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Coccidioidomycosis Outbreaks, United States and Worldwide, 1940?2015

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  • Coccidioidomycosis Outbreaks, United States and Worldwide, 1940?2015

    Source: Volume 24, Number 3?March 2018


    Coccidioidomycosis Outbreaks, United States and Worldwide, 1940?2015

    Michael Freedman, Brendan R. Jackson, Orion McCotter, and Kaitlin Benedict
    Author affiliations: Children?s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA (M. Freedman); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (B.R. Jackson, O. McCotter, K. Benedict)
    Cite This Article

    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...