From an article in the StarTribune about a study based on actual collection of ticks:
The map, which pinpoints areas of the eastern United States where people have the highest risk of contracting Lyme disease, is part of a study published in the February issue of the American Journal of Tropical Medicine and Hygiene...Pants legs tucked into my socks virtually every time I hike.
Previous risk maps were heavily reliant on reports of human infections, but those can be misleading because the disease is both over- and under-diagnosed, according to the study. Where someone is diagnosed is not necessarily where the disease was contracted, and ticks may live in a region long before they actually infect someone, meaning there could be a significant risk even without confirmed cases...
About 1 in 5 ticks collected were infected — more than researchers expected — and that percentage was fairly constant across geographic areas, she said. Researchers had expected the infection rate to vary.
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