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September 13, 1999

Genes Can Affect Severity of Valley Fever

Genetic factors may mean that, if they get Valley Fever, African-Americans may be at higher risk for severe illness than Hispanics or Caucasians.

ATLANTA—Compared with Caucasian men, African-American men have 28 times the risk for severe "disseminated" illness—illness that spreads outside the lungs—if they become infected with Valley Fever, which is usually a mild, flu-like illness. Genetic factors are thought to play a role in this higher risk, according to an article in an upcoming issue of Emerging Infectious Diseases, CDC's peer-reviewed journal, which tracks new and reemerging infectious diseases worldwide.

Valley Fever (coccidioidomycosis) is a fungal disease that is spread through the air. In the United States it is common only in dry areas of the Southwest. People can become infected if they inhale spores of the fungus; for example, infections increased in California because of landslides and dust clouds after the 1994 Northridge earthquake. About 60% of infected people have no symptoms, but about 10% of people who do become ill have more severe forms of the disease.

The authors studied Valley Fever patients in California and compared the number of African-Americans, Hispanics, and Caucasians with mild and disseminated illness. They found that for all three ethnic groups, a higher risk for disseminated illness was linked to a certain genetic factor involved in the immune system. However, each group had a different genetic factor that was tied to lower risk. No difference in ABO blood type was found for African-Americans or Caucasians, but Hispanics with blood type A were at higher risk for mild or severe disease. Identifying the genes that influence the risk for disseminated Valley Fever can help prevent severe disease.

For more information, contact Dr. Leslie Louie at 510-643-0719. Access the full article at http://www.cdc.gov/ncidod/EID/vol5no5/louie.htm. All material in Emerging Infectious Diseases is in the public domain and may be used without special permission; proper citation, however, is appreciated.

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This page last reviewed July 1, 1999

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