PMID- 33090980
OWN - NLM
STAT- MEDLINE
DCOM- 20201023
LR  - 20220408
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Print)
IS  - 0149-2195 (Linking)
VI  - 69
IP  - 42
DP  - 2020 Oct 23
TI  - Valley Fever (Coccidioidomycosis) Awareness - California, 2016-2017.
PG  - 1512-1516
LID - 10.15585/mmwr.mm6942a2 [doi]
AB  - Valley fever (coccidioidomycosis) is endemic in the southwestern United States 
      and caused by inhalation of Coccidioides spp. fungal spores from soil or dust; 
      97% of U.S. Valley fever cases are reported from Arizona and California (1). In 
      California, Valley fever incidence increased 213% from 2014 to 2018 (2). In 2016, 
      the California Department of Public Health (CDPH) added three questions to the 
      adult California Behavioral Risk Factor Surveillance System (BRFSS) survey to 
      better understand whether Californians had heard of Valley fever, knew the 
      environmental risk where they live, and knew who is at risk for severe disease. A 
      total of 2,893 BRFSS respondents aged >/=18 years answered at least one Valley 
      fever question. Using the weighted California population, 42.4% of respondents 
      reported general awareness of Valley fever; awareness was lowest among adults 
      aged 18-44 years (32.9%) and Hispanic persons (26.4%). In addition, despite 
      higher percentages reporting awareness of Valley fever, only 25.0% of persons 
      living in a high-incidence region and 3.0% of persons living in a 
      moderate-incidence region were aware that they lived in areas where Coccidioides 
      spp. exist. Among persons with one or more risk factors for severe disease, 50.8% 
      reported having heard about Valley fever, but only 3.5% knew they were at 
      increased risk for severe disease. The findings from this survey helped to inform 
      a statewide Valley fever awareness campaign implemented during 2019-2020 and to 
      guide outreach to persons living in high- and moderate-incidence regions in 
      California and potentially other southwestern states or who are at risk for 
      severe disease.
FAU - Hurd-Kundeti, Glorietta
AU  - Hurd-Kundeti G
AD  - Infectious Diseases Branch, Division of Communicable Disease Control, California 
      Department of Public Health.
FAU - Sondermeyer Cooksey, Gail L
AU  - Sondermeyer Cooksey GL
AD  - Infectious Diseases Branch, Division of Communicable Disease Control, California 
      Department of Public Health.
FAU - Jain, Seema
AU  - Jain S
AD  - Infectious Diseases Branch, Division of Communicable Disease Control, California 
      Department of Public Health.
FAU - Vugia, Duc J
AU  - Vugia DJ
AD  - Infectious Diseases Branch, Division of Communicable Disease Control, California 
      Department of Public Health.
LA  - eng
PT  - Journal Article
DEP - 20201023
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
EIN - MMWR Morb Mortal Wkly Rep. 2020 Oct 30;69(43):1611. PMID: 33119563
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Behavioral Risk Factor Surveillance System
MH  - California/epidemiology
MH  - *Coccidioidomycosis/epidemiology
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Risk Assessment
MH  - Young Adult
PMC - PMC7583507
COIS- All authors have completed and submitted the International Committee of Medical 
      Journal Editors form for disclosure of potential conflicts of interest. No 
      potential conflicts of interest were disclosed.
EDAT- 2020/10/23 06:00
MHDA- 2020/10/24 06:00
PMCR- 2020/10/23
CRDT- 2020/10/22 17:33
PHST- 2020/10/22 17:33 [entrez]
PHST- 2020/10/23 06:00 [pubmed]
PHST- 2020/10/24 06:00 [medline]
PHST- 2020/10/23 00:00 [pmc-release]
AID - mm6942a2 [pii]
AID - 10.15585/mmwr.mm6942a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2020 Oct 23;69(42):1512-1516. doi: 
      10.15585/mmwr.mm6942a2.