regional guideNCawaiting reviewer signoff

Ticks in North Carolina

Common species, seasonal activity, exposure scenarios, what to do after a bite, and the state’s tick-identification options. Sourced from the state conservation + health + extension agencies.

Common species in North Carolina

North Carolina follows the split authority source pattern. The species below are drawn from the state-authority sources listed in the sidebar Data Row.

III
4-6 mm
Macro photo of an unfed adult american dog tick with a millimeter scale
American dog tick
Dermacentor variabilis
Identify →
IV
4-6 mm
Macro photo of an unfed adult lone star tick with a millimeter scale
Lone star tick
Amblyomma americanum
Identify →
V
3-4 mm
Macro photo of an unfed adult brown dog tick with a millimeter scale
Brown dog tick
Rhipicephalus sanguineus
Identify →
SECONDARY
EMERGING WATCH
  • Asian longhorned tick (NCDA&CS + NC State surveillance — established in NC; first U.S. detection state for this species)

When ticks are most active

Long active window — April through October across most of NC. Lone star tick most active April-August; American dog tick peaks spring-summer; blacklegged tick active spring + fall in mountains and Piedmont; brown dog tick year-round in kennels. Coastal NC can see activity in mild winters.

Status:source caveated editorial

Where you're most likely to encounter ticks

Appalachian Mountains + Blue Ridge Parkway hiking, Pisgah + Nantahala National Forests, Research Triangle (Raleigh/Durham/Chapel Hill) parks + suburban edges, Charlotte + Piedmont trails, Outer Banks + coastal counties, Uwharrie Mountains, Croatan National Forest, hunting properties statewide, dog walking in tall-grass edges.

Disease context

Each disease named below carries an evidence tag per the Data Row policy. Pills indicate the strength of state-specific evidence, not the severity of the disease. Symptoms should always be routed to a clinician; this is orientation, not diagnosis.

  • Rocky Mountain spotted feverstate surveillance confirmed

    NC consistently reports among the highest U.S. RMSF case counts; NC DHHS publishes surveillance

  • Ehrlichiosisstate surveillance confirmed

    Lone star tick territory; NC reports significant ehrlichiosis case loads

  • Alpha-gal syndromestate unique angle

    NC is in the documented AGS high-incidence cluster; major lone star tick territory

  • STARIregional pattern

    Lone star tick range — STARI clinically presents like Lyme but cause is undefined

  • Lyme diseasestate surveillance confirmed

    Lower per-capita than Northeast but present in NC mountains + Piedmont

  • Anaplasmosisstate surveillance confirmed
  • Tularemianon diagnostic mention only

If you find a tick — what to do

Tick-ID program status:state id program uncertain

Map resolution notes

mixed resolution.NC DHHS publishes county-level reportable-disease data supporting county-resolution claims for RMSF, ehrlichiosis, Lyme. NC State Extension covers ecoregion-resolution (Mountains vs Piedmont vs Coastal Plain) for species + habitat claims. Asian longhorned tick distribution is actively updated by NCDA&CS. CDC maps support national comparison.

State sources

Primary species source
North Carolina Department of Health and Human Services (NC DHHS) Division of Public Health Communicable Disease Branch + Tick-Borne Diseases hub; NC State Extension + NC State Department of Entomology publications on NC tick species and life cycles.
Primary health source
NC DHHS Communicable Disease Branch tickborne disease surveillance; NC DHHS RMSF + ehrlichiosis + Lyme reports; CDC pages and maps for national guardrails.
Primary extension source
NC State Extension (NC Cooperative Extension Service) and NC State Department of Entomology publications on Asian longhorned tick (NC was the first U.S. detection state), lone star tick + RMSF ecology, and yard/property tick management.
Surveillance
NC DHHS Communicable Disease tickborne disease surveillance + reportable disease summaries; NC Department of Agriculture and Consumer Services (NCDA&CS) animal-health + Asian longhorned tick monitoring (NC is the U.S. ALT discovery state); NC State Tick Lab + Southeast Regional Center for Excellence in Vector-Borne Diseases; CDC for national comparison.