Lyme disease is the most commonly reported vector-borne infection in the United States. A surveillance report of Lyme disease in the United States from 1992 to 2006 found that a total of 248,074 cases of Lyme disease were reported to the CDC from health departments in the 50 states, the District of Columbia, and U.S. territories. During that 15-year period, the incidence in Lyme disease greatly increased from almost 10,000 cases in 1992 to almost 20,000 cases in 2006. Nearly 94% of the reported cases were from only 10 states in the northeast (Connecticut, Delaware, Massachusetts, Maryland, Minnesota, New Jersey, New York, Pennsylvania, Rhode Island, and Wisconsin). Children between the ages of 5 and 14 years had the highest rate of infection. Additionally, Lyme disease had the greatest prevalence during the summer months; 65% of reported cases had illness onset occurring in June and July (Centers for Disease Control and Prevention 2008a).

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