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Originally Posted by 107barney Also people keep in mind that there have been shortages of immeticide for a few years now. This is not a simple fix if a dog gets heartworm! |

I will admit that it is an easy decision for me right now because we live in a HW high incidence area. However, knowing about HW, I would never risk it anywhere.
As Crystal pointed out, we probably do not have accurate data about incidence because it is under-reported and under-diagnosed.