Surveys indicate US residents spent more time outdoors in 2020 than in 2019, but fewer tick bite-related emergency department visits and Lyme disease laboratory tests were reported. Despite ongoing exposure, Lyme disease case reporting for 2020 might be artificially reduced due to coronavirus disease-associated changes in healthcare-seeking behavior.
Keywords: COVID-19; Lyme disease; SARS; SARS-CoV-2; coronavirus; coronavirus disease; healthcare-seeking behavior; respiratory infections; severe acute respiratory syndrome coronavirus 2; surveillance; tickborne diseases; vector-borne infections; viruses; zoonoses.