In 2013, Kingston public health officials found that 23% of ticks tested, carried the Borrelia burgdorferi bacteria associated with Lyme Disease. By 2016, this number had increased to 32%… We live in an endemic area. Dr. Sonya Nobbe uses a variety of teststo help her make an accurate diagnosis, including those offered by IGeneX Laboratories and Armin Labs in Germany, which go beyond the ELISA tests performed by Public Health in Ontario. However, because a proper diagnosis is made based on symptoms, laboratory testing is not always required. Please also view the self-assessment section of our website for more information.