https://www.theguardian.com/world/2026/may/21/lyme-disease-cases-england-rise-tick-vaccines
Recent feed article said many people do not develop the inflamed bullseye indicator.
I suspect of you did random testing, you would find more Lyme victims than suggested by those numbers.
If you're not in an area thought to have Lyme, you don't get tested, which creates a chicken and egg problem