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The largest included 12 counties: Polk, Palm Beach, Lee, Seminole, Hillsborough, Manatee, Marion, St. Lucie, Indian River, Orange, Broward, and Collier. The next largest cluster included 8 counties: Pinellas, Brevard, Sarasota, Hernando, Bay, Okaloosa, St. Johns, and Pasco. The remaining clusters included between 6 and 2 counties: Jackson, Alachua, Leon, Putnam, and Columbia; Duval, Escambia, and Clay; Flagler and Volusia; and Miami-Dade, Osceola, and Hendry.
JMIR Public Health Surveill 2025;11:e65573
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