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Coccidioidomycosis at NAS Lemoore

Coccidioidomycosis at NAS Lemoore. Nicholas J Martin, REHS LT MSC USN. NAS Lemoore. Active Air Station that supports fighter squadrons assigned to Pacific Fleet There are approximately 7,200 active duty personnel assigned to NAS Lemoore

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Coccidioidomycosis at NAS Lemoore

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  1. Coccidioidomycosis at NAS Lemoore Nicholas J Martin, REHS LT MSC USN

  2. NAS Lemoore • Active Air Station that supports fighter squadrons assigned to Pacific Fleet • There are approximately 7,200 active duty personnel assigned to NAS Lemoore • During fiscal years 2006 and 2007 there were 57 cases of laboratory confirmed cocci • 14 civilian • 43 military

  3. Demographics

  4. Kings County Diversity

  5. Incidents of Cocci • Rate of NASL cocci in active duty: 361/100,000* • Rate of cocci in Kings County**: 106/100,000 • Odds Ratio for Military in Kings County: 3.41 *NASL rate determined using number of reported diagnosed cases for CY 06 compared to the base population and normalized to a per 100,000 ** CA rate determined using published cocci rates from CY 06 compared to the CA population estimate for 2006 from the US Census Bureau

  6. Burden of Cocci at NH Lemoore • Cost per patient* • Internal: $1389.08 • External:$6977.30 • Cost per Visit* • Internal:$251.10 • External:$2174.74 *This information is limited to cost/visit data that NH Lemoore was responsible for providing/tracking during FYs 06 & 07 for military, dependents and retirees

  7. Possible Causes • Immunological naïve population • Differences in ethnic diversity between US Navy and local Population • Occupational exposure during mission and training missions

  8. Questions

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