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. 2018 Jun 16;68(3):426–434. doi: 10.1093/cid/ciy510

Figure 3.

Figure 3.

Geographic expansion of Lyme disease in Western Pennsylvania from 2003 to 2013. A, All cases of Lyme disease by zip code, demonstrating a broad catchment area. B, Increase in Lyme disease cases in a westward and southward direction over time. C, Number of cases originating from rural zip codes, nonrural zip codes, and zip codes corresponding to the city of Pittsburgh. D, Linear regression of the number of cases per year for rural, nonrural, and Pittsburgh zip codes over time demonstrating significantly different slopes ****P < .001.