Texas leads the nation in heartworm incidence, with cases reported nationwide
APEX, NC – The American Heartworm Society (AHS) Incidence Survey has revealed the highest U.S. heartworm rates are once again in the traditional heartworm strongholds of the Gulf Coast and southeastern states. At the same time, the survey and new heartworm incidence map also identified several new and troubling trends thousands of miles from so-called heartworm epicenters.
The AHS conducts a nationwide canine heartworm incidence survey every three years, working with veterinary practices and shelters that submit data from heartworm antigen tests run over the previous year. The latest survey was conducted in early 2026 and reflects data from heartworm testing conducted throughout 2025.







