Geographies Of Tolerance: Hiding the Lyme Disease Epidemic in Scotland’s Landscapes
Abstract
Little research has been conducted on the relationship between Lyme disease and the landscapes in which people became infected. This article remedies this gap by researching the interplay of environment, ticks, bacteria, and humans. Based on fieldwork across Scotland in 2018–2020, this article explores the tension of Scottish landscapes as both beautiful and as having the highest incidence of Lyme disease in Europe. I introduce the people living with chronic Lyme disease and the epidemiologists and entomologists researching Lyme disease in Scotland, and explore their relationships to the landscapes of the bacteria. Introducing the theoretical framework ‘geographies of tolerance’, I explore how Scottish landscapes are constructed as safe and healthy: an exploration of how spaces are constructed around ideas of safety, and how this safety is extended to the animals, microbes, and diseases found within those spaces. Perceived as fundamentally safe, any potential dangers encountered in spaces are thereby tolerated and the possibility of danger becomes invisible. Finally, I apply geographies of tolerance to make sense of Britain’s response to the Covid-19 pandemic and the impact that lockdown had on rendering B. burgdorferi more tolerable and more invisible.
References
Auwaerter, Paul G., and Michael T. Melia. 2012. “Bullying Borrelia: When the Culture of Science is Under Attack.” Transactions of the American Clinical and Climatological Association 123: 79–90.
BBC. 2018. “Scotland ‘Breaks Temperature Record.’” British Broadcasting Corporation, July 2, 2018. Accessed July 7, 2025.
https://www.bbc.com/news/uk-scotland-44683637.
Brives, Charlotte, Matthäus Rest, and Salla Sariola, eds. 2021. With Microbes. Manchester: Mattering Press.
http://doi.org/10.28938/9781912729180.
Campos, Marcelo. 2018. “Lyme Disease: Resolving the ‘Lyme Wars.’” Harvard Health Publishing, June 18, 2018. Accessed June 15, 2025.
https://www.health.harvard.edu/blog/lyme-disease-resolving-the-lyme-wars-2018061814071.
Carroll, Michael C. 2005. Lab 257: The Disturbing Story of the Government’s Secret Plum Island Germ Laboratory. New York: HarperCollins.
Cooke, Mary. 2016. “Map Reveals Where in Scotland Lyme-Infected Ticks Are Most Likely to Get You.” The Spectator, June 22, 2016. Accessed June 16, 2025.
Cronon, William. 1996. “The Trouble With Wilderness: Or, Getting Back to the Wrong Nature.” Environmental History 1(1): 7–28.
https://doi.org/10.2307/3985059.
Dattwyler, Raymond J., and Kirk Sperber. 2011. “Borrelia: Interactions with the Host Immune System.” In Lyme Disease: An Evidence-Based Approach, edited by J. J. Halperin. Wallingford: CABI, 54–72.
Doward, Jamie. 2018. “10 Top Facts About the UK’s Hot Summer Weather,” The Guardian, July 1, 2018. Accessed June 16, 2025.
Dumes, Abigail A. 2020. Divided Bodies. Lyme Disease, Contested Illness, and Evidence-Based Medicine. Durham and London: Duke University Press.
Eden, Tom. 2019. “App Launched in Highlands to Track Ticks That Cause Lyme Disease,” The Scotsman, August 22, 2019. Accessed June 16, 2025.
Edlow, Jonathan A. 2003. Bull’s-Eye: Unraveling the Medical Mystery of Lyme Disease. New Haven: Yale University Press.
ESA Space Solutions. 2022. “LymeApp,” website of the European Space Agency. Accessed April 25, 2022.
https://business.esa.int/projects/lymeapp.
Halperin, John J., Phillip Baker, and Gary P. Wormser. 2011. “Lyme Disease: The Great Controversy.” In Lyme Disease. An Evidence-based Approach, edited by John J. Halperin, 259–270. Oxfordshire: CABI.
Haraway, Donna J. 1991. Simians, Cyborgs, and Women: The Reinvention of Nature. New York: Routledge.
⸻. 2016. Staying With the Trouble: Making Kin in the Chthulucene. Durham: Duke University Press.
Hinchliffe, Steve, John Allen, Stephanie Lavau, Nick Bingham, et al. 2013. “Biosecurity and the Topologies of Infected Life: From Borderlines to Borderlands.” Transactions of the Institute of British Geographers 38(4): 531–43.
https://doi.org/10.1111/j.1475-5661.2012.00538.x.
Hunter, James. [1995] 2014. On the Other Side of Sorrow: Nature and People in the Scottish Highlands. Edinburgh: Birlinn Limited.
Hydén, Lars-Christer, and Lisbeth Sachs. 1998. “Suffering, Hope and Diagnosis: On the Negotiation of Chronic Fatigue Syndrome.” Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 2(2): 175–193.
https://doi.org/10.1177/136345939800200204.
Kelner, Simon. 2020. “Boris Johnson’s Confession That He Was ‘in Denial’ When He Caught Coronavirus May Explain Our Country’s Slow Response,” iNews Opinion, May 4, 2020. Accessed June 16, 2025.
Kempe, Nick. 2020. “Scotland’s Outdoor Restrictions Are Senseless and Unjustifiable,” UKH, June 9, 2020. Accessed June 16, 2025.
Kirksey, Eben, ed. 2014. The Multispecies Salon. Durham and London: Duke University Press.
Koch, Erin. 2011. “Local Microbiologies of Tuberculosis: Insights from the Republic of Georgia.” Medical Anthropology 30(1): 81–101.
https://doi.org/10.1080/01459740.2010.531064.
Li, Sen, Lucy Gilbert, Paula A. Harrison, and Mark D. A. Rounsevell. 2016. “Modelling the Seasonality of Lyme Disease Risk and the Potential Impacts of a Warming Climate within the Heterogeneous Landscapes of Scotland.” Journal for the Royal Society Interface 13(116): 1–9.
https://doi.org/10.1098/rsif.2016.0140.
Ling, Chun Long, A. W. L. Joss, M. M. Davidson, and D. O. Ho-Yen. 2000. “Identification of Different Borrelia burgdorferi Genomic Groups from Scottish Ticks.” Journal of Clinical Pathology—Molecular Pathology 53(2): 94–98.
https://pubmed.ncbi.nlm.nih.gov/10889909/.
Lorimer, Jamie. 2017. “Probiotic Environmentalities: Rewilding with Wolves and Worms.” Theory, Culture & Society 34(4): 27–48.
https://doi.org/10.1177/0263276417695866.
Lyme Disease UK. 2022. “What is Lyme Disease?” Website. Accessed April 25, 2022.
https://lymediseaseuk.com/lyme-disease/.
⸻. 2025. “Symptoms.” Website. Accessed June 16, 2025.
https://lymediseaseuk.com/symptoms/.
MacCallum, Morven-May. 2017. Finding Joy. Bath: Brown Dog Books.
Martin, Emily. 1994. Flexible Bodies: Tracking Immunity in American Culture from the Days of Polio to the Age of AIDS. Boston: Beacon Press.
Nash, Linda. 2007. Inescapable Ecologies: A History of Environment, Disease, and Knowledge. Berkeley: University of California Press.
Newby, Kris. 2019. Bitten: The Secret History of Lyme Disease and Biological Weapons. New York: HarperCollins.
Office for National Statistics (ONS). 2020. Deaths Involving COVID-19, England and Wales: Deaths Occurring in May 2020. Census 2021., June 23, 2020. Accessed June 30, 2025.
Ostfeld, Richard S. 2011. Lyme Disease. The Ecology of a Complex System. Oxford: Oxford University Press.
Prebble, John. 1963. The Highland Clearances. London: Penguin Books.
Pfeiffer, Mary Beth. 2018. Lyme: The First Epidemic of Climate Change. London: IslandPress.
Reuters. 2020. “Johnson—Coronavirus Will Not Stop Me Shaking Hands,” March 3, 2020. Accessed June 16, 2025.
https://www.reuters.com/article/uk-health-coronavirus-britain-handshake-idUKKBN20Q1K2.
Ribeiro, Rita Cláudia Cardoso. 2021. “Predicting Tick-Borne Disease Risk: Improving the Distribution Mapping of Ticks and Tick Bite Risk in Scotland.” PhD dissertation, University of Edinburgh, United Kingdom.
http://dx.doi.org/10.7488/era/978.
Richards, Eric. 2000. The Highland Clearances. People, Landlords and Rural Turmoil. Edinburgh: Birlinn.
Sample, Ian, and Peter Walker. 2021. “Covid Response ‘One of UK’s Worst Ever Public Health Failures,’” The Guardian, October 12, 2021. Accessed June 16, 2025.
Siddique, Haroon, and Matthew Taylor. 2017. “UK Heatwave Brings Hottest June Day for 40 Years,” The Guardian, June 21, 2017. Accessed June 16, 2025.
https://www.theguardian.com/uk-news/2017/jun/21/uk-heatwave-to-set-40-year-temperature-record.
Silver, Katie. 2017. “Matt Dawson: I Had to Have Heart Surgery After a Tick Bite,” BBC, August 21, 2017. Accessed June 16, 2025.
https://www.bbc.co.uk/news/health-40973709.
Soncco, Ritti. 2020. “‘Its Hand Around My Throat’: The Social Rendering of Borrelia.” Relations: Beyond Anthropocentrism 8(1–2): 37–56.
https://doi.org/10.7358/rela-2020-0102-sonc.
⸻. 2022. “Biosocial Fragilities: Life With Chronic Lyme Disease in Scotland.” PhD dissertation, University of Edinburgh.
http://dx.doi.org/10.7488/era/3470.
The Conservation Volunteers in Scotland. 2023. “What Makes Viruses Tick?” Website.
Tonks, Alison. 2007. “Lyme Wars.” The BMJ 335(7626): 910–912.
https://doi.org/10.1136/bmj.39363.530961.AD.
UK Parliament. 2021. Coronavirus: Lessons Learned to Date. Sixth Report of the Health and Social Care Committee and Third Report of the Science and Technology Committee, The House of Commons Session 2021–22, HC 92, published October 12, 2021. Accessed June 16, 2025.
Vogel, Sarah A. 2013. Is It Safe? BPA and the Struggle to Define the Safety of Chemicals. Berkeley: University of California Press.
Walawalkar, Aaron. 2020. “UK Records Largest Single-Day Increase in Coronavirus Deaths to 1,019,” The Guardian, March 28, 2020. Accessed June 16, 2025.
Walker, Iona Francesca. 2020. “Beyond the Military Metaphor: Comparing Antimicrobial Resistance and the Covid-19 Pandemic in the United Kingdom.” Medicine Anthropology Theory 7(2): 261–272.
https://doi.org/10.17157/mat.7.2.806.
Weintraub, Pamela. 2013. Cure Unknown: Inside the Lyme Epidemic. Revised Edition. New York: Macmillan.
