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OCR: Resident and Staff Physician Patient Education Chart Ticks Transmit Lyme Disease Actual size before and after a blood meal In this country, Lyme disease is primarily transmitted by the ticks Ixodes dammini (Northeast and Midwest) and Ixodes pacificus (Pacific coast). Reprinted with permission from Resident and Staff Physician (c) 1991-92, 1993 by Romaine Pierson Publishers, Inc.