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Volume 17, Number 9—September 2011

Research

Geographic Distribution of Endemic Fungal Infections among Older Persons, United States1

John W. BaddleyComments to Author , Kevin L. Winthrop, Nivedita M. Patkar, Elizabeth Delzell, Timothy Beukelman, Fenglong Xie, Lang Chen, and Jeffrey R. Curtis
Author affiliations: Author affiliations: University of Alabama at Birmingham, Birmingham, Alabama, USA (J.W. Baddley, N.M. Patkar, E. Delzell, T. Beukelman, F. Xie, L. Chen, J.R. Curtis); Birmingham VA Medical Center, Birmingham (J.W. Baddley); Oregon Health and Science University, Portland, Oregon, USA (K.L. Winthrop)

Main Article

Table 2

Incidence of endemic mycoses among cohort of Medicare beneficiaries, by region, United States, 1999–2008*

Histoplasmosis, n = 357 Coccidioidomycosis, n = 345 Blastomycosis, n = 74
Midwest 6.1 (5.3–7.1) 2.0 (1.5–2.6) 1.1 (0.7–1.5)
Northeast 1.1 (0.7–1.7) 0.5 (0.3–0.9) 0.05 (0.01–0.30)
South 3.5 (3.0–4.1) 0.6 (0.4–0.9) 1.0 (0.8–1.4)
West
1.1 (0.7–1.7)
15.2 (13.4–17.2)
0.1 (0.03–0.50)
All of United States 3.4 (3.0–3.7) 3.2 (2.9–3.6) 0.7 (0.6–0.9)

*Random national sample of 5% of Medicare beneficiaries with claims during 1999–2008; selected for cohort were those who were age >65 years at start of follow-up, had full Medicare coverage (parts A and B, not in a Medicare Advantage plan) for at least 13 consecutive months; lived in the 50 US states or Washington, DC; and did not have claims for any endemic mycosis during a 12-month period before the start of follow-up. Mean age of those with mycoses was 75.7 years.

Main Article

1This research was presented in part at the 74th American College of Rheumatology Annual Meeting, November 7–11, 2010, Atlanta, Georgia, USA.

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