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Claudia Jonah, M.D. Health Officer Kern County Public Health Services Department February 11, 2014 10 Core Functions of Public Health Core Function Applications Inform, Educate, Empower Mobilize Community Partnerships Policy


  1. Claudia Jonah, M.D. Health Officer Kern County Public Health Services Department February 11, 2014

  2. 10 Core Functions of Public Health

  3. Core Function Applications  Inform, Educate, Empower  Mobilize Community Partnerships  Policy Development

  4. Why take Valley Fever Seriously?  Screening test exists, but not available  Curative medicines don’t exist  No vaccine available for prevention

  5. Entering the San Joaquin Valley

  6. COCCIDIOIDOMYCOSIS (Kok-sid-e-oi ” -do-mi-ko ’ -sis) SAN JOAQUIN VALLEY FEVER VALLEY FEVER COCCI COCCY

  7. What is Valley Fever?  Coccidioidomycosis is a fungus commonly found in “desert - type” soil  Inhaling the fungus can lead to infections that may or may not cause symptoms (1 - 4 weeks onset)  Infections are not passed from person to person (tissue transplants are an exception).  Risk for infection can be reduced

  8. How Serious is Valley Fever? 1,000 Infections (100%) 600 400 Asymptomatic Symptomatic (60%) (40%) 50 5 Pulmonary Disseminated Residuals (.005%) (5%)

  9. Symptoms of Valley Fever  Fatigue  Backache  Chest pain  Night sweats  Fever  Sore throat  Chills  Loss of appetite  Cough  Rashes  Headache  Tender bumps on shins

  10. Events That Can Transmit Valley Fever Naturally occurring disturbance of soil

  11. Activities That Can Transmit Valley Fever Recreation – Off Road Vehicles Earth Moving – Land Development Mining - Oil Drilling Home Gardening / Landscaping Earth Tilling - Agriculture

  12. Unrecognized Sources Of Exposure  Several major highways run through San Joaquin Valley

  13. Higher Risk Populations

  14. Awareness  Pediatrics  Veterinarians  Off-Road Vehicle Use  Occupational

  15. Ways to Reduce Risk  Avoid outdoor activities during windy conditions  Set vehicle vents to recirculate  Close windows  Moisten soil prior to disturbing  Moisten dust prior to clean-up following dust storms  Masks

  16. Resources for more Information  kerncountyvalleyfever.org  www.cdph.ca.gov/.../ Coccidioidomycosis  www.vfce.arizona.edu

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