North Carolina • High Awareness
Lone Star Ticks in North Carolina: Map, Season, Alpha-Gal Awareness & Prevention
North Carolina is a well-documented Lone Star tick region and among the highest reported alpha-gal awareness states.
Last reviewed: June 2, 2026 · Educational only — not medical advice.
Risk snapshot
North Carolina
North Carolina is a well-documented Lone Star tick region and among the highest reported alpha-gal awareness states.
Peak season
April – October
Common habitats
Who should be extra aware
County awareness
- Wake County (Raleigh area)High Awareness
- Mecklenburg County (Charlotte area)High Awareness
- Guilford CountyEstablished
- New Hanover County (Wilmington area)High Awareness
Coastal woodlands.
- Buncombe County (Asheville area)Established
Mountain trail edges.
County awareness levels are educational estimates, not surveillance data. Tick presence varies within every county.
Are Lone Star ticks found in North Carolina?
North Carolina is within the broader Lone Star tick range. Awareness levels vary by county, and activity is typically highest during april – october. CDC data place North Carolina in the high suspected-AGS region. Hikers, hunters, and yard workers should be especially vigilant.
When is tick season in North Carolina?
Peak Lone Star tick activity in North Carolina is typically April – October. Plan extra prevention during these months — repellent, permethrin-treated clothing, and daily tick checks for kids and pets. In warmer regions, ticks can be active longer.
Can tick bites in North Carolina be linked to alpha-gal syndrome?
A Lone Star tick bite has been associated with alpha-gal syndrome — a delayed allergy to mammalian meat — in some individuals. Not every bite causes it, and only a licensed clinician can diagnose it. Learn the symptoms or read the alpha-gal guide.
What to do if you find a tick after being outside in North Carolina
Remove the tick with fine-tipped tweezers, clean the area, save a photo, and note the date and location. Watch for symptoms over the following weeks and contact a licensed medical professional if a rash, fever, fatigue, or food reaction develops.
Prevention checklist for North Carolina
- Use EPA-registered repellent (DEET, picaridin, or oil of lemon eucalyptus)
- Treat clothing and gear with permethrin
- Wear long sleeves and tuck pants into socks in brushy areas
- Stay on cleared trails and avoid tall grass and leaf litter
- Shower within two hours of coming indoors
- Do daily tick checks on people and pets during the season
Join the tick-awareness early list
We're building optional seasonal reminders for North Carolina. Join the list and we'll email you when they launch.
Sources & local resources for North Carolina
- Where Ticks LiveCDC
The Lone Star tick is widely distributed in the Northeast, South, and Midwest U.S.
- Lone Star Tick SurveillanceCDC
County-level established vs. reported records. 'Established' = 6+ ticks or multiple life stages collected in 12 months.
- Alpha-gal SyndromeCDC
What alpha-gal syndrome is, symptoms, and its association with tick bites.
- Geographic Distribution of Suspected Alpha-gal Syndrome Cases — U.S., 2017–2022 (MMWR)CDC / MMWR
Highest suspected-AGS prevalence across a contiguous southern, midwestern, and mid-Atlantic region; most cases align with the established Lone Star tick range.
- Current and Future Distribution of the Lone Star Tick in North AmericaRaghavan et al., PLOS ONE (2019)
Ecological niche modeling of Amblyomma americanum range and projected northward expansion.
- Find the Repellent That Is Right for YouEPA
Search tool for EPA-registered repellents (DEET, picaridin, oil of lemon eucalyptus).
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Lone Star tick awareness in North Carolina
Peak season: April – October
North Carolina tick & alpha-gal FAQ
The questions North Carolina residents search for most.
Are Lone Star ticks in North Carolina?+
Yes — North Carolina is within or near the broader Lone Star tick range. Reports vary by county, and activity is generally highest during april – october.
When is tick season in North Carolina?+
Peak Lone Star tick activity in North Carolina is typically April – October. In warmer parts of the state, ticks can be active longer into the year.
Can I get alpha-gal syndrome from a tick bite in North Carolina?+
Alpha-gal syndrome has been associated with Lone Star tick bites in regions of North Carolina. Not every bite causes AGS. If you develop hives, swelling, stomach pain, or other reactions 2–6 hours after eating mammalian meat, talk to a licensed medical professional.
How do I report or identify a tick I found in North Carolina?+
Save the tick in a sealed bag with a moist paper towel, take a clear photo, and contact your state health department or a university extension program. Some accept ticks for identification or testing.
What should I do after a tick bite in North Carolina?+
Remove the tick with fine-tipped tweezers, clean the area, save a photo, and note the date and location. Watch for symptoms over the following weeks and contact a medical professional if a rash, fever, fatigue, or food reaction develops.
Related nearby states
Lone Star tick range, peak season, and awareness vary across the U.S.
See all 51 state pages →
LoneStarMap