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Point-source outbreak of coccidioidomycosis in construction workers

  • K. C. CUMMINGS (a1), A. McDOWELL (a2), C. WHEELER (a1), J. McNARY (a3), R. DAS (a3), D. J. VUGIA (a1) and J. C. MOHLE-BOETANI (a1)
  • DOI:
  • Published online: 22 October 2009

Coccidioidomycosis results from inhaling spores of the fungus Coccidioides spp. in soil or airborne dust in endemic areas. We investigated an outbreak of coccidioidomycosis in a 12-person civilian construction crew that excavated soil during an underground pipe installation on Camp Roberts Military Base, California in October 2007. Ten (83·3%) workers developed symptoms of coccidioidomycosis; eight (66·7%) had serologically confirmed disease, seven had abnormal chest radiographs, and one developed disseminated infection; none used respiratory protection. A diagnosis of coccidioidomycosis in an eleventh worker followed his exposure to the outbreak site in 2008. Although episodic clusters of infections have occurred at Camp Roberts, the general area is not associated with the high disease rates found in California's San Joaquin Valley. Measures to minimize exposure to airborne spores during soil-disrupting activities should be taken before work begins in any coccidioides-endemic area, including regions with only historic evidence of disease activity.

Corresponding author
*Author for correspondence: K. C. Cummings, M.P.H., Research Scientist III, Infectious Diseases Epidemiologist, California Department of Public Health, Infectious Diseases Branch, Division of Communicable Disease Control, Center for Infectious Diseases, 850 Marina Bay Parkway, Building P, Second Floor, Richmond, CA94804, USA. (Email:
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2.Centers for Disease Control and Prevention. Increase in coccidioidomycosis – California, 2000–2007. Morbidity and Mortality Weekly Reports 2009; 58: 105109.

3.NE Rosenstein , Risk factors for severe pulmonary and disseminated coccidioidomycosis: Kern County, California, 1995–1996. Clinical Infectious Diseases 2001: 32: 708715.

4.LR Peterson , Coccidioidomycosis among workers at an archeological site, northeastern Utah. Emerging Infectious Diseases 2004; 10: 637642.

5.D Pappagianis , BL Zimmer . Serology of coccidioidomycosis. Clinical Microbiology Reviews 1990; 3: 247268.

6.L Kaufman , Comparative evaluation of commercial premier EIA and microimmunodiffusion and complement fixation tests for Coccidioides immitis antibodies. Journal of Clinical Microbiology 1995; 33: 618619.

7.Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance ( Accessed 3 January 2008.

8.RM Shelton . A survey of coccidioidomycosis at Camp Roberts, California. Journal of the American Medical Association 1942; 118: 11861190.

11.LL Schmelzer , IR Tabershaw . Exposure factors in occupational coccidioidomycosis. American Journal of Public Health 1968; 58: 107113.

12.CE Smith , Effect of season and dust control on coccidioidomycosis. Journal of the American Medical Association 1946; 132: 833838.

13.CW Woods , Coccidioidomycosis in human immunodeficiency virus-infected persons in Arizona, 1994–1997: incidence, risk factors, and prevention. Journal of Infectious Diseases 2000; 181: 14281434.

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Epidemiology & Infection
  • ISSN: 0950-2688
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