<metadata xml:lang="en"><Esri><CreaDate>20241217</CreaDate><CreaTime>19244300</CreaTime><ArcGISFormat>1.0</ArcGISFormat><SyncOnce>TRUE</SyncOnce><DataProperties><lineage><Process ToolSource="c:\program files\arcgis\pro\Resources\ArcToolbox\toolboxes\Conversion Tools.tbx\ExportFeatures" Date="20241217" Time="192443" Name="" export="">ExportFeatures states "C:\Users\ebarthnaftilan\Documents\ClimateIndicators\GIS\CI_GeoPlatform_Package_121724\LymeDisease and West Nile Updates\LymeDisease and West Nile Updates.gdb\WestNile_2024update" # NOT_USE_ALIAS "STATEFP "STATEFP" true true false 2 Text 0 0,First,#,states,cb_2019_us_state_500k.STATEFP,0,1;STATENS "STATENS" true true false 8 Text 0 0,First,#,states,cb_2019_us_state_500k.STATENS,0,7;AFFGEOID "AFFGEOID" true true false 11 Text 0 0,First,#,states,cb_2019_us_state_500k.AFFGEOID,0,10;GEOID "GEOID" true true false 2 Text 0 0,First,#,states,cb_2019_us_state_500k.GEOID,0,1;STUSPS "STUSPS" true true false 2 Text 0 0,First,#,states,cb_2019_us_state_500k.STUSPS,0,1;NAME "NAME" true true false 100 Text 0 0,First,#,states,cb_2019_us_state_500k.NAME,0,99;LSAD "LSAD" true true false 2 Text 0 0,First,#,states,cb_2019_us_state_500k.LSAD,0,1;ALAND "ALAND" true true false 14 Double 0 14,First,#,states,cb_2019_us_state_500k.ALAND,-1,-1;AWATER "AWATER" true true false 14 Double 0 14,First,#,states,cb_2019_us_state_500k.AWATER,-1,-1;State "State" true true false 255 Text 0 0,First,#,states,Sheet1$.State,0,254;WestNile_Inc "WestNile_Inc" true true false 8 Double 0 0,First,#,states,Sheet1$.WestNile_Inc,-1,-1;Year_Trend "Year_Trend" true true false 254 Text 0 0,First,#,states,cb_2019_us_state_500k.Year_Trend,0,253;Trend "Trend" true true false 19 Double 0 0,First,#,states,cb_2019_us_state_500k.Trend,-1,-1;StateAbbrv "StateAbbrv" true true false 254 Text 0 0,First,#,states,cb_2019_us_state_500k.StateAbbrv,0,253;Change_in "Change_in" true true false 19 Double 0 0,First,#,states,cb_2019_us_state_500k.Change_in,-1,-1;ObjectID "ObjectID" false true false 4 Long 0 9,First,#,states,Sheet1$.ObjectID,-1,-1;avg_inc "avg_inc" true true false 8 Double 0 0,First,#,states,Sheet1$.avg_inc,-1,-1" #</Process></lineage><itemProps><imsContentType export="False"/></itemProps></DataProperties><scaleRange><minScale>150000000</minScale><maxScale>5000</maxScale></scaleRange><ArcGISProfile>ISO19115_3</ArcGISProfile></Esri><dataIdInfo><idPurp>This map shows the average annual incidence of neuroinvasive West Nile virus disease in each state from 2002 to 2023.</idPurp><idAbs>This map shows the average annual incidence of neuroinvasive West Nile virus disease in each state, which is calculated as the average number of new cases per 100,000 people per year from 2002 to 2023. The map is based on cases that local and state health departments report to CDC’s national disease tracking system. Neuroinvasive cases are those that affect the brain or cause neurologic dysfunction. 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