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HomeRisk FactorsClinical ImpactPreventionResourcesResourcesMaterialsVideos
Everyday activities around the home drive most 
Lyme disease exposures1 More than 9 in 10 reported Lyme disease cases are from patients living in 15 states and Washington, D.C.4*See surveillance map and reported cases graph

High-incidence jurisdiction: Regions with ≥10 cases / 100,000 population for three consecutive years6

Low-incidence jurisdiction: Regions with <10 cases / 100,000 population for three consecutive years6

Your patients’ risk factors for Lyme disease can increase anywhere outside where ticks and animals interact7,8

Lyme disease is not just a rural disease—from the backwoods to the backyards, the risk for encountering an infected tick in urban and suburban environments is greater than your patients may think.9

 Tick habitats span forested, fragmented, and urban-adjacent environments11

Ticks can thrive in urban and suburban environments,9 such as:

  • Parks11
  • Playgrounds11
  • Backyards11
While peak tick activity lasts from April to August, every year and region can be different based on environmental factors, and risk levels may vary.12

Any outside activity in or near green spaces can put your patients at risk for tick exposure. Make sure they understand that everyday activities—like those below—can bring them into contact with infected ticks.

Around the home9

  • Mowing the lawn
  • Gardening
  • Backyard parties

  • Outdoor dining

Recreationally9

  • Walking the dog
  • Games in the park
  • Outdoor professional jobs
  • Traveling to a high-incidence area

A 20% increase in the odds of your patient encountering a tick occurs for each hour they spend outdoors1 

~82% of ticks on lawns are within 9 feet of “edge” environments where the yard meets the woods, tall grass, or ornamental plantings13

2X the risk for infected tick exposure for those patients who have a pet that goes outside14

Your patients’ perceived risk of tick exposure plays a significant role in their Lyme disease awareness15

It is common for people in familiar settings, such as being close to home, to overlook their risk of being bitten by an infected tick. Remind them to use appropriate tick protection when outside to help decrease their risk for Lyme disease.

 TitleLyme disease risk accumulates from routine, everyday exposures your patients may overlook.11,15,16
Learn why early Lyme disease diagnosis matters 〉
LoadingReferencesOver 90% of reported cases in 2022 were from high-incidence states and jurisdictions in the Northeast, Mid-Atlantic, and Upper Midwest: Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin.4References:1. Mead P, Hook S, Niesobecki S, et al. Risk factors for tick exposure in suburban settings in the Northeastern United States. Ticks Tick Borne Dis. 2018;9(2):319-324. 2. Eisen L, Eisen RJ. Critical evaluation of the linkage between tick-based risk measures and the occurrence of Lyme disease cases. J Med Entomol. 2016;53(5):1050-1062. 3. Preventing Lyme disease. Centers for Disease Control and Prevention. Published April 14, 2026. Accessed April 21, 2026. https://www.cdc.gov/lyme/prevention/index.html 4. Kugeler KJ, Earley A, Mead PS, Hinckley AF. Surveillance for Lyme disease after implementation of a revised case definition - United States, 2022. MMWR Morb Mortal Wkly Rep. 2024;73(6):118-123. 5. Lyme disease surveillance data. Centers for Disease Control and Prevention. Published February 11, 2025. Accessed March 11, 2026. https://www.cdc.gov/lyme/data-research/facts-stats/surveillance-data-1.html 6. Lyme disease (Borrelia burgdorferi) 2022 case definition. Centers for Disease Control and Prevention. Last reviewed August 30, 2021. Accessed April 22, 2026. https://ndc.services.cdc.gov/case-definitions/lyme-disease-2022/ 7. Kurokawa C, Lynn GE, Pedra JHF, Pal U, Narasimhan S, Fikrig E. Interactions between Borrelia burgdorferi and ticks. Nat Rev Microbiol. 2020;18(10):587-600. 8. Rochlin I, Toledo A. Emerging tick-borne pathogens of public health importance: a mini-review. J Med Microbiol. 2020;69(6):781-791. 9. Gould LH, Fee R, White J, et al. Risk factors for Lyme disease among residents of rural, suburban, and urban areas in the United States: a case-control study. Am J Epidemiol. 2025;194(8):2287-2294.
10. Data on file. Pfizer, Inc. 11. Gregory N, Fernandez MP, Diuk-Wasser M. Risk of tick-borne pathogen spillover into urban yards in New York City. Parasit Vectors. 2022;15(1):288. 12. Orloski KA, Campbell GL, Genese CA, et al. Emergence of Lyme disease in Hunterdon County, New Jersey, 1993: a case-control study of risk factors and evaluation of reporting patterns. Am J Epidemiol. 1998;147(4):391-397. 13. Stafford KC. Managing ticks on your property. The Connecticut Agricultural Experiment Station. Published in 2005. 14. Jones EH, Hinckley AF, Hook SA, et al. Pet ownership increases human risk of encountering ticks. Zoonoses Public Health. 2018;65(1):74-79. 15. Gould LH, Shafquat M, Duench S, et al. Risk factors for Lyme disease in the general population-a survey of adults and caregivers in 28 states. Open Forum Infect Dis. 2025;12(11):ofaf658. 16. How Lyme disease spreads. Centers for Disease Control and Prevention. Published September 24, 2024. Accessed March 11, 2026. https://www.cdc.gov/lyme/causes/index.html 17. Cameron DJ, Johnson LB, Maloney EL. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease. Expert Rev Anti Infect Ther. 2014;12(9):1103-1135. 18. Signs and symptoms of untreated Lyme disease. Centers for Disease Control and Prevention. Published May 15, 2025. Accessed March 12, 2026. https://www.cdc.gov/lyme/signs-symptoms/index.html 19. Diagnosis of Lyme disease. Johns Hopkins Medicine. Accessed March 12, 2026. https://www.hopkinslyme.org/lyme-disease/diagnosis-of-lyme-disease/ Lyme disease risk accumulates from routine, everyday exposures your patients may overlook.8,9,14 Delayed diagnosis can lead to severe consequences

Missed tick bites and variable clinical presentations can complicate early diagnosis.17-19

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