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Valley Fever . Edward Moreno, MD, MPH Director and Health Officer Fresno County Department of Public Health David Luchini, PHN Division Manager of Community Health Fresno County Department of Public Health. Overview. What causes Valley Fever What are the symptoms Should I get checked

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valley fever

Valley Fever

Edward Moreno, MD, MPH

Director and Health Officer

Fresno County Department of Public Health

David Luchini, PHN

Division Manager of Community Health

Fresno County Department of Public Health

overview
Overview
  • What causes Valley Fever
  • What are the symptoms
  • Should I get checked
  • Who gets it
  • What is being done about Valley Fever
  • Can I protect myself
what causes valley fever
What causes Valley Fever
  • Cause
    • Coccidioides immitis is a mold that grows in the dirt during the wet season and spreads through the air during dry warm season
  • Exposure
    • People inhale the spores of the fungus
what are the symptoms
What are the symptoms
  • Disease
    • Most people have no symptoms
    • 40% have flu symptoms including pneumonia
    • 1% have disseminated infection
      • Bones, skin and brain
    • Valley Fever is not contagious
what are the symptoms5
What are the symptoms
  • Treatment and recovery
    • Treatment is available
    • Most individuals recover over several weeks
    • Few develop chronic illness
    • Rarely leads to death
    • Lifelong immunity
should i get checked
Should I get checked
  • Healthy individuals
    • No need to be checked
    • No vaccine or medicine to prevent valley fever
  • Individuals with symptoms
    • Tell health provider that you live in endemic area
who gets valley fever
Who gets Valley Fever
  • Endemic regions
    • San Joaquin Valley
    • Sonora Desert
    • South America
who gets valley fever8
Who gets Valley Fever
  • Risk factors for severe or disseminated disease
    • Age, gender, race, chronic disease, prior exposure
total cases of coccidioidomycosis in fresno county coalinga for the last 5 years
Total Cases of Coccidioidomycosis in Fresno County/Coalinga for the last 5 Years

Year Fresno County Coalinga

outbreak investigation
Outbreak Investigation
  • Several agencies involved
    • Fresno County Department of Public
    • California Department of Corrections and Rehabilitation
    • California Department of Public Health
investigation findings
Investigation Findings
  • Clinical Epidemiology
    • 60% Pulmonary Disease
    • 7% Disseminated Disease
    • 24% Hospitalized
    • 4 Deaths
investigation findings17
Investigation Findings
  • Environmental considerations
    • Construction of facilities and housing
    • Wet winters followed by arid summers
investigation findings18
Investigation Findings
  • Health considerations
    • Growing population
    • Individuals with no prior exposure
    • Enhanced screening by physicians
department of public health recommendations
Department of Public Health Recommendations
  • Mitigate environmental factors
  • Relocate high risk inmates
  • Enhance surveillance and epidemiology
  • Continue vaccine research
cdc findings
CDC Findings
  • MMWR February 13, 2009
    • Increase in Valley Fever cases in CA
    • 2000-2006 Incidence rate tripled
    • Highest incidence rate in Kern County
    • Highest hospitalization rate among non-Hispanic blacks
    • 76% of California’s cases were reported from San Joaquin Valley
cdc findings22
CDC Findings
  • People at risk for severe or disseminated disease
    • Older persons
    • Pregnant women
    • Immunocompromised persons
    • African American
    • Filipino ancestry
cdc recommendations
People living in endemic areas

Avoid exposure to outdoor dust as much as possible

Wet soil and use masks

Close windows and use air conditioning

People traveling to endemic areas

Tell physician that you will visit or live in endemic area

Learn about the disease

Avoid exposure to outdoor dust

Close windows and use air conditioning

CDC Recommendations