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Volume 28, Number 9—September 2022
Dispatch

Coccidioidomycosis Seroincidence and Risk among Military Personnel, Naval Air Station Lemoore, San Joaquin Valley, California, USA1

Graham C. EllisComments to Author , Charlotte A. Lanteri, Hsing-Chuan Hsieh, Paul C.F. Graf, Gabriel Pineda, Nancy F. Crum-Cianflone, Catherine M. Berjohn, Terrel Sanders, Ryan C. Maves, and Robert Deiss
Author affiliations: Explosive Ordnance Disposal Expeditionary Support Unit TWO, Virginia Beach, Virginia, USA (G.C. Ellis); Naval Medical Center San Diego, San Diego, California, USA (G.C. Ellis, C.M. Berjohn, T. Sanders, R.C. Maves, R. Deiss); Uniformed Services University, Bethesda, Maryland, USA (C.A. Lanteri, H.-C. Hsieh, C.M. Berjohn, R.C. Maves, R. Deiss); The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda (H.-C. Hsieh, R. Deiss); US Naval Medical Research Unit SIX, Lima, Peru (P.C.F. Graf); US Naval Health Research Center, San Diego (P.C.F. Graf, G. Pineda); Scripps Mercy Hospital, San Diego (N.F. Crum-Cianflone); US Naval Medical Research Unit THREE, Accra, Ghana (T. Sanders); Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA (R.C. Maves); University of California, San Diego (R. Deiss)

Main Article

Table 2

Cohort demographics by coccidioidomycosis-like diagnosis for incidence of Coccidioides seroconversion among military personnel, Naval Air Station Lemoore, San Joaquin Valley, California, USA*

Variables Diagnosis
Total p value
No Yes
Seroconversion 0.0267
Yes† 27 (1.38) 3 (6.82) 30 (1.50)
No
1,929 (98.62)
41 (93.18)
1,970 (98.50)

Mean age, y (range)
24.0 (20.0–27.0)
21.0 (19.5–25.0)
23.0 (20.0–27.0)
0.0572
Sex 0.1067
M 1,644 (84.05) 33 (75.00) 1,677 (83.85)
F
312 (15.95)
11 (25.00)
323 (16.15)

Race/ethnicity 0.5885
Caucasian 892 (45.60) 24 (54.55) 916 (45.80)
African American 299 (15.29) 4 (9.09) 303 (15.15)
Asian/Pacific Islander 118 (6.03) 4 (9.09) 122 (6.10)
Hispanic 335 (17.13) 7 (15.91) 342 (17.10)
Other 287 (14.67) 5 (11.36) 292 (14.60)
Unknown
25 (1.28)
0
25 (1.25)

Education >0.999
No high school 10 (0.51) 0 10 (0.50)
High school 1,545 (78.99) 37 (84.09) 1,582 (79.10)
Bachelor’s degree or less 271 (13.85) 6 (13.64) 277 (13.85)
Master's degree or higher 32 (1.64) 0 32 (1.60)
Unknown
98 (5.01)
1 (2.27)
99 (4.95)

Service >0.999
Navy 1,945 (99.44) 44 (100.00) 1,989 (99.45)
Other
11 (0.56)
0
11 (0.55)

Grade 0.1799
Enlisted 1,772 (90.59) 43 (97.73) 1,815 (90.75)
Warrant/officer
184 (9.41)
1 (2.27)
185 (9.25)

Outdoor occupation
1,186 (60.63)
20 (45.45)
1,210 (60.50)
0.4139
Total 1,956 44 2,000

*Values are no. (%) unless indicated otherwise. †Includes previous seroconversion.

Main Article

1This study was presented in part at the Virtual IDWeek 2020 Conference; October 21‒25, 2020.

Page created: June 27, 2022
Page updated: August 19, 2022
Page reviewed: August 19, 2022
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