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About 25 to 30 percent of nymph-stage deer ticks in the Northeast are naturally infected with the Lyme disease bacterium. Nearly all of these infected ticks will cause Lyme disease if they are not removed [emphasis added]. Ticks in this stage are about the size of a poppy seed, making them very difficult to find.
To contract Lyme disease, an infected deer tick must bite you. The bacteria enter your skin through the bite and eventually make their way into your bloodstream. In most cases, to transmit Lyme disease, a deer tick must be attached for 36 to 48 hours. If you find an attached tick looks swollen, it may have fed long enough to transmit bacteria. Removing the tick as soon as possible may prevent infection.