Lyme disease is caused by Borrelia burgdorferi, a bacterium transmitted by ticks to a wide range of animal species (including people) in much of the world. The great majority of human Lyme disease cases in the United States occur in the Northeast and upper Midwest states. Yet, the impact of Lyme disease in the southern US remains minimal despite the abundant presence of the primary Ixodes tick vectors, numerous competent animal hosts, widespread suburban sprawl that brings people into frequent contact with ticks, and the documented presence of B. burgdorferi bacteria in the region. Why hasn’t the disease taken a stronger hold there?
An Imperfect Storm: Why Lyme Disease Is Uncommon in the Southern United States
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