year,definition_key,definition_label,measure,unit,value,flag,note 1992,def_1990,1990 case definition,reported_incidence,"cases per 100,000 people",3.862553836,, 1993,def_1990,1990 case definition,reported_incidence,"cases per 100,000 people",3.176763949,, 1994,def_1990,1990 case definition,reported_incidence,"cases per 100,000 people",4.956944153,, 1995,def_1990,1990 case definition,reported_incidence,"cases per 100,000 people",4.39389763,, 1996,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",6.108147417,, 1997,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",4.695083211,, 1998,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",6.090538352,, 1999,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",5.831776879,, 2000,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",6.283615148,, 2001,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",5.975738655,, 2002,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",8.261793674,, 2003,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",7.332788104,, 2004,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",6.763538821,, 2005,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",7.886189838,, 2006,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",6.679739218,, 2007,def_1996,1996 case definition,reported_incidence,"cases per 100,000 people",9.110609845,, 2008,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",11.57471175,, 2009,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",12.53962521,, 2010,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",9.749721185,, 2011,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",10.62310055,, 2012,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",9.824077603,, 2013,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",11.48978549,, 2014,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",10.51237639,, 2015,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",11.87299598,, 2016,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",11.28037781,, 2017,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",13.15227752,, 2018,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",10.30526111,, 2019,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",10.646189,,Data from some jurisdictions are incomplete for this year because of the COVID-19 pandemic. 2020,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",5.429423135,,Data from some jurisdictions are incomplete for this year because of the COVID-19 pandemic. 2021,def_2008,2008 case definition,reported_incidence,"cases per 100,000 people",7.411557241,,"State and local health departments reported fewer cases of Lyme disease in 2020 and 2021, which likely reflects the impacts of the COVID-19 pandemic rather than a true change in disease risk." 2022,def_2022,2022 case definition,reported_incidence,"cases per 100,000 people",18.76878662,,