But enough about the tick-borne diseases in my neck of the woods. Ticks make people sick everywhere in the U.S. People in the South and South Central states—especially North Carolina, Oklahoma, Arkansas, Tennessee, and Missouri—have to contend with Rocky Mountain spotted fever, a nasty bacterial infection spread by dog and wood ticks that can be fatal if antibiotic treatment isn’t started within several days of symptoms. They also have to watch out for ehrlichiosis, a bacterial infection spread by the Lone Star tick; tularemia, a bacterial infection that can be spread by several ticks; Southern tick-associated rash illness, an infection whose cause is unknown and is frequently confused with Lyme; and Heartland virus, which is so new that no one knows much about it yet. Midwesterners have Lyme disease, anaplasmosis, and powassan to deal with. And out West, tick-borne diseases are less common, but they run the gamut: People bitten by ticks can come down with Rocky Mountain spotted fever, anaplosmosis, Lyme, tularemia, and three other lovely ones: Colorado tick fever, tick-borne relapsing fever, and 364D rickettsiosis. Think you’re safe because you live in a big city? Nah. American dog ticks, which can transmit Rocky Mountain spotted fever, are crawling around many urban areas, and in recent years blacklegged ticks have been found in almost every borough of New York City. A whopping half of NYC blacklegged ticks harbor the bacterium that causes Lyme disease. Freaked out yet?
If you don’t remember being scared of tick-borne diseases when you were a kid, or even a decade ago, that’s because you weren’t. The reported prevalence of tick-borne diseases has basically doubled in the U.S. since 2003 and tripled since 1995. Some of this increase may be due to greater awareness and detection, but ticks are also spreading to new areas, “and in some places, the ticks have been getting more abundant and a higher percentage are infected,” Ostfeld explains. (Scientists don’t know exactly why this is happening—it could have something to do with how the U.S. landscape is changing, and climate change may also play a role.)










