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The public health impact of coccidioidomycosis in Arizona and California.

Hector RF, Rutherford GW, Tsang CA, Erhart LM, McCotter O, Anderson SM, Komatsu K, Tabnak F, Vugia DJ, Yang Y, Galgiani JN - Int J Environ Res Public Health (2011)

Bottom Line: The numbers of reported cases of coccidioidomycosis in Arizona and California have risen dramatically over the past decade, with a 97.8% and 91.1% increase in incidence rates from 2001 to 2006 in the two states, respectively.Of those cases with reported race/ethnicity information, Black/African Americans in Arizona and Hispanics and African/Americans in California experienced a disproportionately higher frequency of disease compared to other racial/ethnic groups.Similarly, the inability of currently available therapeutics to reduce the duration and morbidity of this disease underscores the need for improved therapeutics and a preventive vaccine.

View Article: PubMed Central - PubMed

Affiliation: Global Health Sciences, University of California, San Francisco,1200 Beale St, #1200, San Francisco, CA 94105, USA. rhector@psg.ucsf.edu

ABSTRACT
The numbers of reported cases of coccidioidomycosis in Arizona and California have risen dramatically over the past decade, with a 97.8% and 91.1% increase in incidence rates from 2001 to 2006 in the two states, respectively. Of those cases with reported race/ethnicity information, Black/African Americans in Arizona and Hispanics and African/Americans in California experienced a disproportionately higher frequency of disease compared to other racial/ethnic groups. Lack of early diagnosis continues to be a problem, particularly in suspect community-acquired pneumonia, underscoring the need for more rapid and sensitive tests. Similarly, the inability of currently available therapeutics to reduce the duration and morbidity of this disease underscores the need for improved therapeutics and a preventive vaccine.

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Coccidioidomycosis incidence rates by age-group in California, 2001–2009.
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f4-ijerph-08-01150: Coccidioidomycosis incidence rates by age-group in California, 2001–2009.

Mentions: The majority of the 20,931 reported cases were male (65%). There were increasing trends in incidence rates in age groups 0–4 to 25–29 across all years (Figure 4). The incidence rates stayed relatively steady in age groups 25–29 to 50–54, and declined with some fluctuations in age groups 55–59 and older. The incidence rate was highest among those 30–34 years old in the peak year 2006 (13 per 100,000).


The public health impact of coccidioidomycosis in Arizona and California.

Hector RF, Rutherford GW, Tsang CA, Erhart LM, McCotter O, Anderson SM, Komatsu K, Tabnak F, Vugia DJ, Yang Y, Galgiani JN - Int J Environ Res Public Health (2011)

Coccidioidomycosis incidence rates by age-group in California, 2001–2009.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3118883&req=5

f4-ijerph-08-01150: Coccidioidomycosis incidence rates by age-group in California, 2001–2009.
Mentions: The majority of the 20,931 reported cases were male (65%). There were increasing trends in incidence rates in age groups 0–4 to 25–29 across all years (Figure 4). The incidence rates stayed relatively steady in age groups 25–29 to 50–54, and declined with some fluctuations in age groups 55–59 and older. The incidence rate was highest among those 30–34 years old in the peak year 2006 (13 per 100,000).

Bottom Line: The numbers of reported cases of coccidioidomycosis in Arizona and California have risen dramatically over the past decade, with a 97.8% and 91.1% increase in incidence rates from 2001 to 2006 in the two states, respectively.Of those cases with reported race/ethnicity information, Black/African Americans in Arizona and Hispanics and African/Americans in California experienced a disproportionately higher frequency of disease compared to other racial/ethnic groups.Similarly, the inability of currently available therapeutics to reduce the duration and morbidity of this disease underscores the need for improved therapeutics and a preventive vaccine.

View Article: PubMed Central - PubMed

Affiliation: Global Health Sciences, University of California, San Francisco,1200 Beale St, #1200, San Francisco, CA 94105, USA. rhector@psg.ucsf.edu

ABSTRACT
The numbers of reported cases of coccidioidomycosis in Arizona and California have risen dramatically over the past decade, with a 97.8% and 91.1% increase in incidence rates from 2001 to 2006 in the two states, respectively. Of those cases with reported race/ethnicity information, Black/African Americans in Arizona and Hispanics and African/Americans in California experienced a disproportionately higher frequency of disease compared to other racial/ethnic groups. Lack of early diagnosis continues to be a problem, particularly in suspect community-acquired pneumonia, underscoring the need for more rapid and sensitive tests. Similarly, the inability of currently available therapeutics to reduce the duration and morbidity of this disease underscores the need for improved therapeutics and a preventive vaccine.

Show MeSH
Related in: MedlinePlus