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Valley Fever, also known as Coccidioidomycosis, is caused by inhaling the fungal spores
Coccidioides immitis and Coccidioides posadasiifound in dust and soil particles in arid areas.
Risk
The fungal spores responsible for Valley Fever are present in arid regions of the USA, Central America, and South America. Travellers undertaking outdoor activities such as camping, mountain biking, and motocross are at risk. Valley Fever is an occupational hazard for archaeologists, farmers, and miners whose activities disturb the ground and generate dust clouds. Windstorms and earthquakes can also spread the fungus.
Symptoms
In the majority of cases, the infection is asymptomatic – persons do not exhibit symptoms. Those who get ill typically present with flu-like symptoms 7 to 21 days after inhaling the fungal spores, including fever, headache, muscle pain, dry cough, weight loss, rash, and pneumonia. In rare cases, the illness may progress to lung disease and affect the central nervous system, as well as the joints, bones and skin. Older persons and those pre-existing health conditions such as diabetes are more susceptible to developing the illness. Once infected, a person is immune to the disease.
Treatment may include antifungal therapy.
Prevention
Travellers should limit exposure to outdoor dust and take dust-control measures. There is no preventive medication or vaccine against Valley Fever.
Drive in air-conditioned vehicles
Wet the soil before undertaking soil disrupting activities
Wear a tight fitting dust mask that filters small particles.
Information last updated: January 2020
Sources
Anstead G, Graybill, J. Coccidioidomycosis. In: McGill, A; Ryan, E; Hill, D; Solomon, T, eds. Hunter's Tropical Medicine and Emerging Infectious Diseases. 9th ed. New York: Saunders Elsevier; 2013: 629-633.
Wertheim, Heiman; Horby, Peter; Woodall, John, eds. Atlas of Human Infectious Diseases. Oxford: Wiley-Blackwell; 2012. 273 p.