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Kalamazoo County Lyme disease cases increased by more than 1600% in 10 years

A small clear vial filled with a clear liquid is seen sitting on a white piece of paper that has typed words on it. Inside the vial, a red tick is suspended in the liquid. The vial has a label that reads "lonestar". Behind the vial, other vials can be seen lined up against a forest backdrop.
Anna Spidel
/
WMUK
A lone star tick suspended in a solution sits on display at the Kalamazoo County Department of Health and Community Services Environmental Health Division. Environmental health staff do regular tick drags to monitor tick populations — this invasive lone star tick was found in the county three years ago. While lone star ticks don't carry Lyme disease, experts say their presence in Michigan has the potential to bring other tick-borne illnesses like rocky mountain spotted fever and tularemia.

According to data collected by the Kalamazoo County Department of Health and Community Services, the county recorded its highest ever number of Lyme disease cases last year.

The Michigan Department of Health and Human Services says climate change is leading to longer and more active tick seasons — and in Kalamazoo County, tick-borne illnesses are on the rise.

According to data collected by the Kalamazoo County Department of Health and Community Services, the county recorded its highest ever number of Lyme disease cases in 2025. The disease is caused by bacteria carried by black-legged ticks, which are the second most common type of tick in Michigan.

KCDHCS spokesperson Matt Johnson said the county encourages residents to be on the lookout for ticks.

“If you look at 2016, we had 13 [Lyme disease] cases in Kalamazoo County for that whole year, And in 2025 we had 222 cases. And that trend is continuing for this year as well," Johnson said.

That represents an increase of 1608% in Lyme disease cases county-wide over 10 years. Johnson said the first quarter of 2026 had 19 reported Lyme cases, as compared to eight in the first quarter of 2025.

"The state of Michigan is now a high-incidence state for Lyme disease. So, it's just definitely a trend that we've seen here in our community and the state at large," Johnson said.

He said county and state health officials are trying to get the word out about the signs and symptoms of Lyme disease, which might include flu-like symptoms and migraines. They're also trying to dispel some common misconceptions.

Some people associate Lyme disease with a bullseye-shaped rash. "But you don't always get that bullseye rash. It does happen, you know, it's more associated with Lyme disease, but it doesn't always happen," Johnson said.

Monitoring other vector-borne illnesses

In the past few years, Johnson said Kalamazoo County has also recorded three cases of anaplasmosis, another tick-borne disease.

Lyme disease, anaplasmosis and other tick-borne illnesses can be treated with the antibiotic doxycycline if caught fast enough.

Johnson said HCS currently recommends reaching out to a primary care provider if you have signs, symptoms or a suspected tick bite to discuss treatment. The health department doesn't provide doxycycline for tick bites — but Johnson said the uptick in cases may eventually change that.

“It's something that we're probably looking to in the future as we are seeing this large increase in cases here — is [doxycycline] a resource that we need to start providing to the to the public," Johnson said.

The environmental health department at HCS does regular "tick drags" to collect ticks in areas around Kalamazoo County and test them for diseases. Johnson said they also gather "pools" of mosquitos to test for vector-borne diseases.

"And they're sending those off to be tested for things like West Nile, Triple E, Zika, Jamestown Canyon virus. And it's not uncommon that, starting around this time of the year, we start seeing some of those pools test positive for those types of things," Johnson said.

This season at HCS, Johnson is also focusing on educating residents about diseases carried by mosquitos and the risks of mosquito bites. He said a human case of West Nile Virus recorded last year in Kalamazoo County makes the messaging even more important.

"If it's in our community, then that's when we need to really start being vigilant about preventing mosquito bites as well and monitoring those symptoms if you are outdoors for any extended amount of time," Johnson said.

Promoting prevention and awareness

HCS is encouraging residents to practice tick prevention by wearing long socks and pants when possible and using EPA-approved bug repellent containing ingredients like DEET.

Johnson said checking for ticks is just as important as tick prevention. That includes doing a full-body check after spending time outside and removing ticks using a safe tools like specialized tick removers.

“Even if you're in your own garden, backyard, front yard, that type of thing, you're still exposed the ticks in those scenarios as well. So anytime you spend any time outdoors, you want to make sure that you are preventing yourself from getting tick bites, but then also checking for ticks afterwards," Johnson said.

Free bug repellent is available at the HCS building on E. Alcott St, and Johnson said HCS will be tabling at several community events this summer handing out free bug repellent, tick removers and tick identifiers.

More information about ticks and vector-borne diseases can be found on the HCS website.

Anna Spidel is a news reporter for WMUK covering general news and housing. Anna hails from Dexter, Michigan and received her Bachelor of Arts in Journalism from Michigan State University in 2022. She started her public radio career with member station Michigan Public as an assistant producer on Stateside, and later joined KBIA News in Columbia, Missouri as a health reporter. During her time with KBIA, Anna also taught at the University of Missouri School of Journalism as an adjunct instructor and contributed to Midwest regional health reporting collaborative Side Effects Public Media.
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