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The lone star tick is found in southern states as well as along the East coast up to Maine (see map below). Cases of STARI are most common in the south, although cases have been reported as far north as New Jersey. It is highly likely that cases of STARI have been mistaken for LD due to similarities in symptomology.
According to the CDC, 95% of confirmed cases in 2015 were in 14 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin. Black-legged ticks have been found in 43 states, as of last year.