Ohio Valley/Kentucky
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It's a bit too early to tell, as this region does not have the strongest connection to El Nino relative to some other regions in the U.S. You can check CPC's seasonal outlook updates as well as some of the dynamical model guidance, like from the NMME. Some of the NMME models have been suggesting a relatively cool winter around that region (especially compared with last winter), which does happen in some El Nino winters, but not all models agree on this.