Free public health resource · Every figure sourced · Reviewed 30 July 2026

Ontario Lyme Disease Data & Tick Directory

Published Ontario case counts, what they do and do not cover, a tick species guide, a symptom decision tree, and phone and tick-submission contacts for Ontario’s public health units. Every number on this page names the agency that published it.

🇨🇦 PHAC Health Infobase📊 Public Health Ontario🔬 eTick.ca☎️ Health unit directory

Quick Answer

How much Lyme disease is there in Ontario?

Ontario reported 2,369 confirmed and probable Lyme disease cases in 2024 — a 27% increase over the 1,859 cases reported in 2023, and 41% of Canada’s national total of 5,809 cases. Those figures come from the Public Health Agency of Canada’s annual tick-borne disease surveillance report. 2024 is the most recent year published — there is no released Ontario figure for 2025. Lyme is highly preventable when ticks are removed within 24 to 36 hours of attachment, and treatable with antibiotics when caught early.

Provenance note — read this before citing anything here

  • The latest published Ontario year is 2024. No 2025 Ontario or national Lyme disease figure has been released by Public Health Ontario or by the Public Health Agency of Canada as of 30 July 2026.
  • This page publishes no estimates. Every case count below is a number an agency published, attributed to that agency. Where a year has no published figure, that year is simply absent. An earlier version of this page carried a modelled Ontario series including a 2025 total; those figures were not published by any agency and have been removed.
  • Case definitions differ between sources. The PHAC series counts confirmed and probable cases as reported by the provinces. Public Health Ontario’s own products use a provincial classification and a different reporting cut, so PHO and PHAC totals for the same year can differ. The two sets are shown separately below for that reason and should not be joined into one trend line.
  • The health unit table is a contact directory, not surveillance data. It contains no case counts, because none are published at that level for recent years.

Ontario Lyme Disease — the Published Figures

Reported by the Public Health Agency of Canada in its annual tick-borne disease surveillance report. Confirmed and probable cases, as submitted by provinces and territories.

Ontario cases, 2024

2,369

Latest published year

Change on 2023

+27%

1,859 cases in 2023

Share of Canada

41%

Ontario’s share of the 2024 total

Canada, 2024

5,809

14.1 per 100,000 nationally

Ontario Lyme disease cases, 2022–2024 (PHAC)

Confirmed and probable cases. Source: PHAC Health Infobase, annual tick-borne disease surveillance report, accessed 30 July 2026. Only years with a published Ontario figure are shown.

2022
1,478
2023
1,859
2024
2,369

Ontario cases rose 27% between 2023 and 2024, the change PHAC reports for the province. Canada’s national incidence was 14.1 per 100,000 in 2024, up from 11.9 in 2023. PHAC does not publish a separate Ontario incidence rate in this report, so none is shown here.

Earlier Ontario figures published by Public Health Ontario

Shown separately from the PHAC chart above because they come from a different surveillance product with a different reporting cut. Do not plot them as one continuous series with the PHAC numbers.

2017

959 cases

Probable and confirmed Ontario cases, an incidence of 6.7 per 100,000 and three times the 2012–2016 average of 313.

Nelder MP et al., Canada Communicable Disease Report 2018;44(10):231–236 (Public Health Ontario authors)

2018

612 cases

Reported Ontario cases, drawn from Public Health Ontario’s Monthly Infectious Diseases Surveillance Report (February 2019).

ClimateData.ca, "Lyme disease in Ontario", citing Public Health Ontario

2015–2022

7,762 cases

Total Ontario cases across the eight-year period — 7,213 (92.9%) confirmed and 549 (7.1%) probable, from Ontario’s iPHIS reporting system.

Adams JA et al., Emerging Infectious Diseases 2024;30(10):2006–2015

A worked example of why case definitions matter: the peer-reviewed Public Health Ontario report gives 959 probable and confirmed Ontario cases for 2017, while a later Public Health Ontario extract quoted by ClimateData.ca gives 1,003 for the same year. Neither is wrong — they are different extracts taken at different times under different classifications. It is the reason this page does not merge sources into a single line.

How Ontario Actually Maps Tick Risk

There is a widespread misconception — one this page previously repeated — that Ontario classifies public health units as “endemic” or “emerging.” It does not. Here is how the province really publishes tick risk, and what that means for reading any map you find online.

What Public Health Ontario publishes

Blacklegged tick risk areas, drawn as geographic areas

Public Health Ontario maps blacklegged tick risk areas through the Ontario Vector-Borne Disease Tool. These are geographic areas built from field surveillance, and they do not follow public health unit or municipal boundaries — a single health unit can contain both risk areas and areas with no identified risk.

The map is redrawn each year. The 2026 map reflects newly identified or expanded tick risk areas based on 2025 field data. The same tool publishes human case counts for Lyme disease, anaplasmosis, babesiosis, Powassan virus and West Nile virus, updated weekly during the season.

What this page no longer claims

No endemic tier list, no per-health-unit counts

A previous version of this page sorted Ontario’s health units into “established endemic,” “emerging,” “occasional” and “low” tiers and attributed that grouping to Public Health Ontario. That classification was our own editorial construct, it was driven by case counts that were never published, and it has been removed rather than relabelled.

If you need to know the risk where you live, the risk-area map is the only authoritative answer, and it is free to consult. We would rather send you there than rank regions ourselves.

For a plain-language walkthrough of what Public Health Ontario has already classified across the GTA — the Don Valley, Rouge Park, Credit River, Bronte Creek, 16 Mile Creek and the Oak Ridges Moraine among them — see our summary of blacklegged tick risk areas in Ontario. It reports PHO’s classifications; it is not a ranking of our own.

Why the suitable range is growing

Two mechanisms are documented in the peer-reviewed literature. Both are about where ticks can complete a life cycle and how they get there — not about any single cold-snap temperature.

  1. 1. Accumulated warmth, measured in degree-days. Blacklegged tick establishment is modelled using cumulative annual degree-days above 0°C, not winter minimum temperatures. Ghanbari et al. (PLOS One, 2025) state it directly: “Below an approximate threshold of 2800 DD > 0°C, I. scapularis populations cannot establish or persist because the temperatures are too cold for the ticks to complete their lifecycle” — citing Ogden et al. (Int J Parasitol, 2005), the population model that produced the roughly 2,800–3,100 degree-day requirement. As accumulated degree-days rise, places that previously could not hold a population can.
  2. 2. Migratory bird transport. Songbirds carry tick larvae and nymphs northward each spring along the eastern flyway, dropping them at stopover sites. Ogden and colleagues estimate that migratory birds disperse 50 million to 175 million Ixodes scapularis ticks into Canada each spring (Applied and Environmental Microbiology, 2008). Ticks therefore arrive in places that cannot yet sustain them — which is why a tick bite outside a mapped risk area is still possible.

Ogden et al. (Int J Parasitol, 2006) mapped these degree-day limits using temperatures projected for the 2020s, 2050s and 2080s. That paper reports its results in general geographic terms; it does not name individual Ontario districts or dates, and this page no longer attributes any such projection to it.

Section 3 · Check your address

What’s your household’s personal Lyme risk?

Province-level statistics tell you the trend. Your personal exposure depends on where you live, what your yard looks like, whether you have a dog, and how often your family is outdoors. Get your 1-100 household exposure score in 60 seconds.

Get my Lyme risk score (free, 60 seconds) →

No credit card. No spam. This is an exposure questionnaire, not a surveillance product — educational, not diagnostic.

Ontario Tick Species — Identification Guide

These are the tick species Ontario residents encounter most often. Only one — the blacklegged tick — is the Lyme vector, but each carries distinct risks. Photos and identification tools are available free through eTick.ca.

Blacklegged tick (Deer tick)

Ixodes scapularis

high
Size:
Adult: 3-5mm (sesame seed). Nymph: 1-2mm (poppy seed).
Appearance:
Adult females: red-orange body with black shield (scutum). Males: solid dark brown. Nymphs: tiny, translucent brown — easily missed.
Active:
Spring through late autumn, and any mild day when temperatures are above freezing
Hosts:
Mice, chipmunks, deer, dogs, humans
Range:
The Lyme vector in Ontario. Public Health Ontario maps where established populations have been found — see the Vector-Borne Disease Tool for the current risk-area map rather than relying on a regional summary.
Disease vectors:
  • Lyme disease (Borrelia burgdorferi)
  • Anaplasmosis
  • Babesiosis
  • Powassan virus
  • Borrelia miyamotoi

American dog tick

Dermacentor variabilis

moderate
Size:
Adult: 5mm (pencil eraser). Engorged: pea-sized.
Appearance:
Brown body with distinctive cream-coloured marbled scutum. Larger and more visible than blacklegged ticks.
Active:
Late spring through summer
Hosts:
Dogs (preferred), humans, livestock
Range:
Widespread across southern Ontario and commonly encountered on dogs and humans. Not a Lyme disease vector.
Disease vectors:
  • Rocky Mountain Spotted Fever (rare in Ontario)
  • Tularemia (rare)

Brown dog tick

Rhipicephalus sanguineus

low
Size:
3-5mm. Engorged females swell dramatically.
Appearance:
Reddish-brown, uniform colouring. Three life stages can all infest a single household.
Active:
Year-round indoors
Hosts:
Dogs almost exclusively (rarely bites humans)
Range:
Indoor infestations possible. Common in kennels and multi-dog homes, usually introduced by travelling dogs.
Disease vectors:
  • Ehrlichiosis in dogs
  • Babesiosis in dogs

Lone Star tick

Amblyomma americanum

emerging
Size:
Adult: 3-4mm. Nymphs: 1-2mm.
Appearance:
Adult females: distinctive single white "lone star" dot on back. Males: scattered white markings.
Active:
Late spring through summer
Hosts:
Deer, dogs, humans, ground-feeding birds
Range:
Occasionally recorded in southern Ontario and not considered established province-wide. If you think you have found one, submit the photo to eTick.ca so it is captured in surveillance.
Disease vectors:
  • Ehrlichiosis
  • Alpha-gal syndrome (red meat allergy)
  • Heartland virus
  • STARI (Southern Tick-Associated Rash Illness)
Identifying a tick on yourself or your dog? Submit a clear top and side photo to eTick.ca for free identification. eTick is the Canadian public tick image identification platform, operated by Bishop’s University and the Université de Montréal.

Symptoms & When to Call Your Doctor

If you’ve been bitten by a tick or develop unexplained symptoms after potential tick exposure, time matters. Early-stage Lyme is highly treatable. Late-stage Lyme is much harder to manage. Use this guide to decide what action to take.

1

Stage 1: Early Localized (3-30 days post-bite)

Most common 7-14 days after attachment

Symptoms

  • Erythema migrans (bullseye rash) — a single EM rash was reported in 76.4% of Canadian cases (PHAC Canadian Lyme Disease Enhanced Surveillance, 2009–2019)
  • Fever, chills
  • Fatigue
  • Headache
  • Muscle aches
  • Joint stiffness
  • Swollen lymph nodes

What to do

See your family doctor or a walk-in clinic within 72 hours. A 14-21 day course of doxycycline is highly effective at this stage. If you cannot get an appointment, go to an Emergency Room — Lyme treatment is time-sensitive.

2

Stage 2: Early Disseminated (weeks to months)

4-8 weeks if untreated

Symptoms

  • Multiple erythema migrans rashes
  • Bell's palsy (facial drooping)
  • Severe headache
  • Heart palpitations / dizziness
  • Joint pain (Lyme arthritis)
  • Shooting pains, numbness, tingling
  • Cardiac complications (Lyme carditis)

What to do

Go to an Emergency Room immediately if you experience facial drooping, irregular heartbeat, severe headache with neck stiffness, or chest pain. These can indicate cardiac or neurological involvement requiring intravenous antibiotics.

3

Stage 3: Late Disseminated (months to years)

6+ months if undiagnosed

Symptoms

  • Chronic Lyme arthritis (especially knees)
  • Cognitive symptoms (memory, concentration)
  • Sleep disturbance
  • Chronic fatigue
  • Peripheral neuropathy
  • Mood changes

What to do

Lyme at this stage requires extended antibiotic protocols and often a Lyme-literate physician. Contact CanLyme.com (Canadian Lyme Disease Foundation) for specialist referrals and patient resources.

⚠️ When to go to the Emergency Room immediately

  • • Facial drooping (Bell’s palsy) — possible Lyme neuroborreliosis
  • • Irregular heartbeat or chest pain — possible Lyme carditis
  • • Severe headache with stiff neck and fever — possible meningitis
  • • Sudden vision changes or severe joint swelling
  • • Anaphylactic reaction (alpha-gal syndrome from Lone Star tick)

Do not wait. Lyme carditis can cause heart block requiring temporary pacing. Lyme meningitis requires intravenous antibiotics. The cost of overcaution is a few hours in the ER.

Where to Submit a Tick — Ontario Health Unit Directory

Ontario’s public health units answer tick questions, advise on post-exposure care, and can direct you to the right submission route for your area. This is a contact directory only — it carries no case counts, because no agency publishes recent Lyme case counts at the health unit level.

Fastest route for most people: photograph the tick and submit it to eTick.ca, the free national identification platform. Use the health unit below when you need local advice, when you have questions about post-exposure prophylaxis, or when eTick directs you to your local unit.

Listed alphabetically. Ontario health unit names, mergers and phone lines change periodically — confirm before publishing this directory onward. Verified 30 July 2026.

Ontario public health units with phone numbers and tick-submission contacts. Contains no case counts.
Public Health UnitPhoneTick questions & submission
Algoma Public Health(705) 942-4646algomapublichealth.com
Brant County Health Unit(519) 753-4937bchu.org
Chatham-Kent Public Health(519) 352-7270ckphu.com
Durham Region Health Department(905) 668-2020durham.ca
Eastern Ontario Health Unit(613) 933-1375eohu.ca
Grey Bruce Health Unit(519) 376-9420publichealthgreybruce.on.ca
Haldimand-Norfolk Health Unit(519) 426-6170hnhu.org
Haliburton, Kawartha, Pine Ridge District(866) 888-4577hkpr.on.ca
Halton Region Public Health(905) 825-6000halton.ca
Hamilton Public Health Services(905) 546-3500hamilton.ca
Hastings Prince Edward Public Health(613) 966-5500hpepublichealth.ca
Huron Perth Public Health(519) 482-3416hpph.ca
Kingston, Frontenac & Lennox & Addington(613) 549-1232KFL&A Public Health
Lambton Public Health(519) 383-8331lambtonpublichealth.ca
Leeds, Grenville & Lanark District(613) 345-5685healthunit.org
Middlesex-London Health Unit(519) 663-5317healthunit.com
Niagara Region Public Health(905) 688-8248niagararegion.ca
North Bay Parry Sound District(705) 474-1400myhealthunit.ca
Northwestern Health Unit(807) 468-3147nwhu.on.ca
Ottawa Public Health(613) 580-6744ottawapublichealth.ca
Peterborough Public Health(705) 743-1000peterboroughpublichealth.ca
Porcupine Health Unit(705) 267-1181porcupinehu.on.ca
Region of Peel Public Health(905) 799-7700peelregion.ca
Region of Waterloo Public Health(519) 575-4400regionofwaterloo.ca
Renfrew County & District Health Unit(613) 735-9724rcdhu.com
Simcoe Muskoka District Health Unit(705) 721-7330simcoemuskokahealth.org
Southwestern Public Health(519) 631-9900swpublichealth.ca
Sudbury & Districts Health Unit(705) 522-9200phsd.ca
Thunder Bay District Health Unit(807) 625-5900tbdhu.com
Timiskaming Health Unit(705) 647-4305timiskaminghu.com
Toronto Public Health(416) 338-7600toronto.ca/health
Wellington-Dufferin-Guelph Public Health(800) 265-7293wdgpublichealth.ca
Windsor-Essex County Health Unit(519) 258-2146wechu.org
York Region Public Health1-877-464-9675york.ca

For the current blacklegged tick risk-area map covering all of these areas, use Public Health Ontario’s Ontario Vector-Borne Disease Tool.

eTick.ca — Free Tick Identification

eTick is Canada’s public tick image identification platform. It is free, and it is operated by Bishop’s University and the Université de Montréal.

How to submit a tick photo

  1. 1
    Remove the tick. Use fine-tipped tweezers or a tick removal tool. Pull straight up with steady pressure — no twisting. Keep the tick in a sealed container.
  2. 2
    Photograph clearly. Two photos: one from the top showing the body and legs, one from the side showing the mouth parts. Use natural lighting. Place a coin or ruler in the frame for size scale.
  3. 3
    Submit at eTick.ca. Create an account, upload photos, enter the date and location of the bite.
  4. 4
    Receive an identification. Submissions are reviewed by trained identifiers, who return the species and life stage along with guidance on what to do next.
Important: identification is not medical care. If the tick is a blacklegged tick and was attached for a prolonged period, contact your family doctor or your public health unit promptly — post-exposure prophylaxis is time-limited and the decision to offer it depends on local risk, attachment time and your own medical history. Watch for symptoms over the following 30 days regardless.

Lyme Disease in Dogs (and Cats)

Dogs are efficient tick taxis — they sweep ticks from grass and brush, then carry them onto furniture, beds and people. Prevention protects the household, not just the dog.

4DX Plus testing

Many Ontario veterinarians recommend annual 4DX Plus blood testing. The test screens dogs for exposure to four tick-borne diseases simultaneously: Lyme (Borrelia burgdorferi), Anaplasmosis, Ehrlichiosis, and heartworm. A positive result indicates exposure — not necessarily active disease — and prompts follow-up testing. Ask your clinic what it charges as part of an annual wellness exam.

Oral preventatives

NexGard (afoxolaner), Bravecto (fluralaner), and Simparica (sarolaner) are widely used for canine tick prevention in Ontario. They work systemically — when a tick bites a treated dog, the active ingredient kills it. NexGard is monthly; Bravecto is every 12 weeks. Topical products (Frontline, Advantix) are generally considered less effective against blacklegged ticks specifically. Your veterinarian will match the product to your dog.

Lyme vaccine for dogs

A canine Lyme vaccine (Nobivac Lyme, RECOMBITEK Lyme) is available through Ontario veterinarians. It is usually discussed for dogs that spend time where blacklegged ticks are established — cottage dogs, hiking dogs, rural dogs. It is not a core vaccine. Discuss it with your vet.

Cats — different story

Clinical Lyme disease is rarely reported in cats. However, outdoor cats can still carry ticks indoors and bring them into contact with humans and dogs. Do not use dog tick products on cats — several are toxic to them. Ask your veterinarian what is safe.

If your dog has had a confirmed tick bite or shows symptoms (lameness, joint swelling, lethargy, loss of appetite, fever), contact your veterinarian. Canine Lyme typically responds well to doxycycline when caught early.

Sources

Every statistic on this page traces to one of the sources below. Each entry names the publisher, the exact document, its URL, and the figures it supports. All sources accessed and verified 30 July 2026. If you find a number on this page that you cannot trace to one of these, tell us at info@buzzskito.ca and we will correct or remove it.

Public Health Agency of Canada — Health Infobase

Annual report: Lyme disease and other tick-borne diseases surveillance in Canada

Supports: Ontario 2,369 cases in 2024 and 1,859 in 2023, a 27% year-over-year increase; Ontario at 41% of the national total in 2024 and 39% in 2023; Canada 5,809 cases in 2024 at 14.1 per 100,000 and 4,785 in 2023 at 11.9; Canada 2,525 in 2022. 2024 is the most recent year published.

https://health-infobase.canada.ca/zoonoses/ticks/annual-report.html · accessed 30 July 2026

Public Health Agency of Canada

Lyme disease surveillance, 2022 reporting year (national surveillance summary)

Supports: Ontario 1,478 cases in 2022, the largest provincial share of the 2,525 confirmed and probable cases reported nationally that year.

https://www.canada.ca/en/public-health/services/diseases/lyme-disease/surveillance-lyme-disease.html · accessed 30 July 2026

Public Health Ontario (Nelder MP, Wijayasri S, Russell CB, et al.)

The continued rise of Lyme disease in Ontario, Canada: 2017 — Canada Communicable Disease Report 2018;44(10):231–236

Supports: 959 probable and confirmed Ontario cases in 2017, an incidence of 6.7 per 100,000, three times the 2012–2016 average of 313.

https://pubmed.ncbi.nlm.nih.gov/31524884/ · accessed 30 July 2026

ClimateData.ca (citing Public Health Ontario)

Lyme disease in Ontario

Supports: 612 Ontario cases reported in 2018, from Public Health Ontario’s Monthly Infectious Diseases Surveillance Report (February 2019). The same page cites a Public Health Ontario extract giving 1,003 cases for 2017 — see the provenance note about why that differs from the 959 in the peer-reviewed report.

https://climatedata.ca/lyme-disease-in-ontario/ · accessed 30 July 2026

Adams JA, Osasah V, Paphitis K, et al. — Emerging Infectious Diseases

Age- and Sex-Specific Differences in Lyme Disease Health-Related Behaviors, Ontario, Canada, 2015–2022. Emerg Infect Dis. 2024;30(10):2006–2015

Supports: 7,762 Ontario cases reported over 2015–2022, of which 7,213 (92.9%) confirmed and 549 (7.1%) probable, from Ontario’s iPHIS system; roughly a three-fold rise in incidence over that period.

https://wwwnc.cdc.gov/eid/article/30/10/24-0191_article · accessed 30 July 2026

Public Health Ontario

Ontario Vector-Borne Disease Tool

Supports: The authoritative Ontario source for human case counts (updated weekly) and for the blacklegged tick risk-area map, which is redrawn annually — the 2026 map reflects newly identified or expanded tick risk areas based on 2025 data. Risk areas are mapped as geographic areas, not as public health units.

https://www.publichealthontario.ca/en/data-and-analysis/infectious-disease/vbd-tool · accessed 30 July 2026

Ghanbari H, Siebels K, Dumas A, et al. — PLOS One

A machine learning framework for estimating the probability of blacklegged tick population establishment in eastern Canada using Earth observation data. PLoS One 2025;20(9):e0332582

Supports: The degree-day mechanism: "Below an approximate threshold of 2800 DD > 0°C, I. scapularis populations cannot establish or persist because the temperatures are too cold for the ticks to complete their lifecycle." Cites Ogden et al. 2005 for the threshold.

https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0332582 · accessed 30 July 2026

Ogden NH, Bigras-Poulin M, O’Callaghan CJ, et al. — International Journal for Parasitology

A dynamic population model to investigate effects of climate on geographic range and seasonality of the tick Ixodes scapularis. Int J Parasitol 2005;35(4):375–389

Supports: The original population model behind the 2,800–3,100 cumulative annual degree-days above 0°C requirement for blacklegged tick population persistence.

https://pubmed.ncbi.nlm.nih.gov/15777914/ · accessed 30 July 2026

Ogden NH, Maarouf A, Barker IK, et al. — International Journal for Parasitology

Climate change and the potential for range expansion of the Lyme disease vector Ixodes scapularis in Canada. Int J Parasitol 2006;36(1):63–70 (PMID 16229849)

Supports: Mapping of annual degree-days >0°C limits for I. scapularis establishment using temperatures projected for the 2020s, 2050s and 2080s. The paper reports results in general geographic terms and does not name individual Ontario districts or years such as 2040.

https://pubmed.ncbi.nlm.nih.gov/16229849/ · accessed 30 July 2026

Ogden NH et al. — Applied and Environmental Microbiology

Role of Migratory Birds in Introduction and Range Expansion of Ixodes scapularis Ticks and of Borrelia burgdorferi and Anaplasma phagocytophilum in Canada (2008)

Supports: An estimated 50–175 million I. scapularis ticks dispersed into Canada each spring by migratory birds.

https://journals.asm.org/doi/full/10.1128/aem.01982-07 · accessed 30 July 2026

Public Health Agency of Canada (PLOS One)

Canadian Lyme Disease Enhanced Surveillance system, 2009–2019

Supports: A single erythema migrans rash was the most reported clinical manifestation, present in 76.4% of Canadian cases.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10723709/ · accessed 30 July 2026

Bishop’s University & Université de Montréal

eTick.ca — public tick image identification platform

Supports: The free national route for having a tick identified from photographs.

https://www.etick.ca/ · accessed 30 July 2026

Government of Ontario

Lyme disease

Supports: Provincial prevention guidance and what to do after a tick bite.

https://www.ontario.ca/page/lyme-disease · accessed 30 July 2026

Canadian Lyme Disease Foundation

CanLyme

Supports: Patient resources and physician referral information referenced in the stage guide.

https://canlyme.com/ · accessed 30 July 2026

Corrections log

In July 2026 this page was rebuilt after an internal audit found that its year-by-year Ontario case series, its per-health-unit case counts and several of its climate figures could not be traced to any publishing agency. Most seriously, the page had carried a 2025 Ontario provincial total that no agency has ever released, and that figure had begun circulating online with this page as its only source. Every one of those numbers has been deleted rather than revised or softened, along with a four-tier “endemic / emerging / occasional / low” classification of health units that had been wrongly attributed to Public Health Ontario. We are not restating the withdrawn figures here, because reprinting them is how they spread. What remains on this page is limited to numbers published by the Public Health Agency of Canada, Public Health Ontario, or the peer-reviewed literature, each named in the source list above.

What you can do this week

Ontario reported 27% more Lyme cases in 2024 than in 2023. Here are three practical things you can do for your household.

BuzzSkito Mosquito & Tick Control · Mississauga, ON · serving the GTA

📞 (289) 216-5030 · ✉️ info@buzzskito.ca

This page provides educational information aggregated from published government and peer-reviewed sources. It is not medical advice. For confirmed tick bites, suspected symptoms, or post-exposure prophylaxis questions, contact your family doctor, Health811 / Telehealth Ontario (1-866-797-0000), or your local public health unit.

Frequently asked questions

How many Lyme disease cases were reported in Ontario in 2024?

Ontario reported 2,369 confirmed and probable Lyme disease cases in 2024, according to the Public Health Agency of Canada’s Health Infobase annual tick-borne disease report. That is a 27% increase over the 1,859 cases reported in 2023, and it represents 41% of Canada’s national total of 5,809 cases. 2024 is the most recent year for which a final provincial figure has been published.

Is there an Ontario Lyme disease case count for 2025?

No. As of July 2026, neither Public Health Ontario nor the Public Health Agency of Canada had published a final 2025 Lyme disease case count for Ontario. The latest published provincial year is 2024. Public Health Ontario’s Vector-Borne Disease Tool does publish weekly year-to-date counts during the season, but those are provisional and are revised as cases are investigated and classified — they are not a substitute for a finalised annual figure. If you see a 2025 Ontario total quoted anywhere, check whether it traces back to one of those two agencies.

Which parts of Ontario have the highest Lyme disease risk?

Public Health Ontario maps blacklegged tick risk areas through its Ontario Vector-Borne Disease Tool, and those risk areas are drawn as geographic areas rather than along public health unit boundaries — a single health unit can contain risk areas and non-risk areas at the same time. The 2026 map reflects newly identified or expanded risk areas based on 2025 field data. Because the boundaries move every year and do not follow municipal lines, the honest answer is to check the current map for your own address rather than rely on any third-party regional ranking, including ours. BuzzSkito does not publish a regional risk ranking of its own.

How long does a tick need to be attached to transmit Lyme disease?

Standard public health guidance in Canada and the United States is that blacklegged ticks (Ixodes scapularis) generally need to be attached for at least 24 to 36 hours to transmit Borrelia burgdorferi, the bacterium that causes Lyme disease. The bacteria need time to migrate from the tick gut to its salivary glands. Doing a full tick check within 24 hours of outdoor activity, and removing anything you find, greatly reduces the chance of transmission.

What does early-stage Lyme disease look like?

The classic early sign is erythema migrans — an expanding rash, often but not always with a bullseye pattern, appearing 3 to 30 days after a tick bite and most commonly at 7 to 14 days. In the Canadian Lyme Disease Enhanced Surveillance data for 2009–2019, a single erythema migrans rash was the most frequently reported clinical manifestation, present in 76.4% of cases. Other early symptoms include fever, chills, fatigue, headache, muscle and joint aches, and swollen lymph nodes. If you see an expanding rash or develop unexplained flu-like symptoms after possible tick exposure, see a doctor promptly — early Lyme responds well to a 14 to 21 day course of doxycycline.

Where can I submit a tick for identification in Ontario?

eTick.ca is the free public tick identification platform operated by Bishop’s University and the Université de Montréal. You submit clear photos of the tick — one from the top and one from the side — through the website, and trained identifiers return a species identification, usually within about a day. Several Ontario public health units also field tick questions directly; the directory further down this page lists phone numbers and the health unit contact for each one.

Why is Lyme disease spreading in Ontario?

Two mechanisms are well documented in the peer-reviewed literature. First, temperature: blacklegged tick populations need enough accumulated warmth to complete their life cycle, and the published models use cumulative annual degree-days above 0°C rather than a single winter-cold threshold. Below roughly 2,800 degree-days above 0°C, Ixodes scapularis populations cannot establish or persist (Ghanbari et al., PLOS One 2025, citing Ogden et al. 2005). As accumulated degree-days rise, areas that were previously unsuitable become suitable. Second, dispersal: migratory songbirds carry tick larvae and nymphs north each spring — Ogden and colleagues estimated 50 to 175 million Ixodes scapularis ticks are dispersed into Canada annually by migratory birds (Applied and Environmental Microbiology, 2008). Together these mean ticks are constantly being seeded into new areas, and a growing share of those areas can now support them year-round.

What are the risks for dogs in Ontario?

Ontario veterinarians commonly recommend annual 4DX Plus blood testing, which screens dogs for exposure to Lyme (Borrelia burgdorferi), Anaplasma, Ehrlichia and heartworm in a single test. Oral preventatives (NexGard, Bravecto, Simparica) work systemically and kill ticks shortly after they bite a treated dog; topical products are generally considered less effective against blacklegged ticks. A canine Lyme vaccine is available in Ontario and is usually discussed for dogs that spend time in areas where blacklegged ticks are established. Talk to your veterinarian about what is appropriate for your dog.

Can I get Lyme disease in the GTA?

Yes. Blacklegged ticks are present in parts of southern Ontario including the Greater Toronto Area, and migratory birds deposit ticks well outside established populations every spring. Rather than relying on a general statement about a city, check Public Health Ontario’s Vector-Borne Disease Tool risk-area map for your own area, and do a tick check after any outdoor activity — including dog walks in city parks and ravines.

Is this tracker a substitute for medical advice?

No. This page provides educational information about tick-borne disease surveillance and prevention in Ontario. It is not diagnostic. If you have a confirmed tick bite, an expanding rash, or unexplained symptoms after potential tick exposure, contact your family doctor, Health811 / Telehealth Ontario (1-866-797-0000), or your local public health unit. In emergencies (facial drooping, irregular heartbeat, severe headache with neck stiffness), go to an Emergency Room.