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Lyme Disease


Lyme Disease in Washington State
DOH has received 7 to 18 reports of Lyme disease per year in recent years. Almost all Washington cases are the result of tick exposure out of state. Endemic Lyme disease is not common. Although little is known about the epidemiology of Lyme disease in Washington State, the risk of infection appears to be highest in counties around and west of the Cascade Mountains, reflecting the distribution of the local Ixodes pacificus tick vector.

Lyme disease is the most commonly reported vector-borne disease in the United States with approximately 20,000 cases reported annually. Lyme disease has a wide distribution in northern temperate regions of the world. In the United States, the reported incidence is highest in the Northeast (particularly in southern New England); the upper Midwest; and in northern California.

Purpose of Reporting and Surveillance

  • To determine the incidence of Lyme disease, the degree of endemicity, and potential risk of contracting Lyme disease in Washington State

  • To identify endemic geographic areas within Washington State

  • To educate people about how to reduce their risk of infection

Legal Reporting Requirements

  • Health care providers: notifiable to local health jurisdiction within 3 work days.

  • Hospitals: notifiable to local health jurisdiction within 3 work days.

  • Laboratories: no requirements for notification.

  • Veterinarians: notifiable to Washington State Department of Agriculture or to the local health jurisdiction within 7 work days.

  • Local health jurisdictions: notifiable to the Washington State Department of Health (DOH) Communicable Disease Epidemiology Section (CDES) within 7 days of case investigation completion or summary information required within 21 days.

Last update
Feb. 2008

Lyme Disease Resources

General Information

CDC Fact Sheet
(Web format)
Lyme Disease Incidence Rates
(PDF format)

Reporting Forms

Lyme Disease Reporting Form
(Word Format)
Lyme Disease Reporting Form
(PDF Format)

Public Health and Health Care

Surveillance and Reporting Guidelines
(PDF format)

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Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Consultation and technical assistance are available to local health jurisdictions in Washington State:
Phone (206) 418-5500

FAX (206) 418-5515

24-hour contact (inside Washington State only)  1-877-539-4344

Washington residents can contact their local health jurisdictions for assistance


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