State Statistics:                                                                                           North Carolina
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State Statistics: * Reported cases: Lyme Disease Cases as Reported to the CDC 1980-Current (02-07-10): 1,576 Actual Cases: Using the CDCs own under-reported standard of 10 fold: 15,760 * In the United States, requirements for reporting diseases are mandated by state laws or regulations, and the list of reportable diseases in each state differs.   Other Vector and Tickborne diseases found in North Carolina:  Anaplasma phagocytophilum- Human Granulocytotropic Anaplasmosis (HGA)   Babesia canis- Canine Babesia   Bartonella bovis   Bartonella hensalae   Bartonella weissii   Borrelia lonestari- Southern Tick Associated Rash Illness (STARI)   Canine Ehrlichiosis   Cytauxzoon felis- Cytauxzoonosis [6]   Francisella tularensis- Tularemia   Morgellons   Powassan Encephalitis   Rickettsia amblyommii [7]   Rickettsia rickettsii- Rocky Mountain Spotted Fever [1]   Tick-borne Encephalitis (TBE)   Tick Paralysis   Tick Vectors- Pathogen:  Amblyomma americanum- Lone Star tick [7]    Borrelia burgdorferi- Lyme disease    Borrelia lonestari- Southern Tick Associated Rash Illness (STARI)    Francisella tularensis- Tularemia    Rickettsia amblyommii    Tick Paralysis   Ixodes brunneus- Bird tick   Ixodes cookei- Groundhog tick    Borrelia burgdorferi- Lyme disease   Ixodes scapularis (formerly Ixodes dammini)- Black-legged tick, Deer tick or Bear tick [7]    Anaplasma phagocytophilum- Human Granulocytotropic Anaplasmosis (HGA)    Borrelia burgdorferi- Lyme disease    Powassan Encephalitis    Tick-borne Encephalitis (TBE)   Ixodes texanus- Raccoon tick    Borrelia burgdorferi- Lyme disease   Ixodes Dermacentor andersoni- Rocky Mountain Wood tick    Rickettsia rickettsii- Rocky Mountain Spotted Fever   Ixodes Dermacentor variabilis- American Dog tick, Eastern Wood tick or Wood tick [7]    Borrelia burgdorferi- Lyme disease    Cytauxzoon felis- Cytauxzoonosis    Francisella tularensis- Tularemia    Rickettsia rickettsii- Rocky Mountain Spotted Fever    Tick Paralysis   Rhipicephalus sanguineus- Brown Dog tick or Red Dog tick    Babesia canis- Canine Babesia    Canine Ehrlichiosis    Rickettsia rickettsii- Rocky Mountain Spotted Fever       Sources: 1) Increasing Incidence of Rocky Mountain Spotted Fever among the American Indian Population in the United States. Robert C. Holman*, Jennifer H. McQuiston, Dana L. Haberling, AND James E. Cheek Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vectorborne, and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Division of Epidemiology, Office of Public Health Support, Indian Health Service, U.S. Department of Health and Human Services, Albuquerque, New Mexico Am. J. Trop. Med. Hyg., 80(4), 2009, pp. 601-605 2) Tick-raccoon associations and the potential for Lyme disease spirochete transmission in the coastal plain of North Carolina. J Ouellette, CS Apperson, P Howard, TL Evans, and JF Levine. Journal of Wildlife Diseases, 33(1), 1997, pp. 28-39 3) Tick-Borne Diseases in North Carolina: Is “Rickettsia amblyommii” a Possible Cause of Rickettsiosis Reported as Rocky Mountain Spotted Fever? Charles S. Apperson, Barry Engber, William L. Nicholson, Daniel G. Mead, Jeffrey Engel, Michael J. Yabsley, Kathy Dail, Joey Johnson, D. Wesley Watson. Vector-Borne and Zoonotic Diseases. October 1, 2008, 8(5): 597-606. 4) PCR detection of Bartonella bovis and Bartonella henselae in the blood of beef cattle. Cherry NA, Maggi RG, Cannedy AL, Breitschwerdt EB. Vet Microbiol. 2008 Sep 21; 5) Infection with Bartonella weissii and Detection of Nanobacterium Antigens in a North Carolina Beef Herd. Edward B. Breitschwerdt, Sushama Sontakke, Allen Cannedy, Susan I. Hancock, and Julie M. Bradley Journal of Clinical Microbiology, March 2001, p. 879-882, Vol. 39, No. 3 6) Cytauxzoon felis infections are present in bobcats (Lynx rufus) in a region where cytauxzoonosis is not recognized in domestic cats. Birkenheuer AJ, Marr HS, Warren C, Acton AE, Mucker EM, Humphreys JG, Tucker MD  Vet Parasitol 2008 Jan 19. 7) Bacterial Pathogens in Ixodid Ticks from a Piedmont County in North Carolina: Prevalence of Rickettsial Organisms. Michael P. Smith, Loganathan Ponnusamy, Ju Jiang, Luma Abu Ayyash, Allen L. Richards, Charles S. Apperson Vector-Borne and Zoonotic Diseases, Online Ahead of Print: May 10, 2010.   Journal of Wildlife Diseases http://lyme.org/resources/1980-cumulative.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/00047449.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5353a1.htm http://www.merckvetmanual.com/mvm/htm/bc/tzns01.htm http://www.lymeinfo.net/coinfections.html
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