The Public Health Impact of Coccidioidomycosis in Arizona and California

Richard F. Hector, George W. Rutherford, Clarisse A. Tsang, Laura M. Erhart, Orion McCotter, Shoana M. Anderson, Kenneth Komatsu, Farzaneh Tabnak, Duc J. Vugia, Ying Yang and John N. Galgiani
Additional contact information
Richard F. Hector: Global Health Sciences, University of California, San Francisco (UCSF),1200 Beale St., #1200, San Francisco, CA 94105, USA
George W. Rutherford: Global Health Sciences, University of California, San Francisco (UCSF),1200 Beale St., #1200, San Francisco, CA 94105, USA
Clarisse A. Tsang: Arizona Department of Health Services, 150 N 18th Ave., Ste. 140, Phoenix, AZ 85007, USA
Laura M. Erhart: Arizona Department of Health Services, 150 N 18th Ave., Ste. 140, Phoenix, AZ 85007, USA
Orion McCotter: Arizona Department of Health Services, 150 N 18th Ave., Ste. 140, Phoenix, AZ 85007, USA
Shoana M. Anderson: Arizona Department of Health Services, 150 N 18th Ave., Ste. 140, Phoenix, AZ 85007, USA
Kenneth Komatsu: Arizona Department of Health Services, 150 N 18th Ave., Ste. 140, Phoenix, AZ 85007, USA
Farzaneh Tabnak: Infectious Diseases Branch, Division of Communicable Disease Control (DCDC), Center for Infectious Diseases (CID), California Department of Public Health, P.O. Box 997377, Sacramento, CA 95899, USA
Duc J. Vugia: Infectious Diseases Branch, Division of Communicable Disease Control (DCDC), Center for Infectious Diseases (CID), California Department of Public Health, P.O. Box 997377, Sacramento, CA 95899, USA
Ying Yang: Infectious Diseases Branch, Division of Communicable Disease Control (DCDC), Center for Infectious Diseases (CID), California Department of Public Health, P.O. Box 997377, Sacramento, CA 95899, USA
John N. Galgiani: Valley Fever Center for Excellence, College of Medicine, The University of Arizona, 1656 E. Mabel Street, Tucson, AZ 85724, USA

IJERPH, 2011, vol. 8, issue 4, 1-24

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.

Keywords: coccidioidomycosis; community-acquired pneumonia; diagnostics; azoles; vaccine (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2011
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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