During 1993-2023, health officials in New York, USA, received reports of 30 tularemia cases. Of those, 43% were from Suffolk County, 69% were diagnosed during 2014-2023, and 1 person died. Tick surveillance detected Francisella tularensis in 1 pool of nymphs from Suffolk County, indicating localized risk.
Gaber et al. (Thu,) studied this question.