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We totally lucked out (unless you're among the bird or animal cases noted), an island of gray in a sea of orange. Gray is my favorite color. So far this year we're free even of animal, bird, or mosquito cases (in King County, the state has animal/bird/insect cases).
But check out Oregon. Nothing across the state. Good year to be a bird there.
So I guess the next fever I see in clinic (once this luxurious six weeks of vacation is over--next week) is just a fever, or at least not West Nile.