March 1996:
Denise Smith was realizing her dream:
a rustic home on the Pawtuxet River surrounded by acres of woodlands. At first, she didn't notice the poppy seed-sized ticks that attached themselves to her and her two dogs: "Now, I pick off at least a dozen from each dog daily. Every time I go outside, I'll find two or three on me." That discovery has shattered her dream. In the two years since, she's experienced a rash, neurological problems, muscle weakness and numbness on one side of her body. "My life is completely changed," she says. "I used to backpack and kayak. Now I'm lucky if I can go for a walk without it sapping my strength for days."

July 1996:
Anthony Cunha and his dad were camping
-one of their favorite pastimes-near Scituate, RI. Once home, the 10-year-old came down with a severe case of the flu that wouldn't go away. A spinal tap, a CT scan and lab tests revealed nothing. "Three months later, Anthony's knee swelled up four times its normal size," says his mother, Sandra Manco. "He was on crutches and had to give up football, which has been the love of his life since he was just six. Those were the longest two years of our lives."


After months on the sidelines, Anthony Cunha, right, is back in the game, but his battle with Lyme disease has taken its toll.

Smith and Cunha seem to have little in common. What they share is the mysterious condition known as Lyme disease. While still relatively rare, the disease is becoming more prevalent everywhere. The increase in cases in the Ocean State is dramatic-530 percent since 1990. Block Island and Prudence Island are hot spots, as is South County. Rhode Island is second to Connecticut in the incidence of cases per capita-and that depends on the year-Rhode Island is often number one.

Although Lyme disease was discovered in 1976, it's probably centuries old and may have evolved in Europe or Asia. The first known cases in the U.S. were detected in Old Lyme, Connecticut, where an alarming number of children were diagnosed with rheumatoid arthritis. Before long, medical researchers determined that the affliction was a distinct disease arising from the bite of an infected deer tick. The children all lived near wooded areas, heavily infested with ticks. They fell ill in the summer months-the height of the tick season.

Why is Lyme disease on the rise?

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