TY - JOUR AU - Petersen, Lyle R. AU - Marshall, Stacie L. AU - Barton, Christine AU - Hajjeh, Rana A. AU - Lindsley, Mark D. AU - Warnock, David W. AU - Panackal, Anil A. AU - Shaffer, Joseph B. AU - Haddad, Maryam B. AU - Fisher, Frederick S. AU - Dennis, David T. AU - Morgan, Juliette T1 - Coccidioidomycosis among Workers at an Archeological Site, Northeastern Utah T2 - Emerging Infectious Disease journal PY - 2004 VL - 10 IS - 4 SP - 637 SN - 1080-6059 AB - In 2001, an outbreak of acute respiratory disease occurred among persons working at a Native American archeological site at Dinosaur National Monument in northeastern Utah. Epidemiologic and environmental investigations were undertaken to determine the cause of the outbreak. A clinical case was defined by the presence of at least two of the following symptoms: self-reported fever, shortness of breath, or cough. Ten workers met the clinical case definition; 9 had serologic confirmation of coccidioidomycosis, and 8 were hospitalized. All 10 were present during sifting of dirt through screens on June 19; symptoms began 9–12 days later (median 10). Coccidioidomycosis also developed in a worker at the site in September 2001. A serosurvey among 40 other Dinosaur National Monument workers did not find serologic evidence of recent infection. This outbreak documents a new endemic focus of coccidioidomycosis, extending northward its known geographic distribution in Utah by approximately 200 miles. KW - Coccidioidomycosis KW - pulmonary KW - epidemiology KW - outbreak KW - Coccidioides immitis KW - Utah KW - United States DO - 10.3201/eid1004.030446 UR - https://wwwnc.cdc.gov/eid/article/10/4/03-0446_article ER - End of Reference