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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.3" xml:lang="en" article-type="research-article"><?properties manuscript?><processing-meta base-tagset="archiving" mathml-version="3.0" table-model="xhtml" tagset-family="jats"><restricted-by>pmc</restricted-by></processing-meta><front><journal-meta><journal-id journal-id-type="nlm-journal-id">100965525</journal-id><journal-id journal-id-type="pubmed-jr-id">30239</journal-id><journal-id journal-id-type="nlm-ta">Vector Borne Zoonotic Dis</journal-id><journal-id journal-id-type="iso-abbrev">Vector Borne Zoonotic Dis</journal-id><journal-title-group><journal-title>Vector borne and zoonotic diseases (Larchmont, N.Y.)</journal-title></journal-title-group><issn pub-type="ppub">1530-3667</issn><issn pub-type="epub">1557-7759</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25793477</article-id><article-id pub-id-type="pmc">8753977</article-id><article-id pub-id-type="doi">10.1089/vbz.2014.1696</article-id><article-id pub-id-type="manuscript">HHSPA1574093</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Prevalence of EEEV Antibodies among White-Tailed Deer Populations in Maine</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mutebi</surname><given-names>John-Paul</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Godsey</surname><given-names>Marvin</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Smith</surname><given-names>Robert P.</given-names><suffix>Jr</suffix></name><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Renell</surname><given-names>Melanie R.</given-names></name><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Smith</surname><given-names>Leticia</given-names></name><xref rid="A3" ref-type="aff">3</xref></contrib><contrib contrib-type="author"><name><surname>Robinson</surname><given-names>Sara</given-names></name><xref rid="A4" ref-type="aff">4</xref></contrib><contrib contrib-type="author"><name><surname>Sears</surname><given-names>Stephen</given-names></name><xref rid="A5" ref-type="aff">5</xref></contrib><contrib contrib-type="author"><name><surname>Lubelczyk</surname><given-names>Charles</given-names></name><xref rid="A2" ref-type="aff">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Centers for Disease Control and Prevention, Division of Vector-Borne Diseases, 3150 Rampart Road, Fort Collins, CO 80521.</aff><aff id="A2"><label>2</label>Maine Medical Center Research Institute, Vector-Borne Disease Laboratory, 81 Research Drive, Scarborough, ME 04074.</aff><aff id="A3"><label>3</label>Cornell University, Department of Entomology, 2130 Comstock Hall, Ithaca, NY 14853.</aff><aff id="A4"><label>4</label>Maine Department of Health and Human Services, 286 Water Street, Augusta ME 04333,</aff><aff id="A5"><label>5</label>VA Maine Healthcare System, 1 VA Center, Augusta ME 04330.</aff><author-notes><corresp id="CR1"><bold>Corresponding author</bold>: John-Paul Mutebi, Division of Vector-Borne Diseases (DVBD), Centers for Diseases Control and Prevention (CDC), 3150 Rampart Road, Fort Collins, CO 80521, <email>jmutebi@cdc.gov</email>, Phone: (970) 221-6423, Fax: (970) 266-3599</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>12</day><month>1</month><year>2022</year></pub-date><volume>15</volume><issue>3</issue><fpage>210</fpage><lpage>214</lpage><abstract id="ABS1"><p id="P1">During fall 2010, 332 deer serum samples were collected from 15 of the 16 (93.8%) Maine counties and screened for eastern equine encephalitis virus (EEEV) antibodies by using Plaque Reduction Neutralizing Tests (PRNTs). The aim was to detect and map EEEV activity in the state of Maine. Forty-seven of the 332 (14.2%) sera were positive for EEEV antibodies showing a much wider distribution of EEEV activity in Maine than previously known. The percentage of EEEV antibody positive deer sera was &#x02265;10% in six counties Piscataquis (100%), Somerset (28.6%), Waldo (22.2%), Penobscot (21.7%), Kennebec (13.7%) and Sagadahoc (10%). Positive sera were detected in all the 6 counties (Somerset, Waldo, Penobscot, Kennebec, Cumberland and York) that were positive in 2009 suggesting endemic EEEV activity in these counties. EEEV antibodies were not detected in sera collected in five counties: Franklin, Knox, Lincoln, Oxford and Washington which was either due to low sample size or lack of EEEV activity in these counties. Our data suggest higher EEEV activity in central Maine compared to southern Maine whereas EEEV activity in Maine has historically been associated with the southern counties of York and Cumberland.</p></abstract><kwd-group><kwd><italic toggle="yes">Odocoileus virginianus</italic></kwd><kwd>Eastern Equine Encephalitis Virus</kwd><kwd>White-Tailed Deer</kwd><kwd>Plaque Reduction Neutralization Test</kwd><kwd>Maine</kwd></kwd-group></article-meta></front><body><sec id="S1"><title>Introduction</title><p id="P2">The distribution of eastern equine encephalitis virus (EEEV) activity in Maine is currently not well understood. Before 2005 EEEV had only been detected in an American goldfinch (<italic toggle="yes">Carduelis tristis</italic>) in York County (<xref rid="R7" ref-type="bibr">Lubelcyck et al. 2013</xref>). Between 2005 and 2007 EEEV was detected in birds, horses, and mosquito pools in York and Cumberland counties in southern Maine and at that time it was thought that southern Maine represented the northern limits of EEEV activity in the North America (<xref rid="R8" ref-type="bibr">Lubelcyck et al. 2014</xref>). However, in 2009 an epizootic of EEE occurred in 5 counties in southern (York and Cumberland Counties) and central Maine (Kennebec, Waldo and Penobscot Counties) and it involved fatalities in at least 15 horses, a llama and 3 flocks of pheasants (<xref rid="R4" ref-type="bibr">Gibney et al. 2011</xref>, <xref rid="R7" ref-type="bibr">Lubelcyck et al. 2013</xref>). This suggested a much broader distribution of EEEV activity in the state. Following the outbreak in 2009, we conducted a pilot study and found high EEEV antibodies levels in free-ranging deer (<italic toggle="yes">Odocoileus virginianus</italic>) sera in central Maine which suggested that EEEV is endemic in this region (<xref rid="R10" ref-type="bibr">Mutebi et al. 2011</xref>). Since then deer serosurveys have been utilized to study the distribution of EEEV activity and other arboviruses in other states in Northeastern United States (<xref rid="R2" ref-type="bibr">Berl et al. 2013</xref>, <xref rid="R12" ref-type="bibr">Nofchissey et al. 2013</xref>).</p><p id="P3">In 2010, we expanded the deer serosurvey studies to include most of the counties in Maine to get a more complete picture of the distribution of EEEV activity in the state. In the course of these studies we noticed that the number of deer tagged was significantly reduced in northern Maine corresponding to lower densities in that region of the state (<xref rid="R6" ref-type="bibr">Lavigne 1997</xref>). We also noticed that the numbers of moose (<italic toggle="yes">Alces alces</italic>) tagged increased in northern Maine suggesting increased moose population size in that part of the state (<xref rid="R15" ref-type="bibr">Wattles and DeStefano 2011</xref>, <xref rid="R8" ref-type="bibr">Lubelcyck et al. 2014</xref>). We screened the moose sera and detected EEEV antibodies in approximately 11% of the samples which showed that moose were exposed to EEEV infections in northern Maine (<xref rid="R8" ref-type="bibr">Lubelczyk et al. 2014</xref>). Previously we had observed that 29% of the moose sera collected in northern Vermont were positive for EEEV antibodies (<xref rid="R11" ref-type="bibr">Mutebi et al. 2012</xref>). Taken together these observations suggest that similar to deer, moose can be used as sentinels to detect EEEV activity. In the present study, EEEV antibody positive moose sera were detected near Fort Kent very close to the Canadian border suggesting EEEV activity throughout the state of Maine (<xref rid="R8" ref-type="bibr">Lubelczyk et al. 2014</xref>). However there are large areas in the state of Maine where EEEV activity is unknown. Since the distribution of EEEV activity in North America is patchy and not uniform throughout the distribution range (<xref rid="R9" ref-type="bibr">Morris 1988</xref>) it is essential to investigate all areas of the state to obtain an accurate picture of EEEV activity. In this manuscript we present and discuss our observations of the expanded deer serosurvey in Maine in 2010.</p></sec><sec id="S2"><title>Materials and Methods</title><sec id="S3"><title>Serum collection.</title><p id="P4">Blood samples were collected from deer carcasses by using the methods previously described by <xref rid="R10" ref-type="bibr">Mutebi et al. (2011)</xref>. Briefly whole blood was collected either from the heart or from blood pools in body cavities of the disemboweled carcasses by using sterile syringes or pipettes and placed into 5 or 10ml vacutainer tubes (Fischer Scientific, Pittsburg, PA). In the field, vacutainer tubes were kept on ice in Styrofoam chests and transported on ice to the lab at the end of each day. In the lab, the vacutainer tubes were centrifuged at 3000 rpm for 5 &#x02013; 10 min to separate serum from the blood clot and stored frozen at &#x02212;20&#x000b0;C. Deer tag numbers were used as ID numbers and the approximate age of deer was estimated and reported as juvenile or adult using teeth wear (<xref rid="R3" ref-type="bibr">Cain 2010</xref>). The approximate locations where the deer were killed were pointed out and marked on high resolution area maps by the hunters. At all times during the blood collection process, standard universal precautions against potential blood borne pathogens were taken.</p><p id="P5">Blood samples were collected at 42 deer tagging stations: Greene, Livermore, Minot and Sabattus in Androscoggin County; Ashland, Fort Kent, Houlton, Island Falls, Linneus, Monticello, New Limerick, Portage Lake and Presque Isle in Aroostook County; Gray, Sebago, and Standish in Cumberland County; Centerville in Franklin County; Gouldsboro in Hancock County; Benton, West Gardiner, Windsor and Winthrop in Kennebec County; Thomaston in Knox County; Waldoboro in Lincoln County; Dexter, Eddington, Millinocket, Newport in Penobscot County; Greenville in Piscataquis; Bowdoin in Sagadahoc County; Skowhegan and Jackman in Somerset County; Freedom and Morrill in Waldo County; Jonesport, Machias, and Whiting in Washington County; Acton, South Berwick and Wells in York County. These stations were selected to include as much of the state as possible. In addition large numbers of deer had consistently been registered at most of these stations in the previous years and their inclusion increased the possibility of obtaining representative samples. We started sampling on 30 October 2010 (the beginning of the firearm hunting season) and continued through January 2011.</p></sec><sec id="S4"><title>Serologic tests.</title><p id="P6">Deer serum samples were diluted 1:10 and screened for EEEV-neutralizing antibodies by plaque-reduction neutralization assay (<xref rid="R1" ref-type="bibr">Beaty et al. 1995</xref>). Positive specimens and all specimens neutralizing over 70% were titrated in duplicate for confirmation. Serum samples were considered positive for EEEV antibodies if they neutralized 80% of a challenge dose of &#x02248;100 plaque-forming units of EEE-Sindbis chimeric virus (<xref rid="R14" ref-type="bibr">Wang et al. 2007</xref>).</p></sec></sec><sec id="S5"><title>Results and Discussion</title><p id="P7">Three hundred and thirty-two (332) deer serum samples were collected from 15 of the 16 (93.8%) ME counties and 47 (14.2%) were positive for EEEV antibodies by PRNT (<xref rid="T1" ref-type="table">Tables 1</xref> and <xref rid="T2" ref-type="table">2</xref>). This shows a much wider distribution of EEEV activity in Maine than previously reported by <xref rid="R10" ref-type="bibr">Mutebi et al. (2011)</xref> and <xref rid="R8" ref-type="bibr">Lubelczyk et al. (2014)</xref>. The percentage of EEEV antibody positive deer sera was &#x02265;10% in six counties Piscataquis (100%), Somerset (28.6%), Waldo (22.2%), Penobscot (21.7%), Kennebec (13.7%) and Sagadahoc (10%) (<xref rid="T1" ref-type="table">Table 1</xref>). Although the highest percentage of EEEV positive sera (100%) was detected in Piscataquis County, only 2 deer samples were collected in that County and therefore the high percentage may be attributed to the extremely low sample size. In counties where more than 20 samples were collected the highest percentage of EEEV antibody sera was detected in Somerset County (28.6%) followed by Waldo (22.2%), Penobscot (21.7%), Kennebec (13.7%) and Cumberland (7.3%). Positive sera were detected in all the 6 counties (Somerset, Waldo, Penobscot, Kennebec, Cumberland and York) that were positive in 2009 (<xref rid="R10" ref-type="bibr">Mutebi et al. 2011</xref>) which suggest endemic EEEV activity in these counties. The high percentage of positive sera detected in Somerset County in both 2009 (19%) and 2010 (28.6%) suggest consistently high EEEV activity in this County. Similarly the percentages of positive deer sera detected in Cumberland, York and Penobscot Counties (9.4%, 5% and 12.5% respectively) were very similar to those observed in 2009 (7.3%, 2.9% and 21.7% respectively) (<xref rid="R10" ref-type="bibr">Mutebi et al. 2011</xref>) suggesting consistent EEEV activity in this county as well as well. However, in Kennebec and Waldo counties, the percentage of EEEV positive sera detected was substantially lower in 2010 (3.8% and 7.9% respectively) when compared to what was detected in 2009 (13.7% and 22.2% respectively) (<xref rid="R10" ref-type="bibr">Mutebi et al. 2011</xref>) which suggests that EEEV activity may be a recent expansion into these counties. As epizootic activity of the virus was also higher in 2009 than 2010 in this region of Maine (<xref rid="R4" ref-type="bibr">Gibney 2011</xref>), the parallels seen in cervids may also speak to the usefulness of this surveillance method.</p><p id="P8">Although positive sera has been detected in York and Cumberland in both 2009 and 2010 and EEEV activity has historically been associated with these two southern counties, the percentages of positive sera detected in these two counties were substantially lower than those detected in some counties in central Maine such as Somerset, Waldo and Penobscot (<xref rid="T1" ref-type="table">Table 1</xref>) (<xref rid="R10" ref-type="bibr">Mutebi et al. 2011</xref>). This suggests that the highest EEEV activity in the state may not be in southern Maine, despite historical viral activity in veterinary cases (<xref rid="R7" ref-type="bibr">Lubelczyk 2013</xref>). Most of the positive sera were detected at the junction where five counties, Somerset, Piscataquis, Penobscot Waldo and Kennebec come together in central Maine suggesting that this may be a focus of EEEV activity (<xref rid="F1" ref-type="fig">Fig. 1</xref>).</p><p id="P9">EEEV antibodies were not detected in sera collected in five counties: Franklin, Knox, Lincoln, Oxford and Washington (<xref rid="T1" ref-type="table">Table 1</xref>, <xref rid="F1" ref-type="fig">Fig. 1</xref>). However, with the exception of Washington County where 20 serum samples were collected, the sample sizes from the other four counties were limited to one or 2 samples (<xref rid="T1" ref-type="table">Table 1</xref>) and the inability to detect positive samples in these counties may be attributed to the small sample sizes. Although there was a sizable number of samples from Washington County (20) (<xref rid="T1" ref-type="table">Table 1</xref>), all these samples were collected in the coastal areas in the south and none from the central or northern areas of this county (<xref rid="F1" ref-type="fig">Fig. 1</xref>). The absence of positive deer sera in southern Washington County is intriguing especially because the coastal areas of this county have numerous ideal habitats for <italic toggle="yes">Cs. melanura</italic> and other EEEV vectors.</p><p id="P10">Only 17 (5.1%) deer sera were collected from the northern part of the state; 15 (4.5%) from Aroostook County, and 2 of the 23 samples from Penobscot County (<xref rid="T1" ref-type="table">Table 1</xref>, <xref rid="F1" ref-type="fig">Fig. 1</xref>). Our observations based on deer tagging data suggest that deer populations are not uniformly distributed throughout Maine but rather more restricted to the southern, costal and central parts of the state (<xref rid="R13" ref-type="bibr">Rand et al. 2003</xref>). These observations are consistent with the conclusions by Krom (<ext-link xlink:href="http://www.umaine.edu/cfru/Events/Munsungan_DWA_12.07/Krohn_HistoricalEcology.pdf" ext-link-type="uri">http://www.umaine.edu/cfru/Events/Munsungan_DWA_12.07/Krohn_HistoricalEcology.pdf</ext-link>). Krom compiled available information on the distribution of white-tailed deer in Maine, from the time of European settlement to the early 2000s and found significant distribution variations of deer populations over time; currently deer populations are abundant in the south, central and coastal areas of Maine and very low in the North.</p></sec></body><back><ack id="S6"><title>Acknowledgements</title><p id="P11">We thank Susan Elias (Maine Medical Center Research Institute), Bethany Swope and Kali Saxton-Shaw (CDC) for logistics, laboratory and field assistance during this study. We Becky Eisen and Katherine MacMillan (CDC) for their assistance with spatial analysis and mapping functions. We especially thank Dr. Joseph Staples and the students of the University of Southern Maine, Portland; Dr. David Knupp and the students of Unity College, Unity; Dr. Stephen Hansen and the students of the University of Maine at Fort Kent; Dr. Lee Kantar and the Maine Department of Inland Fisheries and Wildlife, and USDA Wildlife Services for their help collecting samples at tagging stations. 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<year>2011</year>; <volume>47</volume>: <fpage>53</fpage>&#x02013;<lpage>68</lpage>.</mixed-citation></ref></ref-list></back><floats-group><fig position="float" id="F1"><label>Fig. 1.</label><caption><p id="P12">Location of sites where deer were harvested and serum samples collected in Maine, 2010.</p></caption><graphic xlink:href="nihms-1574093-f0001" position="float"/></fig><table-wrap position="float" id="T1"><label>Table 1.</label><caption><p id="P13">Number of deer serum samples collected, number and percentage of EEEV antibody positive sera from different Counties in Maine, 2010.</p></caption><table frame="box" rules="all"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th align="center" valign="top" rowspan="1" colspan="1">County</th><th align="center" valign="top" rowspan="1" colspan="1">Serum Samples Tested</th><th align="center" valign="top" rowspan="1" colspan="1">EEEV Antibody Positive Samples</th><th align="center" valign="top" rowspan="1" colspan="1">Percentage of EEEV Antibody Positive Samples</th></tr></thead><tbody><tr><td align="center" valign="top" rowspan="1" colspan="1">Androscoggin</td><td align="center" valign="top" rowspan="1" colspan="1">19</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">5.3</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Aroostook</td><td align="center" valign="top" rowspan="1" colspan="1">15</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="center" valign="top" rowspan="1" colspan="1">13.3</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Cumberland</td><td align="center" valign="top" rowspan="1" colspan="1">41</td><td align="center" valign="top" rowspan="1" colspan="1">3</td><td align="center" valign="top" rowspan="1" colspan="1">7.3</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Franklin</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="center" valign="top" rowspan="1" colspan="1">0</td><td align="center" valign="top" rowspan="1" colspan="1">0.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Kennebec</td><td align="center" valign="top" rowspan="1" colspan="1">73</td><td align="center" valign="top" rowspan="1" colspan="1">10</td><td align="center" valign="top" rowspan="1" colspan="1">13.7</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Knox</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">0</td><td align="center" valign="top" rowspan="1" colspan="1">0.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Lincoln</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">0</td><td align="center" valign="top" rowspan="1" colspan="1">0.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Oxford</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">0</td><td align="center" valign="top" rowspan="1" colspan="1">0.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Penobscot</td><td align="center" valign="top" rowspan="1" colspan="1">23</td><td align="center" valign="top" rowspan="1" colspan="1">5</td><td align="center" valign="top" rowspan="1" colspan="1">21.7</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Piscataquis</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="center" valign="top" rowspan="1" colspan="1">100.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Sagadahoc</td><td align="center" valign="top" rowspan="1" colspan="1">10</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">10.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Somerset</td><td align="center" valign="top" rowspan="1" colspan="1">35</td><td align="center" valign="top" rowspan="1" colspan="1">10</td><td align="center" valign="top" rowspan="1" colspan="1">28.6</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Waldo</td><td align="center" valign="top" rowspan="1" colspan="1">54</td><td align="center" valign="top" rowspan="1" colspan="1">12</td><td align="center" valign="top" rowspan="1" colspan="1">22.2</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Washington</td><td align="center" valign="top" rowspan="1" colspan="1">20</td><td align="center" valign="top" rowspan="1" colspan="1">0</td><td align="center" valign="top" rowspan="1" colspan="1">0.0</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">York</td><td align="center" valign="top" rowspan="1" colspan="1">35</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="center" valign="top" rowspan="1" colspan="1">2.9</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">
<bold>Totals</bold>
</td><td align="center" valign="top" rowspan="1" colspan="1">
<bold>332</bold>
</td><td align="center" valign="top" rowspan="1" colspan="1">
<bold>47</bold>
</td><td align="center" valign="top" rowspan="1" colspan="1">
<bold>13.6</bold>
</td></tr></tbody></table></table-wrap><table-wrap position="float" id="T2"><label>Table 2.</label><caption><p id="P14">PRNT<sub>80</sub> and PRNT<sub>90</sub> EEEV antibody results for the 47 positive white-tailed deer (<italic toggle="yes">O. virginianus</italic>) in Maine, 2010.</p></caption><table frame="box" rules="all"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th align="left" valign="bottom" rowspan="1" colspan="1">County</th><th align="center" valign="bottom" rowspan="1" colspan="1">Township</th><th align="center" valign="bottom" rowspan="1" colspan="1">Serum PRNT<sub>80</sub></th><th align="center" valign="bottom" rowspan="1" colspan="1">Serum PRNT<sub>90</sub></th></tr></thead><tbody><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Androscoggin</td><td align="left" valign="bottom" rowspan="1" colspan="1">Mechanic Falls</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Aroostook</td><td align="left" valign="bottom" rowspan="1" colspan="1">New Limerick</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Aroostook</td><td align="left" valign="bottom" rowspan="1" colspan="1">Ludlow</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Cumberland</td><td align="left" valign="bottom" rowspan="1" colspan="1">North Yarmouth</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Cumberland</td><td align="left" valign="bottom" rowspan="1" colspan="1">Windham</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Cumberland</td><td align="left" valign="bottom" rowspan="1" colspan="1">Gorham</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Clinton</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Albion</td><td align="center" valign="bottom" rowspan="1" colspan="1">&#x02265;640</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Winslow</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Clinton</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Benton</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">&#x02265;640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Vassalboro</td><td align="center" valign="bottom" rowspan="1" colspan="1">40</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Clinton</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Benton</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">Manchester</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Kennebec</td><td align="left" valign="bottom" rowspan="1" colspan="1">China</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Penobscot</td><td align="left" valign="bottom" rowspan="1" colspan="1">Dexter</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Penobscot</td><td align="left" valign="bottom" rowspan="1" colspan="1">Corinna</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Penobscot</td><td align="left" valign="bottom" rowspan="1" colspan="1">TAR7</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Penobscot</td><td align="left" valign="bottom" rowspan="1" colspan="1">Holden</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Penobscot</td><td align="left" valign="bottom" rowspan="1" colspan="1">Newport</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td><td align="center" valign="bottom" rowspan="1" colspan="1">40</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Piscataquis</td><td align="left" valign="bottom" rowspan="1" colspan="1">Parkman</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Piscataquis</td><td align="left" valign="bottom" rowspan="1" colspan="1">Sangerville</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Sagadahoc</td><td align="left" valign="bottom" rowspan="1" colspan="1">Bowdoin</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Hartland</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Mercer</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td><td align="center" valign="bottom" rowspan="1" colspan="1">40</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Pittsfield</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Skowhegan</td><td align="center" valign="bottom" rowspan="1" colspan="1">2560</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Fairfield</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Fairfield</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Pittsfield</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Fairfield</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Detroit</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Somerset</td><td align="left" valign="bottom" rowspan="1" colspan="1">Madison</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Burnham</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Burnham</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">20</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Freedom</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td><td align="center" valign="bottom" rowspan="1" colspan="1">640</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">5120</td><td align="center" valign="bottom" rowspan="1" colspan="1">2560</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Knox</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">1280</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Unity</td><td align="center" valign="bottom" rowspan="1" colspan="1">320</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">Waldo</td><td align="left" valign="bottom" rowspan="1" colspan="1">Monroe</td><td align="center" valign="bottom" rowspan="1" colspan="1">-</td><td align="center" valign="bottom" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="bottom" rowspan="1" colspan="1">York</td><td align="left" valign="bottom" rowspan="1" colspan="1">North Berwick</td><td align="center" valign="bottom" rowspan="1" colspan="1">160</td><td align="center" valign="bottom" rowspan="1" colspan="1">80</td></tr></tbody></table></table-wrap></floats-group></article>