in South America.
Orange= Lymes disease
Gray= No reported cases
"
South America
In South America, tick-borne disease recognition and occurrence is rising. Ticks carrying B. burgdorferi sensu lato, as well as canine and human tick-borne disease, have been reported widely in Brazil, but the subspecies of Borrelia has not yet been defined.[195] The first reported case of Lyme disease in Brazil was made in 1993 in Sao Paulo.[196] B. burgdorferi sensu stricto antigens in patients have been identified in Colombia and Bolivia.[citation needed]"
http://en.wikipedia.org/wiki/Lyme_disease