There are reports of tick infestations in various US states, with some areas experiencing their worst tick activity in nearly 10 years. West Virginia is one of the states affected, with a growing Lyme disease crisis, although it is unclear if it is the only state with significant tick infestations. Other states, including possibly California, Oregon, and Rhode Island, may also have areas with high tick activity, but the extent and locations of the infestations are not consistent across reports.