PMID- 24739339
OWN - NLM
STAT- MEDLINE
DCOM- 20140527
LR  - 20211021
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Print)
IS  - 0149-2195 (Linking)
VI  - 63
IP  - 15
DP  - 2014 Apr 18
TI  - Coccidioidomycosis among cast and crew members at an outdoor television filming 
      event--California, 2012.
PG  - 321-4
AB  - In March 2013, the California Department of Public Health (CDPH) identified two 
      Doctor's First Reports of Occupational Injury or Illness (DFRs) regarding Los 
      Angeles County residents who had worked at the same jobsite in January 2012 and 
      had been evaluated for possible work-associated coccidioidomycosis (valley 
      fever). Occupational exposure to Coccidioides, the causative fungi, typically is 
      associated with soil-disrupting activities. The physicians noted that both 
      workers were cast or crew members filming a television series episode, and the 
      site of possible exposure was an outdoor set in Ventura County, California. On 
      the basis of their job titles, neither would have been expected to have been 
      engaged in soil-disrupting activities. Los Angeles County Department of Public 
      Health (LACDPH) conducted an outbreak investigation by using CDPH-provided 
      occupational surveillance records, traditional infectious disease surveillance, 
      and social media searches. This report describes the results of that 
      investigation, which identified a total of five laboratory-confirmed and five 
      probable cases linked to this filming event. The employer and site manager were 
      interviewed. The site manager stated that they would no longer allow 
      soil-disruptive work at the site and would incorporate information about the 
      potential risk for Coccidioides exposure onsite into work contracts. Public 
      health professionals, clinicians, and the television and film industry should be 
      aware that employees working outdoors in areas where Coccidioides is endemic 
      (e.g., central and southern California), even those not engaged in 
      soil-disruptive work, might be at risk for coccidioidomycosis.
FAU - Wilken, Jason A
AU  - Wilken JA
FAU - Marquez, Patricia
AU  - Marquez P
FAU - Terashita, Dawn
AU  - Terashita D
FAU - McNary, Jennifer
AU  - McNary J
FAU - Windham, Gayle
AU  - Windham G
FAU - Materna, Barbara
AU  - Materna B
CN  - Centers for Disease Control and Prevention (CDC)
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adult
MH  - California/epidemiology
MH  - Coccidioides/*isolation & purification
MH  - Coccidioidomycosis/diagnosis/*epidemiology/therapy
MH  - *Disease Outbreaks
MH  - Female
MH  - Humans
MH  - Los Angeles/epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Motion Pictures
MH  - Occupational Diseases/diagnosis/*epidemiology/therapy
MH  - Occupational Exposure/*adverse effects
MH  - *Television
MH  - Young Adult
PMC - PMC5779395
EDAT- 2014/04/18 06:00
MHDA- 2014/05/28 06:00
PMCR- 2014/04/18
CRDT- 2014/04/18 06:00
PHST- 2014/04/18 06:00 [entrez]
PHST- 2014/04/18 06:00 [pubmed]
PHST- 2014/05/28 06:00 [medline]
PHST- 2014/04/18 00:00 [pmc-release]
AID - mm6315a1 [pii]
AID - 321-324 [pii]
PST - ppublish
SO  - MMWR Morb Mortal Wkly Rep. 2014 Apr 18;63(15):321-4.