Table of Contents
Int. J. Environ. Res. Public Health, Volume 16, Issue 7 (April-1 2019)
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Cover Story (view full-size image) Coccidioidomycosis (CM) is a fungal infection endemic in the southwestern United States (U.S.). In [...] Read more. Coccidioidomycosis (CM) is a fungal infection endemic in the southwestern United States (U.S.). In California, CM incidence increased more than 213% in recent years (from 6.0/100,000 in 2014 to 18.8/100,000 in 2017) and continued to increase in 2018. This cost-of-illness study provides essential information to be used in health and funding planning as CM infections surge. We used a “bottom-up” approach to determine the lifetime costs of 2017 reported incident cases in California. We defined CM natural history and used a societal approach to determine direct and indirect costs. The total lifetime cost burden of CM cases reported in 2017 in California was just under $700 million U.S. dollars, with $429 million in direct costs and $271 million in indirect costs. This is the first study to estimate the total costs of CM, demonstrating its huge cost burden for California. View this paper