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Figure 1.

Annual human cutaneous anthrax cases in Azerbaijan during 1984 to 2010.

Black bars represent total cases and the red line represents the incidence per 1 million population. The period of Soviet governance corresponds to the years 1984 to 1991, the period of post-Soviet governance before preemptive livestock vaccination corresponds to the years 1992 to 1995, and the initiation of preemptive livestock vaccination (PLV) corresponds to the years 1996 to 2010.

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Figure 2.

Boxplots of human cutaneous anthrax incidence at the district level grouped by the Soviet period (1984–1991), the post-Soviet period (1992–1995), and the period of preemptive livestock vaccination (1996–2010).

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Figure 3.

Graph displays the number of yearly livestock outbreaks of anthrax (black bars) and the total number of preemptive doses of livestock vaccine administered (grey line) during the period 1984–2010.

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Figure 4.

Cumulative Incidence of human cutaneous anthrax per 100,000 persons at the district level grouped into seven 4-year periods.

District names correspond to peak cumulative incidences during the Soviet (1984–1991), post-Soviet (1992–1995), and preemptive livestock vaccination (1996–2010) periods.

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Figure 5.

Weighted mean center of the yearly district incidence of human cutaneous anthrax.

Graphs show the concentration of reporting by latitude and longitude over time. Map inset displays the location of the mean center by time period. Red dots represent the period of Soviet governance, green dots represent the period of post-Soviet governance, and yellow dots represent the period of preemptive livestock vaccination.

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Figure 6.

Maps show the results of the SatScan spatial scan statistic.

Districts in red represent significant spatial clusters.

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Figure 7.

Results of the jointpoint regression analysis.

Graph displays the 3-piece model with breakpoints at the years 1995 (95% CI: 1994, 1999) and 2000 (95% CI: 1999, 2006). The y-axis is the incidence per 1 million plus one and the x-axis is the year. The * indicates a significant slope of the line segment at the p = 0.02 level of significance. ¥Signifies a significant annual percent change in the rate of incidence for the line segment shown in red.

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