“…Initially, it was enzootic in states along the Atlantic Coast; the Mississippi, Missouri, and Ohio rivers; and the Gulf Coast, where the prevalence can reach 48.8% (58,229,261), and new foci have been documented in central and Western states (Wyoming, Utah, Montana, California, Oregon, and Washington) (147). In Central and South America, dirofilariasis prevalence rates range from 20% to 42% in cities on the Gulf Coast of Mexico, from 20.4% to 63.2% in the Caribbean (the Bahamas, Curaçao, Cuba, the Dominican Republic, and Puerto Rico), from 2.3% to 45% in Brazil, and from 5% to 74% in Argentina (6,211,218,220,251,442). In Bolivia, dirofilariasis has been found in dogs and in wild canids (67,136) and has been found only in dogs in the Galapagos Islands of Ecuador (228).…”