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, John N. Galgiani

Research output: Contribution to journalReview articlepeer-review

85 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1150-1173
Number of pages24
JournalInternational journal of environmental research and public health
Issue number4
StatePublished - Apr 2011

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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