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Int. J. Environ. Res. Public Health 2011, 8(4), 1150-1173; doi:10.3390/ijerph8041150
Article

The Public Health Impact of Coccidioidomycosis in Arizona and California

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Received: 24 February 2011 / Revised: 12 April 2011 / Accepted: 13 April 2011 / Published: 15 April 2011
(This article belongs to the Special Issue Recent Advances in Public Health)
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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 coccidioidomycosis; community-acquired pneumonia; diagnostics; azoles; vaccine
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Hector, R.F.; Rutherford, G.W.; Tsang, C.A.; Erhart, L.M.; McCotter, O.; Anderson, S.M.; Komatsu, K.; Tabnak, F.; Vugia, D.J.; Yang, Y.; Galgiani, J.N. The Public Health Impact of Coccidioidomycosis in Arizona and California. Int. J. Environ. Res. Public Health 2011, 8, 1150-1173.

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