Craig: the downward trend in Lyme c. 2000 was related to state health departments being otherwise occupied with COVID.
No way around the increased incidence, and new tick vector infections
https://www.contagionlive.com/view/climate-change-effects-on-vector-borne-disease-the-case-of-lyme

Bourbon virus is an Orthomyxoviridae RNA virus first identified in 2014 in a man from Bourbon County, Kansas who died after being bitten by ticks.
Powassan was first identified in 2012
https://my.clevelandclinic.org/health/diseases/25092-powassan-virus
A new one in the Northeast
https://ysph.yale.edu/news-article/...ick-borne-disease-reported-in-northeast/

Lyme has been declared a "Climate Change Indicator"
https://www.epa.gov/climate-indicators/climate-change-indicators-lyme-disease#:~:text=Studies%20provide%20evidence%20that%20climate,are%20strongly%20influenced%20by%20temperature.
Oh, never mind. The small print
"Because of the many factors affecting tick populations and reporting of Lyme disease, though, this indicator does not provide sufficient information to determine what proportion of the observed changes in Lyme disease incidence is directly driven by climate change."

https://sites.google.com/a/damascusknowledge.com/www/home