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Multistate Epidemiology of Histoplasmosis, United States, 2011–20141
- Source :
- Emerging Infectious Diseases. 24:425-431
- Publication Year :
- 2017
- Publisher :
- Centers for Disease Control and Prevention (CDC), 2017.
-
Abstract
- Histoplasmosis is one of the most common mycoses endemic to the United States, but it was reportable in only 10 states during 2016, when a national case definition was approved. To better characterize the epidemiologic features of histoplasmosis, we analyzed deidentified surveillance data for 2011-2014 from the following 12 states: Alabama, Arkansas, Delaware, Illinois, Indiana, Kentucky, Michigan, Minnesota, Mississippi, Nebraska, Pennsylvania, and Wisconsin. We examined epidemiologic and laboratory features and calculated state-specific annual and county-specific mean annual incidence rates. A total of 3,409 cases were reported. Median patient age was 49 (interquartile range 33-61) years, 2,079 (61%) patients were male, 1,273 (57%) patients were hospitalized, and 76 (7%) patients died. Incidence rates varied markedly between and within states. The high hospitalization rate suggests that histoplasmosis surveillance underestimates the true number of cases. Improved surveillance standardization and surveillance by additional states would provide more comprehensive knowledge of histoplasmosis in the United States.
- Subjects :
- 0301 basic medicine
Microbiology (medical)
medicine.medical_specialty
biology
Epidemiology
business.industry
Incidence (epidemiology)
030106 microbiology
Prevalence
medicine.disease
biology.organism_classification
Histoplasmosis
Annual incidence
3. Good health
03 medical and health sciences
0302 clinical medicine
Infectious Diseases
Public health surveillance
Interquartile range
Histoplasma
medicine
030212 general & internal medicine
business
Demography
Subjects
Details
- ISSN :
- 10806059 and 10806040
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Emerging Infectious Diseases
- Accession number :
- edsair.doi...........0305416edc59a5712d31d774fe96b086