Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Occup Environ Med. 2012 May;54(5):564-71. doi: 10.1097/JOM.0b013e3182480556.

Occupational coccidioidomycosis in California: outbreak investigation, respirator recommendations, and surveillance findings.

Author information

  • 1Occupational Health Branch, California Department of Public Health, CA, USA. Rupali.das@cdph.ca.gov

Abstract

OBJECTIVE:

To describe the investigation of a 2007 occupational coccidioidomycosis outbreak in California, recommend prevention measures, and assess statewide disease burden.

METHODS:

We evaluated the worksite, observed work practices, interviewed the workers and employer, reviewed medical records, provided prevention recommendations including risk-based respirator selection, and analyzed statewide workers' compensation claims.

RESULTS:

Ten of 12 workers developed acute pulmonary coccidioidomycosis; none used respiratory protection. We recommended engineering, work practice, and administrative controls, powered air-purifying respirator use, and medical care. Occupational coccidioidomycosis incidence nearly quadrupled in California from 2000 to 2006, with the highest rates in construction and agricultural workers.

CONCLUSIONS:

Construction workers are at risk for occupational coccidioidomycosis. The high attack rate in this outbreak was due to lack of awareness, rainfall patterns, soil disruption, and failure to use appropriate controls. Multiple risk-based measures are needed to control occupational coccidioidomycosis in endemic areas.

PMID:
22504958
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk