An Outbreak of Primary Pulmonary Coccidioidomycosis in Los Angeles County, California

Kritzer, Morton D.; Biddle, Marjorie; Kessel, John F.

doi:10.7326/0003-4819-33-4-960

Cited by 24 publications

(1 citation statement)

References 24 publications

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“…This review also highlights the ongoing challenge of coccidioidomycosis in California prisons. The 5 outbreaks among incarcerated persons were similar to those among the military in that affected persons often did not have prior exposure to coccidioidomycosis-endemic areas ( 22 , 26 – 29 ). In an effort to minimize illness, inmates who are immunosuppressed, are African-American or Filipino, or have diabetes mellitus are no longer housed in several prisons in California’s Central Valley ( 30 ).…”

Section: Discussionmentioning

confidence: 85%

Coccidioidomycosis Outbreaks, United States and Worldwide, 1940–2015

Freedman¹,

Jackson²,

McCotter³

et al. 2018

Emerg. Infect. Dis.

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Coccidioidomycosis causes substantial illness and death in the United States each year. Although most cases are sporadic, outbreaks provide insight into the clinical and environmental features of coccidioidomycosis, high-risk activities, and the geographic range of Coccidioides fungi. We identified reports published in English of 47 coccidioidomycosis outbreaks worldwide that resulted in 1,464 cases during 1940–2015. Most (85%) outbreaks were associated with environmental exposures; the 2 largest outbreaks resulted from an earthquake and a large dust storm. More than one third of outbreaks occurred in areas where the fungus was not previously known to be endemic, and more than half of outbreaks involved occupational exposures. Coccidioidomycosis outbreaks can be difficult to detect and challenging to prevent given the unknown effectiveness of environmental control methods and personal protective equipment; therefore, increased awareness of coccidioidomycosis outbreaks is needed among public health professionals, healthcare providers, and the public.

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Section: Discussionmentioning

confidence: 85%