Regional distribution of fatiguing illnesses in the United States: a pilot study.
Bierl, Cynthia, Nisenbaum, Rosane, Hoaglin, David C et al.·Population health metrics·2004
Researchers called people across the United States and asked about chronic fatigue lasting at least 6 months. They estimated that about 2.2 million American adults have a condition that looks like ME/CFS based on symptoms alone, without medical testing. The study found that fatiguing illnesses were slightly more common in rural areas than cities, but there were no major differences between different regions of the country.