False. Transmission to humans is incidental and can occur during (i) visits to a vector habitat; (ii) when host mammals and their associated ticks migrate into the urban environment; or (iii) when companion animals bring ticks into areas of human habitation (reviewed by (50)).
Although it is stated that high-risk groups of people living and/or working in Lyme disease endemic locations such as forested areas and occupations such as forest workers, hunters, rangers, gamekeepers, farmers and military field personnel have an especially high risk of contracting Lyme disease (reviewed by (25)), some recreational activities are also linked to increased risk of disease, such as orienteering, hunting, gardening and picnicking (13, 61, 62).