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Time series of American Cutaneous Leishmaniasis (ACL) annual cases for the different health areas of Panamá during the different El Niño Southern Oscillation (ENSO) phases. Health areas are: (A) Bocas del Toro. (B) Chriqui. (C) Veraguas. (D) Coclé. (E) Colón. (F) Panamá Oeste. (G) Metropolitana. (H) Panamá Este. (I) Guna Yala (J) Darién. In the legend: NON, Niño, and Niño + 1 indicate, respectively, normal year, El Niño event year, and a year following an El Niño event.
