Additional software
Maps of Germany and North Rhine-Westphalia were designed with the iMapU tool provided by iExcelU. Data collection was performed using Microsoft Excel for Mac (v.14.7.3.). Data analysis and Figure preparation was performed using Prism 9.0 (GraphPad). Data analysis was performed using RStudio (lmtest: 0.9-40, bnlearn: 4.8.1 stats: 4.2.2).