“…The general factors driving the escalation of Lyme disease, however, are similar in North America, Europe, and Asia, irrespective of differences in habitat, hosts, and behavior (Mannelli et al 2012, Kulkarni et al 2015, Medlock and Leach 2015. These factors, discussed below, include climate change (Ostfeld and Brunner 2015), host and reservoir expansion (Diuk-Wasser et al 2012, Roy-Dufresne et al 2013, Roome et al 2017, and enhanced monitoring, detection, and reporting of Ixodes spp. and Lyme disease (e.g., Aenishaenslin et al 2016).…”