Arid
Surveillance for Coccidioidomycosis - United States, 2011-2017
Benedict, Kaitlin1; McCotter, Orion Z.1; Brady, Shane2; Komatsu, Kenneth2; Cooksey, Gail L. Sondermeyer3; Nguyen, Alyssa4; Jain, Seema3; Vugia, Duc J.3; Jackson, Brendan R.1
通讯作者Benedict, Kaitlin
来源期刊MMWR SURVEILLANCE SUMMARIES
ISSN1545-8636
出版年2019
卷号68期号:7页码:1-15
英文摘要Problem/Condition: Coccidioidomycosis (Valley fever) is an infection caused by the environmental fungus Coccidioides spp., which typically causes respiratory illness but also can lead to disseminated disease. This fungus typically lives in soils in warm, arid regions, including the southwestern United States. Reporting Period: 2011-2017. Description of System: Coccidioidomycosis has been nationally notifiable since 1995 and is reportable in 26 states and the District of Columbia (DC), where laboratories and physicians notify local and state public health departments about possible coccidioidomycosis cases. Health department staff determine which cases qualify as confirmed cases according to the definition established by Council of State and Territorial Epidemiologists and voluntarily submit basic case information to CDC through the National Notifiable Diseases Surveillance System. Results: During 2011-2017, a total of 95,371 coccidioidomycosis cases from 26 states and DC were reported to CDC. The number of cases decreased from 2011 (22,634 cases) to 2014 (8,232 cases) and subsequently increased to 14,364 cases in 2017; >95% of cases were reported from Arizona and California. Reported incidence in Arizona decreased from 261 per 100,000 persons in 2011 to 101 in 2017, whereas California incidence increased from 15.7 to 18.2, and other state incidence rates stayed relatively constant. Patient demographic characteristics were largely consistent with previous years, with an overall predominance among males and among adults aged >60 years in Arizona and adults aged 40-59 years in California. Interpretation: Coccidioidomycosis remains an important national public health problem with a well-established geographic focus. The reasons for the changing trends in reported cases are unclear but might include environmental factors (e.g., temperature and precipitation), surveillance artifacts, land use changes, and changes in the population at risk for the infection. Public Health Action: Health care providers should consider a diagnosis of coccidioidomycosis in patients who live or work in or have traveled to areas with known geographic risk for Coccidioides and be aware that those areas might be broader than previously recognized. Coccidioidomycosis surveillance provides important information about the epidemiology of the disease but is incomplete both in terms of geographic coverage and data availability. Expanding surveillance to additional states could help identify emerging areas that pose a risk for locally acquired infections. In Arizona and California, where most cases occur, collecting systematic enhanced data, such as more detailed patient characteristics and disease severity, could help clarify the reasons behind the recent changes in incidence and identify additional opportunities for focused prevention and educational efforts.
类型Article
语种英语
国家USA
开放获取类型gold, Green Published
收录类别SCI-E
WOS记录号WOS:000486627500001
WOS关键词ENHANCED SURVEILLANCE ; INCREASE ; CALIFORNIA ; ARIZONA
WOS类目Public, Environmental & Occupational Health
WOS研究方向Public, Environmental & Occupational Health
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/217645
作者单位1.CDC, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, Atlanta, GA 30333 USA;
2.Arizona Dept Hlth Serv, Phoenix, AZ 85007 USA;
3.Calif Dept Publ Hlth, Div Communicable Dis Control, Richmond, CA USA;
4.Calif Dept Publ Hlth, Div Communicable Dis Control, Sacramento, CA USA
推荐引用方式
GB/T 7714
Benedict, Kaitlin,McCotter, Orion Z.,Brady, Shane,et al. Surveillance for Coccidioidomycosis - United States, 2011-2017[J],2019,68(7):1-15.
APA Benedict, Kaitlin.,McCotter, Orion Z..,Brady, Shane.,Komatsu, Kenneth.,Cooksey, Gail L. Sondermeyer.,...&Jackson, Brendan R..(2019).Surveillance for Coccidioidomycosis - United States, 2011-2017.MMWR SURVEILLANCE SUMMARIES,68(7),1-15.
MLA Benedict, Kaitlin,et al."Surveillance for Coccidioidomycosis - United States, 2011-2017".MMWR SURVEILLANCE SUMMARIES 68.7(2019):1-15.
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