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(A) Cutaneous Leishmaniasis cases in the Republic of Panamá (B) Rainfall (C) Temperature. The solid line indicates the averages and dashed lines the extremes. (D) Sea Surface Temperature 4 (El Niño 4 Index). All time series start in January 2000 and end in December 2010. In the plots colors indicate the ENSO phase, for details refer to the inset legend in panel A.
