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. 2020 Nov 5;10:19157. doi: 10.1038/s41598-020-76212-0

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Comparison of population—(pop) and morbidity (morb)—based approach via overlaying both hot spot analyses. Areas not being declared identical (i.e. as hot, cold or not significant spot) are shown. morb > pop: the morbidity-based approach resulted in either 1) a hot spot and the population-based approach in a not significant or cold spot or 2) a not significant spot and the population-based approach in a cold spot; morb < pop: the morbidity-based approach resulted in either 1) a cold spot and the population-based approach in a not significant or hot spot or 2) a not significant spot and the population-based approach in a hot spot. Maps created by the authors with ArcGIS Pro 2.6.1 (https://www.esri.com/de-de/arcgis/products/arcgis-pro/).