From the map it seems like all the cases are in the Southeast. Is the Southeastern United States sort or a 3rd Word Country within the U.S. ? It seems like every time I see something like this it is in the Southeast. It seems to me like the rift from the Civil War has never completely been resolved. Just an observation, does anyone else feel the same way?
I've lived in the southeast of the US as well as the west coast, and I am from Europe. To my foreign eyes, infrastructures and poverty levels in the south east of the US definitely made it feel like a 3rd world country.
Edit: Also 3rd world is a bit hyperbolic. Even the bad areas of the southeast aren't comparable to most of Africa and the real 3rd world.