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Every year, at least 30,000 people — and possibly 10 times that — are infected with the bacterium that causes Lyme disease, most in the Northeast and upper Midwest. Symptoms can include fatigue, joint pain, memory problems and even temporary paralysis. In a small minority of cases, the malaise can persist for many months. So it’s worrisome that in recent decades, Lyme cases have surged, nearly quadrupling in Michigan