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 During fiscal years 2006 and 2007 there were 57 cases of laboratory confirmed cocci –14 civilian –43 military

Demographics

Kings County Diversity

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

Burden of Cocci at NH Lemoore Cost per patient* –Internal: $ –External:$ Cost per Visit* –Internal:$ –External:$ *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

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

Questions