Enhanced Surveillance for Histoplasmosis – 9 States, 2018–2019

Details

• Personal Author:
  Amburgey V ; Benedict K ; Christophe N ; Gibbons-Burgener S ; Groenewold MR ; Hallyburton S ; Ireland M ; Jackson BR ; Keyser Metobo A ; McCracken S ; Odom R ; Serrano JA ; Signs K ; Warren KA
• Description:
  Background: Histoplasmosis is often described as the most common endemic mycosis in the United States, but much remains unknown about its epidemiology among the general population. Methods: We conducted enhanced surveillance in 9 states during 2018-2019 by identifying cases through routine surveillance and interviewing 301 patients about their clinical features and exposures. Results: Before being tested for histoplasmosis, 60% saw a health care provider >/=3 times, and 53% received antibacterial medication. The median time from seeking health care to diagnosis (range) was 23 (0-269) days. Forty-nine percent were hospitalized, and 69% said that histoplasmosis interfered with their daily activities (median [range], 56 [2-3960] days). Possible exposures included handling plants (48%) and bird or bat droppings (24%); 22% reported no specific exposures. Only 15% had heard of histoplasmosis before their illness. Conclusions: Histoplasmosis can be severe and prolonged. Additional educational efforts to increase public and provider awareness and reduce delays in diagnosis are needed. [Description provided by NIOSH]
• Subjects:
  Diagnosis Education Epidemiology Occupational Health Public Health Safety
• Keywords:
  Animal Waste Antibacterial Agents Author Keywords: United States Clinical Diagnosis Clinical Symptoms Excretion Exposure Methods Health Care Histoplasmosis Humans Medical Treatment Plants Public Health Surveillance

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• ISSN:
  2328-8957
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Arkansas ; Georgia ; Indiana ; Kentucky ; Louisiana ; Michigan ; Minnesota ; Nebraska ; Ohio ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 6 ; OSHA Region 7 ; Pennsylvania ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  7
• Issue:
  9
• NIOSHTIC Number:
  nn:20061144
• Citation:
  Open Forum Infect Dis 2020 Sep; 7(9):ofaa343
• Contact Point Address:
  Kaitlin Benedict, MPH, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H24-9, Atlanta, GA 30329
• Email:
  jsy8@cdc.gov
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Minnesota
• Peer Reviewed:
  True
• Start Date:
  20110930
• Source Full Name:
  Open Forum Infectious Diseases
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9892d9d342c93cf0f45b496d4f1372c946dbae5e4de4609ee1af808d9cc025a14fa07820f8a7a0879453221337b0fdb1321f3379c61fc69c20c052931fad7a46
• Download URL:
  https://stacks.cdc.gov/view/cdc/224786/cdc_224786_DS1.pdf
• File Type:
  [PDF - 383.37 KB ]