The black-legged tick is the primary US vector of Lyme disease, established across the Northeast, Upper Midwest, and Mid-Atlantic.
Established in 1,297 counties across 37 states.
| # | Name | Counties | |
|---|---|---|---|
| 1 | Indiana | 90 | |
| 2 | Ohio | 76 | |
| 3 | Virginia | 70 | |
| 4 | Pennsylvania | 67 | |
| 5 | Minnesota | 66 | |
| 6 | Illinois | 63 | |
| 7 | North Carolina | 63 | |
| 8 | New York | 62 |
| Pathogen | Scientific name | One-liner |
|---|---|---|
| Anaplasma phagocytophilum | Anaplasma phagocytophilum | Intracellular bacterium that causes anaplasmosis (formerly human granulocytic ehrlichiosis); carried by Ixodes scapularis and I. pacificus. |
| Babesia microti | Babesia microti | Malaria-like protozoan that infects red blood cells; the dominant cause of human babesiosis in the northeastern and upper-midwest US. |
| Borrelia burgdorferi | Borrelia burgdorferi sensu stricto | Spirochete that causes Lyme disease in the eastern US (carried by Ixodes scapularis) and on the west coast (carried by Ixodes pacificus). |
| Borrelia mayonii | Borrelia mayonii | Lyme-disease-causing spirochete first identified in 2013 in upper-midwest deer ticks; produces a distinctive diffuse rash and high spirochetal load. |
| Borrelia miyamotoi | Borrelia miyamotoi | Relapsing-fever spirochete carried by Ixodes ticks; causes hard-tick relapsing fever (HTRF) — fever, headache, myalgia without the Lyme bullseye rash. |
| Ehrlichia muris eauclairensis | Ehrlichia muris eauclairensis | Upper-midwest Ehrlichia variant first identified in Wisconsin/Minnesota in 2009; causes a fever-and-headache illness similar to other ehrlichioses. |
| Powassan virus | Powassan virus | Tick-borne flavivirus transmitted by Ixodes scapularis (deer tick virus, lineage II) and I. cookei; causes severe encephalitis with high case fatality. |