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To estimate the frequency of occurrence of
Lyme disease in Alabama, in September 1988 the Department of Public Health requested physicians and laboratories to begin voluntary reporting of cases of
Lyme disease. Thirteen cases, 5 confirmed, 1 probable, 4 presumptive and 3 possible, were reported for the years 1986-1988. Counties in which tick exposure likely occurred included Calhoun, Cleburne, Mobile, Monroe, Shelby, Talladega and Tallapoosa.
Lyme disease occurs in Alabama but appears to be uncommon.