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Full Breakdown

Lyme Disease Expands Southward in North Carolina

8/14/2026, 9:36:13 AM

Core Event

Angela Newman, a 57-year-old resident of Biltmore Forest, North Carolina, began experiencing intermittent blurry vision, a stiff neck, hypersensitive skin, numbness and weakness almost a decade ago. After multiple specialist visits, imaging studies and psychiatric assessments that attributed her symptoms to anxiety, Newman persisted in seeking a Lyme disease test. Despite her primary doctor’s initial dismissal, the test returned positive for *Borrelia burgdorferi*. Antibiotic treatment led to rapid symptom improvement within days and a near-full recovery after about a year. Newman’s case prompted her to learn that the tick-borne infection, once thought confined to the Northeast, is now being diagnosed in North Carolina.

Background & Context

Historically, Lyme disease has been associated with the northeastern United States, while Rocky Mountain spotted fever—caused by a different bacterium—has been the predominant tick-borne illness in the southern states. Recent research from the Centers for Disease Control and Prevention (CDC) indicates that the geographic range of *Ixodes* ticks carrying the Lyme pathogen has shifted farther south, challenging long-standing regional assumptions about tick-borne disease risk.

Data & Statistics

The CDC study, released this week, documents the presence of Lyme-causing bacteria in tick populations collected across multiple counties in North Carolina. The analysis confirms that the pathogen is now established enough to warrant classification of Lyme disease as a “major threat” in the state, comparable to the historic prominence of Rocky Mountain spotted fever. No specific case counts are provided in the report, but the detection of infected ticks marks a clear epidemiological change.

Official Statements & Responses

Dr. Ross Boyce, a researcher at the University of North Carolina School of Medicine and lead author of the CDC study, described the findings as “the slam dunk” that proves Lyme disease should be considered a major threat in southern regions. Health officials emphasize the need for clinicians to consider Lyme testing when patients present with compatible symptoms, even in areas previously deemed low-risk. The CDC’s updated guidance encourages broader surveillance and public awareness campaigns targeting tick avoidance and early diagnosis.

Verbatim Quotes

  • “I don’t think you have Lyme. We don’t really have that around here,” — Angela Newman, patient
  • “It was always thought that Rocky Mountain spotted fever, which is caused by different bacteria, was our major tick-borne disease,” — Dr. Ross Boyce, University of North Carolina School of Medicine