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Health experts say that people in the hot spot, which includes cities like Buffalo, Rochester and Syracuse, should be increasing their precautions.

Cayuga countyNew yorkUnited statesWells collegeCornell universityBroome countySyracuse universityIsaacb weisfuseRyan mcmahonMary mcfaddenChris pollockRochellep walenskyCenters for diseaseUniversity of new yorkBinghamton universitySyracuse university in onondaga