Salkeld called much of northwest California a

 Salkeld called much of northwest California a

 “hyper endemic” area for Lyme disease. Sierra, Santa Cruz, Mendocino, Mariposa and Humboldt counties have the highest rates of Lyme in the state, according to the latest California Department of Health report on vector-borne disease. However, these levels are still below those of many areas on the East Coast.

After a particularly wet year in 2017 in the Bay Area, the following spring saw elevated levels of ticks — which could also be the case next spring, Salked said. It takes about 18 months for the western black-legged tick to go through its life cycle.

“It may well be next spring that ticks are really booming

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