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   ocr: Resident and Staff nySICIOM Patiant Education Chart Ticks Transmit Lyme Disease à - A 4 - - W - I a - *e A d - W 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 byl Romaine Pierson/Publishers, Inc.