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Description:During 1968, 1,200 cases of five systemic mycoses were optionally reported to the Public Health Service by 22 states (Table 1). The greatest number of states reporting cases was in the Mississippi-Ohio River valleys.
Coccidioidomycosis was the most frequently reported disease. Arizona and California reported the most cases, and together they accounted for 99 percent of the 990 coccidioidomycosis cases. Histoplasmosis was reported by 14 states, more than any other mycosis. It accounted for 158 cases and, as expected, most were reported from the Mississippi-Ohio River valleys.
The next most frequently reported diseases were cryptococcosis (16 cases), blastomycosis (14 cases), and actinomycosis (9 cases). Other fungal diseases specified in state reports were nocardiosis (4 cases), geotrichosis (1 case), and sporotrichosis (1 case). The other seven reported infections were of unspecified etiology.
Histoplasmosis led the list of reported deaths due to systemic fungal diseases with 67 deaths in 1967 (Table 2), the latest year for which information is available. (Data on deaths is from Vital Statistics of the United States. published by the National Center for Health Statistics, and is based on death certificates). Cryptococcosis was second with 65 deaths.
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Content Notes:I. Surveillance -- II. Decontamination and control -- III. Cooperative mycoses study -- IV. Special reports -- V. Meetings.
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