Evidence map›Paper›PMID 33484179›Full record

ArticleAmerican journal of industrial medicine2021

Coccidioidomycosis outbreak among inmate wildland firefighters: California, 2017.

Rebecca L Laws, Seema Jain, Gail Sondermeyer Cooksey, Janet Mohle-Boetani, Jennifer McNary, Jason Wilken, Robert Harrison, Bruce Leistikow, Duc J Vugia, Gayle C Windham and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of industrial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 30 citations in OpenAlex.

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  6. Detection of AirborneEnvironmental science & technology letters · 2025
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  8. Detection of airbornebioRxiv : the preprint server for biology · 2025
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  10. Review
  11. From soil to clinic: current advances in understandingMicrobiology and molecular biology reviews : MMBR · 2024
    Review
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  13. Repeated exposure to eucalyptus wood smoke alters pulmonary gene and metabolic profiles in male Long-Evans rats.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Coccidioidomycosis: A Contemporary Review.Infectious diseases and therapy · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Rebecca L LawsEpidemic Intelligence Service, Division of Scientific Education and Professional Development, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-8249-5999
Seema JainCalifornia Department of Public Health, Richmond, California, USA.
Gail Sondermeyer CookseyCalifornia Department of Public Health, Richmond, California, USA.
Janet Mohle-BoetaniCalifornia Correctional Health Care Services, Elk Grove, California, USA.
Jennifer McNaryCalifornia Department of Public Health, Richmond, California, USA.
Jason WilkenCalifornia Department of Public Health, Richmond, California, USA.
Robert HarrisonCalifornia Department of Public Health, Richmond, California, USA.
Bruce LeistikowCalifornia Correctional Health Care Services, Elk Grove, California, USA.
Duc J VugiaCalifornia Department of Public Health, Richmond, California, USA.
Gayle C WindhamCalifornia Department of Public Health, Richmond, California, USA.
Barbara L MaternaCalifornia Department of Public Health, Richmond, California, USA.
California Department of Public Health · USCenters for Disease Control and Prevention · USFranciscan Health · US

Funding

Intramural CDC HHS CC999999NIOSH CDC HHS R13 OH009753NIOSH CDC HHS R25 OH008802NIOSH CDC HHS U60 OH008468
6 · The paper itself

Abstract

backgroundIn California, state prison inmates are employed to fight wildfires, which involves performing soil-disrupting work. Wildfires have become more common, including areas where Coccidioides, the soil-dwelling fungus that causes coccidioidomycosis, proliferates. However, work practices that place wildland firefighters at risk for coccidioidomycosis have not been investigated.

methodsOn August 17, 2017, the California Department of Public Health was notified of a cluster of coccidioidomycosis cases among Wildfire A inmate wildland firefighters. We collected data through medical record abstraction from suspected case-patients and mailed a survey assessing potential job task risk factors to Wildfire A inmate firefighters. We described respondent characteristics and conducted a retrospective case-control investigation to assess coccidioidomycosis risk factors.

resultsAmong 198 inmate firefighters who worked on Wildfire A, 112 (57%) completed the survey. Of 10 case-patients (four clinical and six laboratory-confirmed), two were hospitalized. In the case-control analysis of 71 inmate firefighters, frequently cutting fire lines with a McLeod tool (odds ratio [OR]: 5.5; 95% confidence interval [CI]: 1.1-37.2) and being in a dust cloud or storm (OR: 4.3; 95% CI: 1.1-17.4) were associated with illness. Two of 112 inmate firefighters reported receiving coccidioidomycosis training; none reported wearing respiratory protection on this wildfire.

conclusionsWildland firefighters who use hand tools and work in dusty conditions where Coccidioides proliferates are at risk for coccidioidomycosis. Agencies that employ them should provide training about coccidioidomycosis and risk reduction, limit dust exposure, and implement respiratory protection programs that specify where respirator use is feasible and appropriate.

Indexed as

Disease OutbreaksAdultCaliforniaCase-Control StudiesCoccidioidesCoccidioidomycosisFirefightersHumansMaleOccupational DiseasesOccupational ExposurePrisonersWildfiresCaliforniaCoccidioidescoccidioidomycosisinmateswildfireswildland firefighters

Identifiers

PMID33484179
PMCPMC8935635
OpenAlexW3125116123

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.