“…variabilis is one of the most medically significant tick species that transmit disease-causing pathogens to humans and animals in North America [e.g., 47 , 48 ]. Spatiotemporal patterns of county-level incidences for some of the diseases transmitted by this tick species, tularemia [ 49 ], bovine anaplasmosis [ 10 ], and Rocky Mountain spotted fever (RMSF) [ 9 ] have worsened steadily over the past decade, indicating a steady increase in disease burden likely related to this tick species. Such increases in incidences could be related to several factors: better disease surveillance programs at state and local levels, expansion of non-Lyme tick-borne diseases on the Centers for Disease Control and Prevention (CDC)’s reportable diseases list, improved diagnostic methods, and increased awareness of, and interest in tick-borne diseases among physicians and patients, to name a few.…”