Risk for Coccidioidomycosis among Hispanic Farm Workers, California, USA, 2018

• Main Authors: Stephen A. McCurdy, Catherine Portillo-Silva, Carol L. Sipan, Heejung Bang, Kirt W. Emery
• Format: Article
• Language: English
• Published: Centers for Disease Control and Prevention 2020-07-01
• Series: Emerging Infectious Diseases
• Subjects: coccidioidomycosis; farm workers; Hispanics; occupational health; California; United States
• Online Access: https://wwwnc.cdc.gov/eid/article/26/7/20-0024_article

To determine occupational risk factors for coccidioidomycosis among adult Hispanic outdoor agricultural workers in California, USA, we conducted a case–control study of workers seen at the Kern County medical facility and referred to the public health laboratory for coccidioidomycosis serologic testing. Participants completed an interviewer-administered health and work questionnaire. Among 203 participants (110 case-patients with positive and 93 controls with negative serologic results), approximately half were women, and more than three quarters were born in Mexico. Associated with coccidioidomycosis were self-reported dust exposure and work with root and bulb vegetable crops. A protective factor was leaf removal, an activity associated with grape cultivation. We conclude that subjective dust exposure and work with root and bulb vegetable crops are associated with increased risk for coccidioidomycosis among Hispanic farm workers. The agricultural industry should evaluate and promote dust-reduction measures, including wetting soil and freshly harvested products.