{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T10:58:15Z","timestamp":1769079495606,"version":"3.49.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,11,9]],"date-time":"2019-11-09T00:00:00Z","timestamp":1573257600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100007306","name":"Arizona Department of Health Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007306","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Epidemiology and Laboratory Capacity","award":["**"],"award-info":[{"award-number":["**"]}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coccidioidomycosis is an emerging infection in Washington State. The epidemiology of the disease in Washington is poorly understood at present; underrecognition and underreporting of coccidioidomycosis is suspected based on reports of only severe disease. We sought to characterize healthcare provider knowledge, attitudes, and practices regarding coccidioidomycosis awareness, diagnosis, and treatment in south-central Washington. We conducted a cross-sectional survey of actively practicing healthcare providers in four counties in south-central Washington, an area recently described as endemic for Coccidioides. Survey results were used to assess awareness of reporting requirements, confidence in ability to diagnose and treat, confidence that knowledge is current, calculated knowledge score, and consideration of risk in patient population. The majority of respondents were unaware of the reporting requirement for coccidioidomycosis in Washington and further unaware that the disease had been reported in the state. Less than a third of survey respondents reported confidence in their ability to diagnose coccidioidomycosis and confidence that their knowledge is current. The majority of respondents never or rarely consider a diagnosis of coccidioidomycosis, and\u00a0&amp;lt;25% of respondents indicated a working knowledge of serologic tests for the infection. The average knowledge score for respondents was 65%. Previous education, training, or practice regarding coccidioidomycosis was the only identified predictor of confidence and consideration of risk. These data indicate the substantial need for education and training among healthcare providers in south-central Washington and support the concern that a small proportion of existing cases of coccidioidomycosis are reported to the health department.<\/jats:p>","DOI":"10.1093\/mmy\/myz111","type":"journal-article","created":{"date-parts":[[2019,10,22]],"date-time":"2019-10-22T11:30:23Z","timestamp":1571743823000},"page":"730-736","source":"Crossref","is-referenced-by-count":9,"title":["Knowledge, attitudes, and practices regarding coccidioidomycosis among healthcare providers in four counties in Washington State, 2017"],"prefix":"10.1093","volume":"58","author":[{"given":"J","family":"Hubber","sequence":"first","affiliation":[{"name":"Washington State Department of Health, Communicable Disease Epidemiology, Shoreline, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Person","sequence":"additional","affiliation":[{"name":"Benton-Franklin Health District, Pasco, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Jecha","sequence":"additional","affiliation":[{"name":"Walla Walla County Health Department, Walla Walla, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Flodin-Hursh","sequence":"additional","affiliation":[{"name":"Yakima Health District, Yakima, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Stiffler","sequence":"additional","affiliation":[{"name":"Walla Walla County Health Department, Walla Walla, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Hill","sequence":"additional","affiliation":[{"name":"Benton-Franklin Health District, Pasco, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bassham","sequence":"additional","affiliation":[{"name":"Walla Walla County Health Department, Walla Walla, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O Z","family":"McCotter","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H N","family":"Oltean","sequence":"additional","affiliation":[{"name":"Washington State Department of Health, Communicable Disease Epidemiology, Shoreline, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,11,9]]},"reference":[{"key":"2020080319503115600_bib1","volume-title":"Valley Fever (Coccidioidomycosis) Tutorial for Primary Care Professionals","author":"Valley Fever Center for Excellence, The University of Arizona","year":"2015"},{"key":"2020080319503115600_bib2","first-page":"1","article-title":"Summary of notifiable infectious diseases and conditions\u2014United States, 2013","volume":"62","author":"Adams","year":"2015","journal-title":"Weekly"},{"key":"2020080319503115600_bib3","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.diagmicrobio.2008.09.016","article-title":"Twelve years of coccidioidomycosis in Cear\u00e1 State, Northeast Brazil: epidemiologic and diagnostic aspects","volume":"66","author":"de Aguiar Cordeiro","year":"2010","journal-title":"Diagn Microbiol Infect Dis"},{"key":"2020080319503115600_bib4","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.3201\/eid2111.150129","article-title":"Coccidioidomycosis among workers constructing solar power farms, California, USA, 2011\u20132014","volume":"21","author":"Wilken","year":"2015","journal-title":"Emerg Infect Dis"},{"key":"2020080319503115600_bib5","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1196\/annals.1406.011","article-title":"Coccidioidomycosis in California State correctional institutions","volume":"1111","author":"Pappagianis","year":"2007","journal-title":"Ann N Y Acad Sci"},{"key":"2020080319503115600_bib6","first-page":"\u2013","article-title":"Large-scale land development, fugitive dust, and increased coccidioidomycosis incidence in the antelope valley of California, 1999\u20132014","author":"Colson","year":"2017","journal-title":"Mycopathologia"},{"key":"2020080319503115600_bib7","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1093\/cid\/cis1028","article-title":"Coccidioidomycosis acquired in Washington State","volume":"56","author":"Marsden-Haug","year":"2013","journal-title":"Clin Infect Dis"},{"key":"2020080319503115600_bib8","first-page":"185","article-title":"Coccidioidomycosis: epidemiology","author":"Brown","year":"2013; 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