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That is interesting. Wisconsin is high in heartworm yet I have yet to meet a dog owner who had a heartworm positive dog. Ohio and Georgia are lower than us, yet whenever we rescue from there they are almost always heartworm positive. Hmmmmmmm..?
 

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I would assume that the HW+ numbers in the north are skewed a bit by shelter and rescue dogs being sent up from the south and treated on the receiving end. The numbers are also reported cases. God only knows how many dogs in the deep south are HW+ and never see a vet for diagnosis and treatment.
 

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Very iffy on these stats.
 
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