Reported Cases of Lyme Disease 

*The CDC states for every case of 
Lyme disease reported at least ten are missed.* 

The CDC Says OOPS!
It should have been 329,000 cases of 
Lyme disease each year,
Not the 30,000 cases we've been reporting!

"Results of these studies suggest that 
the number of people diagnosed with Lyme disease 
each year in the United States is around 300,000."

2017 National Numbers Are In- Finally (Novemebr 2018)

Reported Tickborne Diseases, U.S. 2016 2017
Reported Tickborne Diseases, U.S.
Lyme Disease (confirmed and probable) 36,429 42,743
Anaplasmosis/Ehrlichiosis 5,750 7,718
Spotted Fever Rickettsiosis§ 4,269 6,248
Babesiosis§§ 1,910 2,368
Tularemia 230 239
 Powassan virus 22 33
 Total 48,610 59,349 



CDC State By State Reported Cases of Lyme- 2017
(These numbers are really messed up)

CDC 2107- Maps & Charts

More CDC Junk Science- 2017

The Maryland Department of Health 
Reported One Year (2009) They Failed To Enter 
Into the State Database.

Had they correctly reported these cases, 
Maryland would have been 
#1 in the country for highest number of 
Reported cases of Lyme disease!

Year after year the Maryland Department of Health & Mental Hygiene has repeatedly failed to enter thousands of cases of Lyme disease into their own data base.  Those missing cases are, therefore, not reported to, or by, the Center for Disesases Control.  Failing to have accurate numbers in our State makes it appear we don't have a Lyme disease problem and research and educational funds that would be available had they been reported are not provided.

The Surgeon General's Healthy People 2000 had a provision to lower the number of cases of Lyme disease nationally by a certain percentage by the year 2010.  The CDC and State Health Departments failed to address the growing Lyme disease problems (for decades actually) and realizing the goal could not be met, a few years before the report was due the national reporting criteria was changed, artifically lowering the total number of cases for several years.  

When that little trick failed to bring down the numbers to the level necessary to meet the Surgeon General's goals, at the last minute the Maryland Department of Health simply didn't enter the majority of their 2009 reported cases.  Coincidence?  I think not.


July 2016
From the Maryland Department of Health and Mental Hygiene...
"Each year from 2009 to 2012, a median 3598 (range 2462 to 5722) reports 
were not entered into the surveillance database and hence not investigated. 
These reports represent 43-55% of all reports received for the year."

~ ~ ~

National- All States

National- ALL States 

National- All States Listed By County
2000 thru 2016

Total Cases of Lyme Disease & Incidence Rates

1990 - 1999 Maryland- County by County 

2000 - 2014 Maryland- County by County 

 2000 to 2015 Cases

2016 Cases

All Reportable Diseases in Maryland 2005- 2016





QUOTE- 2008 
"Seven participating laboratories performed approximately 
3.4 million LD tests on approximately 
2.4 million specimens nationwide at an 
estimated cost of $492 million."

~ ~ ~

Tick Maps
Counties With Recorded Presence of 
I. scapularis or I. pacificus

~ ~ ~

Maryland DHMH

~ ~ ~

Surveillance Definition 
Clinical Case of Lyme Disease

The Maryland Lyme Disease Case Report Form States...

Surveillance case definition: This surveillance case definition was developed for national reporting of Lyme disease; it is not intended to be used in clinical diagnosis. Source

The CDC States
Note: Surveillance case definitions establish uniform criteria for disease reporting and should not be used as the sole criteria for establishing clinical diagnoses, determining the standard of care necessary for a particular patient, setting guidelines for quality assurance, or providing standards for reimbursement.  Source

Additional Numbers & Facts

In 2014 a total of ONLY 1,373 cases of Lyme disease were reported by the 

Maryland Department of Health & Human Services to the CDC.

In 2009 the Maryland Department of Health and Mental Hygiene 

admitted they did not enter 5,722 reported cases in the state database.  

Had they done so the total number of cases would have been 7,188.

Maryland DHMH received additional State funds to 

Pay people to count these cases. 

So why are the numbers still so low?


July 2016
From the Maryland Department of Health and Mental Hygiene...
"Each year from 2009 to 2012, a median 3598 (range 2462 to 5722) reports 
were not entered into the surveillance database and hence not investigated. 
These reports represent 43-55% of all reports received for the year."

~ ~ ~

Total Cases of Lyme Disease & Incidence Rates

1990 - 1999 Maryland- County by County 

2000 - 2014 Maryland- County by County 

~ ~ ~

Babesiosis vs. Malaria Cases?

~ ~ ~

Babesiosis Report Form- CDC

To have a confirmed case of Babesiosis (according to the CDC) you must have a positive test and... 
Objective: one or more of the following: fever, anemia, or thrombocytopenia.
Subjective: one or more of the following: chills, sweats, headache, myalgia, or arthralgia.


~ ~ ~

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The Maryland DHMH states the time it takes to complete investigating a report 

For a single case of Lyme ranges from 0.5 - 52 hours.

~ ~ ~

Letter To Directors of Health in Connecticut

Reporting "Arthritis in Lyme Children" 

Discovered in November 1975 

~ ~ ~

Babesiosis- Reported Cases  

In 2012 Babesiosis was still not reportable in states below shaded in gray.

FIGURE 1. Number of reported cases of babesiosis, by county of residence† — 22 states,§ 2012

† N = 904; county of residence was unknown for 7 of the 911 patients. Cases are mapped to the patients’ county of residence, not necessarily the place where patients became infected.

§ For 2012, 14 of the 22 states that conducted surveillance for babesiosis reported at least 1 case: California, Connecticut, Indiana, Maine, Maryland, Massachusetts, Minnesota, Nebraska, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and Wisconsin. Eight (8) states reported 0 cases: Alabama, Delaware, Michigan, North Dakota, Oregon, Tennessee, Washington, and Wyoming. In 2012, babesiosis was not a reportable disease in the gray states, and health departments in those states did not notify CDC of cases.  More information- click here.

~ ~ ~

SPECIAL NOTE-  At the time this was written one out of every eleven dogs tested positive for Lyme disease in Maryland.  Click here for a current CPAC map of Lyme and tick borne diseases found in animals (listed by state and counties).  Additionally, one out of every forty-eight dogs tested positive for Ehrlichiosis, and one out of every eighty-five dogs tested positive for Anaplasmosis in Maryland.

~ ~ ~


In 2009-  "seven (29%) LHDs (local health departments) lost LD surveillance staff in the past 2 years; one lost all staff and does not currently investigate LD."  

"In 2008, 16 (75%) LHDs investigated each LD report while 5 (21%) investigated only if sufficient laboratory evidence of infection." 

"By 2011, 10 (42%) LHDs investigate LD reports only if sufficient evidence." 

To review the source and for more information on the above DHMH quotes, click here.

~ ~ ~


SPECIAL NOTE-  In 2008 the CDC surveillance criteria to determine if a case of Lyme disease (and other tick borne diseases) is reportable became more restrictive, giving the false impression there are now less cases of Lyme disease than in previous years.  Less reported cases equals less research funding and less educational efforts, but on the up side it requires less work for government agencies. 

2007 Maryland Total Reported Lyme Cases- 2,578 (and climbing since 1990)

In 2008 New Restrictive Reporting Criteria Was Established...  
2008 Maryland Lyme- Total cases- 2,220
2009 Maryland Lyme- Total Cases- 2,026
2010 Maryland Lyme- Total Cases- 1,617
2011 Maryland Lyme- Total Cases- 1,351
2012 Maryland Lyme- Total Cases- 1,113*

*The CDC recently announced studies once again indicated the reported cases have been 9-12 cases short for each one reported.  *
CORRECTED 2012 Maryland Total Lyme Cases- 11,130


Additional Information

See attached PDF charts and subpages below for more information.

Additional Documents

CSTE 1996 Update

Washington State DOH Definition & Procedures

Canada- Lyme Disease Cases Definition

Canada 2016 Definition

Canada- Update on Case Definition & Treatment 2016

QUOTE-  "An effective public health framework should consider both the evidence-based approaches to true Lyme disease, and develop a rational response to ‘chronic Lyme’ disease, a phenomenon that has attracted patient activism as well as supporting institutions parallel to the scientific and medical establishment. These support an alternative understanding of the disease, one that emphasizes unsupported diagnostic and treatment protocols and an invalid view of the infection process. This creates a real burden of suffering in people who believe themselves to be infected with a refractory Lyme infection, and seek out sometimes-dangerous treatment. Situations in which the patient’s felt needs are strongly at variance with the clinician’s informed opinion are rarely simple; here it is helpful to remember that though ‘chronic Lyme’ is an unproven illness, the symptoms that trigger the diagnosis are frequently real and need empathetic care."

Florida DOH Reporting Form

Maine’s Definition Info

EPA Report

Reported Cases in New Hampshire

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After The Bite,
Nov 7, 2012, 11:04 PM