Lyme disease is a common trail disease transmitted by the bite of a deer tick. It is more common (95% of all cases) in eastern states such as Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire New Jersey, New York, Pennsylvania, Vermont, Virginia and Wisconsin. It is the 7th most common disease in the U.S. In 2012 there were 22,014 confirmed cases and 8,817 probable cases. Regular tick check is very important, and checking on your clothing is just as productive. The early stages of the disease, include an erythema migrans (EM) otherwise known as a “bull’s-eye” rash. If this rash occurs you should seek medical attention immediately.