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Written by Phillip George · Last updated: January 2, 2026

This page is designed as a citation-first “data hub.” Every number below is linked to a primary source, and we separate reported surveillance counts from estimated burden to avoid confusion.

Key takeaways

  • United States (reported): Over 89,000 Lyme disease cases were reported to CDC in 2023 (routine national surveillance).
  • United States (estimated): CDC cites an estimate that about 476,000 people may be diagnosed and treated for Lyme disease each year (includes treatment based on clinical suspicion; may include non-Lyme cases).
  • Canada (reported): PHAC reports 4,785 Lyme disease cases in 2023 and 5,239 preliminary cases in 2024.
Why “reported” ≠ “true burden”: Reported cases come from surveillance systems and are affected by reporting practices, testing, and case definitions. They are useful for trends, not perfect for total burden.

Lyme disease — United States (CDC)

Source: CDC “Lyme Disease Surveillance and Data” (facts & stats).

Metric Value Year What it represents Source
Reported Lyme disease cases (to CDC) Over 89,000 2023 Cases reported through routine national surveillance CDC — Lyme Disease Surveillance and Data
Estimated diagnoses & treatment ~476,000 Annual estimate Estimated people diagnosed and treated; includes some treated on clinical suspicion who may not have Lyme disease CDC — Lyme Disease Surveillance and Data

Lyme disease in Canada, 2009–2024 (PHAC)

Source: Public Health Agency of Canada (PHAC) “Monitoring of Lyme disease in Canada.”

Reported Lyme disease cases in Canada have climbed steeply over 15 years — from 144 in 2009 to a preliminary 5,239 in 2024, more than a 35-fold increase. Individual years bounce around (surveillance is affected by weather, testing, and reporting practices), but the long-term direction tracks the spread of blacklegged ticks into new parts of the country.

Download: Canada Lyme disease reported cases (2009–2024) CSV

Reported human Lyme disease cases in Canada, 2009–2024 (2024 preliminary). Source: PHAC surveillance. Reported counts understate true burden.
Reported human Lyme disease cases in Canada, 2009–2024 (PHAC). 2024 is preliminary.
Year Reported cases (Canada)
2009144
2010143
2011266
2012338
2013682
2014522
2015917
2016992
20172,025
20181,487
20192,634
20201,617
20213,147
20222,525
20234,785
2024 (preliminary)5,239

Source: PHAC — Surveillance of Lyme disease (Monitoring)

Definitions & methodology notes

  • Reported cases: Counts reported through surveillance systems (useful for trends; affected by reporting/testing/case definitions).
  • Estimated diagnoses & treatment: An estimate of people diagnosed/treated; not equal to lab-confirmed surveillance totals.

Primary sources