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. 2018 Sep 14;18:35. doi: 10.1186/s12898-018-0188-6

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© The Author(s) 2018

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — Spatial cluster of years 1980–2013 suggests presence of 6–8 years cycles of HD outbreaks in Missouri. An HD outbreak is anticipated for during 2018–2020