“…However, infected questing I. scapularis have been collected in North Carolina (Levine et al, 1989;Qiu et al, 2002) and at various locations in the Southeast (Sonenshine et al, 1995;Clark et al, 2001Clark et al, , 2002Oliver et al, 2008;Leydet and Liang, 2014). In addition, white-footed mice and other species of rodents considered to be reservoir competent are present throughout the Southeast (Apperson et al, 1993;Clark et al, 2001) and B. burgdorferi has been identified in numerous hosts in Virginia (Sonenshine et al, 1995), North Carolina (Ouellette et al, 1997;Ryan et al, 2000), South Carolina (Clark et al, 2002) and other southeastern states (Leydet and Liang, 2014). In this article, we report the results of a series of studies of questing ticks and live-trapped rodents and reptiles on the Outer Banks of NC that span 18 years and document persistent sylvatic maintenance of B. burgdorferi sensu stricto on these barrier islands.…”