Statistics

Map of Reported Cases - U.S. 2018

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 - U.S. 2008-2018

Table of Reported Cases of Tularemia in the United States from 2006-2016
State	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2018 Incidence*
Alabama	0	0	0	0	0	0	0	0	1	1	0	0.00
Alaska	0	2	0	0	2	1	0	2	1	3	0	0.00
Arizona	0	0	1	0	0	0	0	4	3	1	0	0.00
Arkansas	11	17	19	37	22	38	42	24	32	31	55	1.82
California	2	1	8	6	2	2	0	2	2	4	4	0.01
Colorado	2	3	3	3	1	1	16	52	14	5	6	0.11
Connecticut	0	1	0	0	0	0	0	0	0	0	0	0.00
Delaware	0	0	0	1	0	0	0	0	0	1	0	0.00
District of Columbia	0	0	0	0	0	0	0	0	0	0	0	0.00
Florida	0	1	0	0	0	1	1	0	0	0	2	0.01
Georgia	0	0	0	0	0	0	0	0	0	0	0	0.00
Hawaii	0	0	0	0	0	0	0	0	0	0	0	0.00
Idaho	2	0	0	2	1	3	0	2	3	1	3	0.17
Illinois	1	3	1	5	4	4	7	10	5	5	6	0.05
Indiana	0	1	3	1	4	5	2	3	0	2	2	0.03
Iowa	0	1	0	3	1	4	1	0	3	4	1	0.03
Kansas	2	4	16	11	22	28	27	34	25	29	19	0.65
Kentucky	2	1	2	1	4	3	1	1	2	2	7	0.16
Louisiana	0	0	0	0	0	0	1	0	0	0	0	0.00
Maine	0	0	0	0	0	0	0	0	0	0	0	0.00
Maryland	1	1	0	0	2	2	0	0	0	1	0	0.00
Massachusetts	19	4	3	8	8	8	3	4	5	5	5	0.07
Michigan	0	0	0	0	0	0	2	0	1	0	2	0.00
Minnesota	2	1	0	0	0	0	0	0	3	6	2	0.04
Mississippi	0	0	0	0	0	0	0	0	0	0	0	0.00
Missouri	21	13	18	21	27	36	20	29	34	33	17	0.28
Montana	0	2	1	3	3	5	1	7	3	6	4	0.38
Nebraska	7	5	5	4	6	17	6	25	10	7	6	0.31
Nevada	2	0	1	1	1	0	0	0	0	3	2	0.07
New Hampshire	0	0	1	0	0	0	0	1	1	1	0	0.00
New Jersey	2	2	1	3	0	2	1	1	5	2	1	0.01
New Mexico	1	1	1	7	1	4	5	8	7	5	1	0.05
New York	1	1	0	0	0	0	3	0	0	0	0	0.00
North Carolina	3	1	3	0	1	2	0	1	1	1	3	0.03
North Dakota	3	0	1	2	3	0	4	5	0	1	3	0.39
Ohio	0	1	0	1	0	2	1	1	0	2	1	0.01
Oklahoma	7	7	8	15	17	10	17	23	26	41	44	1.12
Oregon	4	1	3	5	0	3	4	6	4	2	8	0.19
Pennsylvania	0	1	1	1	0	0	0	3	4	2	1	0.01
Rhode Island	0	0	0	0	0	0	0	0	0	0	0	0.00
South Carolina	0	0	0	0	0	0	0	0	0	1	0	0.00
South Dakota	10	5	11	8	5	7	5	25	14	13	9	1.02
Tennessee	2	4	3	3	2	4	2	3	2	1	4	0.06
Texas	0	0	1	0	0	1	0	1	3	1	0	0.00
Utah	8	0	2	1	2	2	1	5	5	7	0	0.00
Vermont	0	1	0	0	0	0	1	0	0	0	0	0.00
Virginia	1	0	1	6	2	2	0	4	2	1	2	0.02
Washington	4	5	3	5	5	5	4	4	1	6	4	0.05
West Virginia	0	0	0	0	0	0	1	1	0	0	1	0.06
Wisconsin	1	0	0	1	0	1	0	2	1	0	1	0.02
Wyoming	2	2	3	1	1	0	1	21	7	2	3	0.52
U.S. TOTAL	123	93	124	166	149	203	180	314	230	239	229	0.07
*Incidence= reported cases per 100,000 residents

Yearly Reported Cases - U.S. 1950-2018

Tularemia was much more common in the early part of the 20th century than it is now.

Cases of Tularemia reported in the U.S. per year from 1950 to 2016
Year	No. Cases
1950	927
1951	702
1952	668
1953	601
1954	681
1955	584
1956	522
1957	601
1958	587
1959	459
1960	390
1961	365
1962	328
1963	327
1964	342
1965	264
1966	208
1967	184
1968	186
1969	149
1970	172
1971	187
1972	152
1973	171
1974	144
1975	129
1976	157
1977	165
1978	141
1979	196
1980	234
1981	288
1982	275
1983	310
1984	291
1985	177
1986	170
1987	214
1988	201
1989	152
1990	152
1991	193
1992	159
1993	132
1994	96
1995	117
1996	88
1997	101
1998	91
1999	96
2000	142
2001	129
2002	90
2003	129
2004	134
2005	154
2006	95
2007	137
2008	123
2009	93
2010	124
2011	166
2012	149
2013	203
2014	180
2015	314
2016	230
2017	239
2018	229

Age & Sex Reported Cases - U.S. 2001-2018

Tularemia is more common in males, possibly because of a greater likelihood of exposure through hunting and landscaping. Tularemia occurs in persons of all ages, but is most common in children.

Reported cases of Tularemia by age and sex in the U.S. from 2001-2016
Age	Male	Female
0-4	101	91
5-9	153	128
10-14	107	63
15-19	77	34
20-24	70	30
25-29	80	40
30-34	85	46
35-39	89	37
40-44	123	55
45-49	143	62
50-54	155	80
55-59	166	79
60-64	156	55
65-69	144	43
70-74	95	38
75-79	76	34
80-87	50	20
85-89	17	11
90+	8	4

Monthly Reported Cases - U.S. 2001-2018

Tularemia is more common in the months of May through September. Bites from infected ticks or deer flies usually occur in the summer months, but illness due to animal handling and hunting can occur at any time of the year.

Tularemia cases by month
Month of Onset	Percent of Total Cases
January	1
February	1
March	2
April	7
May	18
June	22
July	19
August	12
September	9
October	5
November	2
December	1

Page last reviewed: December 11, 2019

Content source: Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Vector-Borne Diseases (DVBD)