Lyme Disease Pictures
Also, the disease has been reported also in the British Isles, Russia, Europe, China and Japan. In Germany every year there are about 40,000 new cases. The risk is particularly high in areas where there are plenty of ticks infected with Borrelia (endemic areas, such as the Middle Mountains of Germany).
Unable to clearly identify how ticks spread, but there are some indicative factors such as migration of birds, deer and other larger mammals, and infected ticks on pets and people can release while traveling around the world.
Other theories that attempt to explain the spread of Lyme disease include: Increasing the population of deer due to reforestation and restrictions on deer hunting and the increase in housing construction in areas where extended Lyme disease.
For more information about endemic in your area, call your local health department or the department of entomology at the university in your state.