I moved from Dallas to New Orleans in 1971. I had two pointes. they both tested positive for heartworms. That's when I had them treated and put on whatever the vet recommended. I went from tablets to Ivermectin which was given to me by a vet in 1992. My dogs have been clean since then. I give it to them on a piece of buttered bread.
http://en.wikipedia.org/wiki/Dirofilaria_immitis#HostsDistribution[edit]
Although at one time confined to the southern United States, heartworm has now spread to nearly all locations where its vector, the mosquito, is found. Transmission of the parasite occurs in all of the United States (cases have even been reported in Alaska), and the warmer regions of Canada. The highest infection rates are found within 150 miles of the coast from Texas to New Jersey, and along the Mississippi River and its major tributaries.[3] It has also been found in South America,[4] southern Europe,[5][6] Southeast Asia,[7] the Middle East,[8] Australia, Korea, and Japan.[3][9]