Hookworm disease in dogs is not showing any signs of decreasing, with the highest prevalence rates in the South, according to the Companion Animal Parasite Council. While the incidence across the U.S. in general is one case for every 100 dogs tested, from South Carolina going as far west to Texas, prevalence rates reach as high as one in 50 to one in 30 dogs. The incidence rate one step north, from Virginia going as far west to Kansas, is relatively high, too. But no state is immune, and even places as far north as Vermont and Montana have relatively high rates.
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