Barely Significant
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US Gulf Coast states: The rise of neglected tropical diseases in "flyover nation".

PLoS Negl Trop Dis · 2017 · PMC5689823 · PMID 29145403

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may be significantno p-value reported
The reasons why this region is susceptible to NTDs require further research and investigation, but empirical data suggest that the disproportionate impact of poverty and new 21st century environmental changes may be significant drivers.

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