Key points
- In the United States, naturally occurring infections have been reported from all states except Hawaii.
- Tularemia is more common in males and more commonly occurs during the months of May through September.
Map of Reported Cases - U.S. 2022
Tularemia has been reported from all states except Hawaii but is most common in the south-central United States, the Pacific Northwest, and parts of Massachusetts, including Martha’s Vineyard.
Table of Reported Cases of Tularemia in the United States from 2011-2022
Yearly Reported Cases - U.S. 1950-2022
Tularemia was much more common in the early part of the 20th century than it is now.