one, increasing from 22 in 2004 to 46 in 2010.
In Hebei Province, the number of high-risk counties kept an upward trend, rising from one in 2004 to three in 2010.
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