Epilepsy isn’t something we usually associate with specific geographic regions, but new research suggests that’s an oversight—at least in the United States.

New research finds that certain parts of the U.S. have much higher rates of epilepsy than others. Researchers examined the Medicare data of Americans over 65 from across the country. Older adults were significantly more likely to be diagnosed with a new case of epilepsy if they lived in the southeastern U.S., they found. The findings suggest that this region might have unique risk factors that contribute to the neurological condition, such as hotter weather or larger health care disparities, the researchers say.

“Modifiable social and environmental conditions at the local level may contribute to epilepsy incidence among older adults

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