{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:04:19Z","timestamp":1789736659892,"version":"4.0.1"},"reference-count":32,"publisher":"American Veterinary Medical Association (AVMA)","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Coccidioidomycosis, or\n                      <jats:italic>Valley fever<\/jats:italic>\n                      , is a climate-driven fungal disease. Dogs are valuable sentinels for human disease. We sought to evaluate veterinarian-reported clinical encounters with coccidioidomycosis in dogs and the relative awareness of coccidioidomycosis by veterinarians in endemic versus nonendemic states.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Survey responses were solicited from 45,240 veterinarians subscribing to the Veterinary Information Network in June\/July 2024. For US-based veterinarians, data were gathered on the number of coccidioidomycosis cases evaluated, recall of education on coccidioidomycosis, and respondent knowledge of diagnostic tests, epidemiology, causative agents, and human exposure. Knowledge responses were averaged to yield an awareness score. Reported case data and continuing education hours were normalized with publicly available population data. For a subset of cases reported from nonendemic states, medical records were reviewed for travel history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses were received from 640 veterinarians (365 endemic, 275 nonendemic [response rate, 1.4%]). Median case encounters reported per 100,000 households was 230-fold higher for veterinarians working in endemic states compared to those in nonendemic states. Median awareness scores were low (\u2264 50%) in both groups. Most education occurred during veterinary school. There was no difference in practitioner-reported median continuing education hours for endemic versus nonendemic states. All cases for which medical records were reviewed had travel history to endemic regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Awareness of coccidioidomycosis amongst veterinarians using the Veterinary Information Network was low, especially among nonendemic states.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Educational and reporting initiatives are needed to improve disease awareness and recognition by veterinarians, with implications for early recognition of human disease in nonendemic regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.25.11.0739","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T15:53:27Z","timestamp":1778082807000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["Survey of United States\u2013based veterinarians reveals knowledge gaps in coccidioidomycosis and guides future One Health\u2013based educational initiatives"],"prefix":"10.2460","volume":"264","author":[{"given":"Shahleen Z.","family":"Ahmed","sequence":"first","affiliation":[{"name":"Dermatology for Animals, Scottsdale, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6814-9835","authenticated-orcid":true,"given":"Jane E.","family":"Sykes","sequence":"additional","affiliation":[{"name":"Department of Medicine and Epidemiology, Weill School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6507-7987","authenticated-orcid":true,"given":"Carine","family":"Laporte","sequence":"additional","affiliation":[{"name":"Dermatology for Animals, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Mount","sequence":"additional","affiliation":[{"name":"Dermatology for Animals, Albuquerque, NM"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1762-7333","authenticated-orcid":true,"given":"Anthea","family":"Schick","sequence":"additional","affiliation":[{"name":"Dermatology for Animals, Scottsdale, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5995-400X","authenticated-orcid":true,"given":"Kathy C.","family":"Tater","sequence":"additional","affiliation":[{"name":"Veterinary Information Network, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0477-1780","authenticated-orcid":true,"given":"Mark","family":"Rishniw","sequence":"additional","affiliation":[{"name":"Veterinary Information Network, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"11","key":"ref1","series-title":"J Am Vet Med Assoc","first-page":"1846","article-title":"Incidence of coccidioides infection among dogs residing in a region in which the organism is endemic","volume":"226","author":"Shubitz LE","year":"2005","unstructured":"Shubitz LE, Butkiewicz CD, Dial SM, Lindan CP. Incidence of coccidioides infection among dogs residing in a region in which the organism is endemic. J Am Vet Med Assoc. 2005;226(11):1846-1850. doi:10.2460\/javma.2005.226.1846"},{"issue":"5","key":"ref2","series-title":"J Infect Dis","first-page":"e986","article-title":"Use of dog serologic data for improved understanding of coccidioidomycosis: a One Health approach","volume":"231","author":"Sykes JE","year":"2025","unstructured":"Sykes JE, Camponuri SK, Weaver AK, Thompson GR, Remais JV. Use of dog serologic data for improved understanding of coccidioidomycosis: a One Health approach. J Infect Dis. 2025;231(5):e986-e995. doi:10.1093\/infdis\/jiaf184"},{"issue":"7","key":"ref3","series-title":"J Fungi (Basel)","first-page":"731","article-title":"Epidemiology of coccidioidomycosis in the Veterans Health Administration, 2013-2022","volume":"9","author":"Lucero-Obusan C","year":"2023","unstructured":"Lucero-Obusan C, Deka R, Schirmer P, Oda G, Holodniy M. Epidemiology of coccidioidomycosis in the Veterans Health Administration, 2013-2022. J Fungi (Basel). 2023;9(7):731. doi:10.3390\/jof9070731"},{"key":"ref4","series-title":"Greene\u2019s Infectious Diseases of the Dog and Cat","author":"Sykes JE","year":"2023","unstructured":"Sykes JE, ed. Greene\u2019s Infectious Diseases of the Dog and Cat. 5th ed. Elsevier; 2023. doi:10.1016\/C2014-0-03934-2"},{"issue":"8","key":"ref5","series-title":"J Fungi (Basel)","first-page":"859","article-title":"Coccidioides species: a review of basic research: 2022","volume":"8","author":"Kirkland TN","year":"2022","unstructured":"Kirkland TN, Stevens DA, Hung CY,  Coccidioides species: a review of basic research: 2022. J Fungi (Basel). 2022;8(8):859. doi:10.3390\/jof8080859"},{"issue":"7","key":"ref6","series-title":"J Fungi (Basel)","first-page":"666","article-title":"Update on the epidemiology, diagnosis, and treatment of coccidioidomycosis","volume":"8","author":"Williams SL","year":"2022","unstructured":"Williams SL, Chiller T. Update on the epidemiology, diagnosis, and treatment of coccidioidomycosis. J Fungi (Basel). 2022;8(7):666. doi:10.3390\/jof8070666"},{"issue":"7","key":"ref7","series-title":"MMWR Surveill Summ","first-page":"1","article-title":"Endemic Mycoses State Partners Group. Surveillance for coccidioidomycosis, histoplasmosis, and blastomycosis \u2014 United States, 2019","volume":"71","author":"Smith DJ","year":"2022","unstructured":"Smith DJ, Williams SL, Benedict KM, ; Endemic Mycoses State Partners Group. Surveillance for coccidioidomycosis, histoplasmosis, and blastomycosis \u2014 United States, 2019. MMWR Surveill Summ. 2022;71(7):1-14. doi:10.15585\/mmwr.ss7107a1"},{"issue":"7","key":"ref8","series-title":"Int J Environ Res Public Health","first-page":"1113","article-title":"The rise of Valley fever: prevalence and cost burden of coccidioidomycosis infection in California","volume":"16","author":"Wilson L","year":"2019","unstructured":"Wilson L, Ting J, Lin H,  The rise of Valley fever: prevalence and cost burden of coccidioidomycosis infection in California. Int J Environ Res Public Health. 2019;16(7):1113. doi:10.3390\/ijerph16071113"},{"issue":"5","key":"ref9","series-title":"Vet Dermatol","first-page":"346","article-title":"Retrospective analysis of cutaneous lesions in 23 canine and 17 feline cases of coccidioidomycosis seen in Arizona, USA (2009-2015)","volume":"27","author":"Sim\u00f5es DM","year":"2016","unstructured":"Sim\u00f5es DM, Dial SM, Coyner KS, Schick AE, Lewis TP II. Retrospective analysis of cutaneous lesions in 23 canine and 17 feline cases of coccidioidomycosis seen in Arizona, USA (2009-2015). Vet Dermatol. 2016;27(5):346-e87. doi:10.1111\/vde.12356"},{"issue":"1","key":"ref10","series-title":"Virulence","first-page":"222","article-title":"The mysterious desert dwellers: Coccidioides immitis and Coccidioides posadasii, causative fungal agents of coccidioidomycosis","volume":"10","author":"Kollath DR","year":"2019","unstructured":"Kollath DR, Miller KJ, Barker BM. The mysterious desert dwellers: Coccidioides immitis and Coccidioides posadasii, causative fungal agents of coccidioidomycosis. Virulence. 2019;10(1):222-233. doi:10.1080\/21505594.2019.1589363"},{"issue":"2","key":"ref11","series-title":"Open Forum Infect Dis","first-page":"ofaa623","article-title":"Clinical and economic burden of Valley fever in Arizona: an incidence-based cost-of-illness analysis","volume":"8","author":"Grizzle AJ","year":"2020","unstructured":"Grizzle AJ, Wilson L, Nix DE, Galgiani JN. Clinical and economic burden of Valley fever in Arizona: an incidence-based cost-of-illness analysis. Open Forum Infect Dis. 2020;8(2):ofaa623. doi:10.1093\/ofid\/ofaa623"},{"key":"ref12","series-title":"Prev Vet Med","first-page":"106660","article-title":"The costs of the diagnosis and treatment of canine coccidioidomycosis in endemic regions, USA, 2022","volume":"245","author":"Butkiewicz CD","year":"2025","unstructured":"Butkiewicz CD, Sykes JE, Camponuri SK, Weaver AK, Shubitz LF. The costs of the diagnosis and treatment of canine coccidioidomycosis in endemic regions, USA, 2022. Prev Vet Med. 2025;245:106660. doi:10.1016\/j.prevetmed.2025.106660"},{"issue":"2","key":"ref13","series-title":"Infect Dis Ther","first-page":"713","article-title":"Coccidioidomycosis: a contemporary review","volume":"11","author":"Crum NF","year":"2022","unstructured":"Crum NF. Coccidioidomycosis: a contemporary review. Infect Dis Ther. 2022;11(2):713-742. doi:10.1007\/s40121-022-00606-y"},{"issue":"8","key":"ref14","series-title":"Open Forum Infect Dis","first-page":"ofae454","article-title":"Clinical characteristics and mortality risks among patients with culture-proven coccidioidomycosis who are critically ill: a multicenter study in an endemic region","volume":"11","author":"Lim J","year":"2024","unstructured":"Lim J, Scott AM, Wig R,  Clinical characteristics and mortality risks among patients with culture-proven coccidioidomycosis who are critically ill: a multicenter study in an endemic region. Open Forum Infect Dis. 2024;11(8):ofae454. doi:10.1093\/ofid\/ofae454"},{"issue":"3","key":"ref15","series-title":"J Am Vet Med Assoc","first-page":"435","article-title":"Subtotal pericardectomy and epicardial excision for treatment of coccidioidomycosis-induced effusive-constrictive pericarditis in dogs: 17 cases (1999-2003)","volume":"227","author":"Heinritz CK","year":"2005","unstructured":"Heinritz CK, Gilson SD, Soderstrom MJ, Robertson TA, Gorman SC, Boston RC. Subtotal pericardectomy and epicardial excision for treatment of coccidioidomycosis-induced effusive-constrictive pericarditis in dogs: 17 cases (1999-2003). J Am Vet Med Assoc. 2005;227(3):435-440. doi:10.2460\/javma.2005.227.435"},{"issue":"1","key":"ref16","series-title":"Vet Radiol Ultrasound","first-page":"47","article-title":"A novel form of intracranial coccidioidomycosis is present in dogs and exhibits characteristic clinical and magnetic resonance imaging findings","volume":"60","author":"Spoor E","year":"2019","unstructured":"Spoor E, Stainback L, Plummer S, Knowles K. A novel form of intracranial coccidioidomycosis is present in dogs and exhibits characteristic clinical and magnetic resonance imaging findings. Vet Radiol Ultrasound. 2019;60(1):47-55. doi:10.1111\/vru.12688"},{"key":"ref17","series-title":"Case Rep Vet Med","first-page":"1785748","article-title":"Novel treatment of disseminated coccidioidomycosis in a dog with voriconazole","volume":"2018","author":"Raghu C","year":"2018","unstructured":"Raghu C, Reagh C. Novel treatment of disseminated coccidioidomycosis in a dog with voriconazole. Case Rep Vet Med. 2018;2018:1785748. doi:10.1155\/2018\/1785748"},{"issue":"4","key":"ref18","series-title":"J Am Vet Med Assoc","first-page":"461","article-title":"Clinical, clinicopathologic, and radiographic findings in dogs with coccidioidomycosis: 24 cases (1995-2000)","volume":"222","author":"Johnson LR","year":"2003","unstructured":"Johnson LR, Herrgesell EJ, Davidson AP, Pappagianis D. Clinical, clinicopathologic, and radiographic findings in dogs with coccidioidomycosis: 24 cases (1995-2000). J Am Vet Med Assoc. 2003;222(4):461-466. doi:10.2460\/javma.2003.222.461"},{"issue":"1","key":"ref19","series-title":"Emerg Infect Dis","first-page":"123","article-title":"Autochthonous transmission of coccidioides in animals, Washington, USA","volume":"25","author":"James AE","year":"2019","unstructured":"James AE, Pastenkos G, Bradway D, Baszler T. Autochthonous transmission of coccidioides in animals, Washington, USA. Emerg Infect Dis. 2019;25(1):123-125. doi:10.3201\/eid2501.180411"},{"issue":"3","key":"ref20","series-title":"J Vet Diagn Invest","first-page":"587","article-title":"Systemic coccidioidomycosis in a llama cria native to Missouri","volume":"33","author":"Havis BM","year":"2021","unstructured":"Havis BM, Walker KE, Adkins PRF,  Systemic coccidioidomycosis in a llama cria native to Missouri. J Vet Diagn Invest. 2021;33(3):587-590. doi:10.1177\/1040638721994615"},{"issue":"23","key":"ref21","series-title":"MMWR Morb Mortal Wkly Rep","first-page":"636","article-title":"CDC. Coccidioidomycosis in a state where it is not known to be endemic \u2014 Missouri, 2004-2013","volume":"64","author":"Turabelidze G","year":"2015","unstructured":"Turabelidze G, Aggu-Sher RK, Jahanpour E, Hinkle CJ; CDC. Coccidioidomycosis in a state where it is not known to be endemic \u2014 Missouri, 2004-2013. MMWR Morb Mortal Wkly Rep. 2015;64(23):636-639."},{"issue":"2","key":"ref22","series-title":"J Vet Intern Med","first-page":"965","article-title":"Clinical performance of a point-of-care Coccidioides antibody test in dogs","volume":"35","author":"Reagan KL","year":"2021","unstructured":"Reagan KL, McHardy I, Thompson GR III, Sykes JE. Clinical performance of a point-of-care Coccidioides antibody test in dogs. J Vet Intern Med. 2021;35(2):965-969. doi:10.1111\/jvim.16087"},{"issue":"15","key":"ref23","series-title":"Int J Environ Res Public Health","first-page":"5285","article-title":"Valley fever: environmental risk factors and exposure pathways deduced from field measurements in California","volume":"17","author":"Lauer A","year":"2020","unstructured":"Lauer A, Etyemezian V, Nikolich G,  Valley fever: environmental risk factors and exposure pathways deduced from field measurements in California. Int J Environ Res Public Health. 2020;17(15):5285. doi:10.3390\/ijerph17155285"},{"issue":"1","key":"ref24","series-title":"Clin Infect Dis","first-page":"e1","article-title":"Valley fever: finding new places for an old disease: Coccidioides immitis found in Washington State soil associated with recent human infection","volume":"60","author":"Litvintseva AP","year":"2015","unstructured":"Litvintseva AP, Marsden-Haug N, Hurst S,  Valley fever: finding new places for an old disease: Coccidioides immitis found in Washington State soil associated with recent human infection. Clin Infect Dis. 2015;60(1):e1-e3. doi:10.1093\/cid\/ciu681"},{"issue":"5","key":"ref25","series-title":"Mycopathologia","first-page":"843","article-title":"Re-drawing the maps for endemic mycoses","volume":"185","author":"Ashraf N","year":"2020","unstructured":"Ashraf N, Kubat RC, Poplin V,  Re-drawing the maps for endemic mycoses. Mycopathologia. 2020;185(5):843-865. doi:10.1007\/s11046-020-00431-2"},{"issue":"11","key":"ref26","series-title":"JAMA","first-page":"997","article-title":"Climate change and coccidioidomycosis","volume":"333","author":"Lee PS","year":"2025","unstructured":"Lee PS, Swain DL, Johnson R. Climate change and coccidioidomycosis. JAMA. 2025;333(11):997-998. doi:10.1001\/jama.2024.27274"},{"issue":"5","key":"ref27","series-title":"J Clin Microbiol","first-page":"e0158122","article-title":"Review of clinical and laboratory diagnostics for coccidioidomycosis","volume":"61","author":"McHardy IH","year":"2023","unstructured":"McHardy IH, Barker B, Thompson GR III. Review of clinical and laboratory diagnostics for coccidioidomycosis. J Clin Microbiol. 2023;61(5):e0158122. doi:10.1128\/jcm.01581-22"},{"key":"ref28","article-title":"Areas with Valley fever. CDC","year":"2024","unstructured":"Areas with Valley fever. CDC. April 24, 2024. Accessed November 13, 2025. https:\/\/www.cdc.gov\/valley-fever\/areas\/index.html"},{"key":"ref29","unstructured":"US Census Bureau. Accessed October 27, 2025. https:\/\/data.census.gov\/table?t=Population+Total:Populations+and+People&g=010XX00US$0400000&y=2024"},{"key":"ref30","article-title":"Occupational employment and wage statistics for veterinarians","unstructured":"Occupational employment and wage statistics for veterinarians. Accessed October 27, 2025. https:\/\/data.bls.gov\/oes\/#\/occGeo\/One%20occupation%20for%20multiple%20geographical%20areas"},{"key":"ref31","series-title":"Exploratory Data Analysis","first-page":"135","author":"Tukey JW","year":"1977","unstructured":"Tukey JW. Exploratory Data Analysis. Addison-Wesley; 1977:135\u2013143."},{"issue":"1","key":"ref32","series-title":"Zoonoses Public Health","first-page":"25","article-title":"A survey of veterinarians\u2019 knowledge, attitudes and practices regarding an emerging disease: coccidioidomycosis in Washington State","volume":"67","author":"James AE","year":"2020","unstructured":"James AE, McCall JR, Petersen KR, Wohrle RD, Oltean HN. A survey of veterinarians\u2019 knowledge, attitudes and practices regarding an emerging disease: coccidioidomycosis in Washington State. Zoonoses Public Health. 2020;67(1):25-34. doi:10.1111\/zph.12651"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.25.11.0739.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.25.11.0739.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.25.11.0739.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T12:14:59Z","timestamp":1789733699000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.25.11.0739.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":32,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.2460\/javma.25.11.0739","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}