亚利桑那山谷热.ppt

Impact of Valley Fever on Arizonans Rebecca Sunenshine, MD Deputy State Epidemiologist for Infectious Diseases Arizona Department of Health Services Rates per 100,000 population of Reported Valley Fever in Arizona by Year, 1993-2006 Valley Fever Rates per 100,000 by Age and Year, Arizona, 2000 - 2006 Reported Valley Fever Rates per 100,000 population in Arizona Older Persons by Year, 2000-2006 What is ADHS doing about it? Interviewing Valley Fever (VF) cases to learn Risk factors Information about diagnosis Treatment Duration of symptoms Were they admitted to a hospital? Impact on work, school, daily living Knowledge about VF Who was interviewed? 3268 (VF) cases reported to ADHS from January through August 2007 Goal: interview every tenth person (327 persons) Thus far, 262 persons with Valley Fever have been interviewed About the cases Age (years) Mean 51 Older than 60 49% Female 51% Insured 93% What We’ve Learned So Far Cases waited average of 49 days between symptom onset and seeking care Average of 2.8 visits to a healthcare provider before VF test ordered 18% (48 people) had to ask provider to order a VF test Treatment and Hospitalization Cases received average of 1.7 antibiotic courses (not effective for VF) 60% treated with anti-fungal drugs 40% hospitalized overnight for VF How long did it last? Symptoms lasted an average of 62 days Influenza typically lasts 2-7 days Mononucleosis lasts 1-3 weeks How does VF impact people’s lives? 48% (126) were employed at diagnosis 76% (96) missed average of 32 work days due to VF 78% (203) said VF interfered with daily activities Average of 94 days when patients could not do what they normally do Potential Risk Factors Cases lived in AZ a median of 16 years before diagnosis (range 0-71 years) 16% (41) reported having cancer or other malignant disease 55% (144) had ever smoked cigarettes Knowledge of Valley Fever Only 64% heard of VF before diagnosis How did cases hear of VF? 3% l