Wyoming had a twelve confirmed cases of tularemia, including one fatality, in 2015.
http://www.health.wyo.gov/news.aspx?NewsID=846
http://trib.com/news/state-and-regi...cle_d81c669b-11cc-5a1b-b1e8-c9e319ac33dc.html
http://www.health.wyo.gov/news.aspx?NewsID=846
http://trib.com/news/state-and-regi...cle_d81c669b-11cc-5a1b-b1e8-c9e319ac33dc.html