 The state CDC says part of the reason for that is requiring a simple lab test to confirm a case and not multiple steps. Dr. Steve Rich, director of the New England Regional Center of Vector-Borne Diseases, says the bigger concern is the U.S. CDC says case counts may be 10 times what are reported. When they go out and look at insurance records and they see the telltale signs of a Lyme-like illness based on the timing and the symptoms, etc.,