A patient has just returned to their hometown from a hiking/…

A patient has just returned to their hometown from a hiking/camping vacation, and is experiencing symptoms of an infection: high fever, swollen lymph nodes, black-and-blue marks or hemorrhages under the skin.   A doctor on the treating medical team asks her if she has been in the four corners area of the U.S.–where the states of Arizona, Colorado, New Mexico, and Utah all meet.  Why does the doctor ask her this?