Document Detail


Public health surveillance for coccidioidomycosis in Arizona.
MedLine Citation:
PMID:  17513465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coccidioidomycosis or Valley Fever is a fungal disease that occurs primarily in the southwestern United States. Of the estimated 150,000 U. S. coccidioidomycosis infections per year, approximately 60% occur in Arizona, making this state the focal point for investigation of the disease. In this manuscript, we describe the epidemiology of coccidioidomycosis reported in Arizona over the last decade, hypotheses for the findings, and Arizona's response to the rising epidemic. Coccidioidomycosis surveillance data in Arizona consist of basic demographics of all laboratory and physician-diagnosed cases, the reporting of which has been mandated by law since 1997. The rate of reported coccidioidomycosis has more than quadrupled over the last decade from 21 cases per 100,000 population in 1997 to 91 cases per 100,000 in 2006 (P < 0.001). Case rates in older age groups (>/=65 years old) have more than doubled since 2000 (P < 0.001). These data demonstrate the rising coccidioidomycosis epidemic in Arizona, especially among the elderly. The increase in the numbers of reported cases can be partially explained by the institution of mandatory laboratory reporting in 1997, but the cause of the persistent rise after 1999 is unknown. Further investigation of coccidioidomycosis will not only assist with the development of public health interventions to control this disease in Arizona and the southwestern United States, but will also provide important information to prepare for a bioterrorism event caused by this select agent.
Authors:
Rebecca H Sunenshine; Shoana Anderson; Laura Erhart; Anne Vossbrink; Peter C Kelly; David Engelthaler; Kenneth Komatsu
Related Documents :
6619785 - The occurrence of japanese trophy skulls in the united states.
10881085 - Frequency of myocarditis in cases of fatal meningococcal infection in children: observa...
1399195 - Granuloma inguinale: three cases diagnosed in toronto, canada.
16506545 - Quick control of bubonic plague outbreak in uttar kashi, india.
22472005 - Type v aplasia cutis congenita: case report, review of the literature, and proposed tre...
15815045 - Multilocus sequence typing directly on dna from clinical samples and a cultured isolate...
Publication Detail:
Type:  Journal Article; Review     Date:  2007-05-18
Journal Detail:
Title:  Annals of the New York Academy of Sciences     Volume:  1111     ISSN:  0077-8923     ISO Abbreviation:  Ann. N. Y. Acad. Sci.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-18     Completed Date:  2007-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506858     Medline TA:  Ann N Y Acad Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  96-102     Citation Subset:  IM    
Affiliation:
Arizona Department of Health Services, Phoenix, AZ 85007, USA. Sunensr@azdhs.gov
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arizona
Coccidioidomycosis / diagnosis*,  epidemiology*
Communicable Disease Control
Demography
Disease Notification
Disease Outbreaks
Humans
Incidence
Lung Diseases, Fungal / epidemiology,  microbiology*
Models, Statistical
Population Surveillance
Public Health
Seasons
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Drugging the cancer chaperone HSP90: combinatorial therapeutic exploitation of oncogene addiction an...
Next Document:  Virulence mechanisms of coccidioides.