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"disqusTitle": "Valley Fever Cases Soar in West, Yet 'Off The Radar' of East Coast Policymakers",
"title": "Valley Fever Cases Soar in West, Yet 'Off The Radar' of East Coast Policymakers",
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"content": "\u003cp>By \u003ca href=\"http://kvpr.org/people/rebecca-plevin\" target=\"_blank\">Rebecca Plevin\u003c/a>, \u003ca href=\"http://www.npr.org/blogs/health/2013/05/13/181880987/cases-of-mysterious-valley-fever-rise-in-american-southwest\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12696\" class=\"wp-caption aligncenter\" style=\"max-width: 462px\">\u003cimg class=\"size-full wp-image-12696\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/Emily-.jpg\" alt=\"(Daniel Casarez/Vida en el Valle/Reporting on Health Collaborative)\" width=\"462\" height=\"346\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily-.jpg 462w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily--400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily--320x240.jpg 320w\" sizes=\"(max-width: 462px) 100vw, 462px\">\u003cfigcaption class=\"wp-caption-text\">(Daniel Casarez/Vida en el Valle/Reporting on Health Collaborative)\u003c/figcaption>\u003c/figure>\n\u003cp>When she was just 6, Emily Gorospe became very tired and sick. The spunky girl, now 8, developed a fever that wouldn't go away, and red blotches appeared across her body.\u003c/p>\n\u003cp>\"She's got so much energy usually,\" says Emily's mother, Valerie Gorospe. \"Just walking from one part of the house ... she was drained.\" The little girl was also very pale. \"She just didn't look like herself,\" Valerie recalls.\u003c/p>\n\u003cp>Emily, who lives in the Central Valley town of Delano, was eventually diagnosed with \u003ca href=\"http://www.cdc.gov/fungal/coccidioidomycosis/\">valley fever\u003c/a>, also known as coccidioidomycosis. She's one of an estimated 150,000 people nationwide who get the fungal disease every year. There is no cure and no vaccine.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Valley fever has afflicted about four times more people than West Nile virus, with thousands more going undiagnosed.\u003c/aside>\n\u003cp>Valley fever is well known in the Central Valley and other areas of California and Arizona. Tiny fungal spores live in the soil throughout much of this arid region. When the spores are disturbed, they can be inhaled into the lungs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.childrenscentralcal.org/OurDoctors/Pages/jmccarty.aspx\">James McCarty\u003c/a>, the medical director of infectious diseases at Children's Hospital Central California, says most people feel nothing, or experience symptoms similar to the flu. Common symptoms include fever, night sweats, weight loss, chest pain, cough and sometimes skin rashes.\u003c/p>\n\u003cp>Valley fever can be a very serious disease for some people, McCarty says. It can spread from the lungs to other parts of the body, like the central nervous system, bones or skin. It can be life-altering or even fatal.\u003c!--more-->\u003c/p>\n\u003cp>\"About five out of 100 patients will develop pneumonia,\" McCarty said. \"Then in about one out of 100 patients, valley fever will spread outside of the lungs and go to other parts of the body.\"\u003c/p>\n\u003cp>\u003cstrong>Valley fever cases up nearly 900 percent\u003c/strong>\u003c/p>\n\u003cp>In recent years, valley fever numbers have soared so high that some health officials are calling it an epidemic. The disease has become \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=179895982\">a huge problem\u003c/a> in California's prisons. The state is being ordered to move inmates at high-risk of contracting the illness from two prisons where the fungus is rampant.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the total number of valley fever cases nationwide \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\">rose by nearly 900 percent\u003c/a> from 1998 to 2011. Researchers don't have a good explanation for the dramatic increase. Even when accounting for growing populations throughout the Southwest, the numbers are still staggering.\u003cem>\u003c/em>\u003c/p>\n\u003cp>\"What's really interesting ... is that the number of cases — the incidence of these cases — increased steadily throughout this time period, and really accelerated over the last few years,\" says Benjamin Park, a medical officer at the CDC.\u003c/p>\n\u003cp>Relatively little is known about valley fever. No one knows how much exposure to the fungus it takes to contract the illness, or why some people die and others never know they have spores in their lungs. It's also unclear why the illness seems to strike African-Americans and Filipinos harder than the rest of the population.\u003c/p>\n\u003cp>Researchers do know this: People who work outside — like workers in construction and on farms — are at higher risk.\u003c/p>\n\u003cp>\u003ca href=\"http://www.pacificcoastvineyards.com/about-us/\">Todd Schaefer\u003c/a>, a winemaker in Paso Robles, was running a bulldozer in his vineyard about 10 years ago. A few days later, he became very sick.\u003c/p>\n\u003cp>Doctors said he had an ordinary form of pneumonia, and recommended that he go home and eat chicken soup. It took them a month to realize he had valley fever, and to start him on anti-fungal medication. By that time, the fungal infection had spread to his central nervous system.\u003c/p>\n\u003cp>\"I think if they had caught it early, it would not have been allowed to disseminate through my body and set up shop in my brain and spinal cord,\" Schaefer says. \"That's the killer right there.\"\u003c/p>\n\u003cp>Schaefer is 48; he'll take anti-fungal medication for the rest of his life. The medication has horrible side effects. One of the worst ones, for a winemaker, is that Schaefer can't drink his own wine while on the drugs.\u003c/p>\n\u003cp>The drugs are keeping him alive, he says, but not necessarily healthy. The disease saps his energy and prevents him from working more than four or five hours a day.\u003c/p>\n\u003cp>\"It's an anti-fungal poison,\" he says. \"It doesn't kill it. It just keeps it down to a low roar.\"\u003cem>\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>McCarty says if the disease is caught early, physicians have a better chance of keeping it at bay.\u003c/p>\n\u003cp>\"We do see patients in whom there's been a delay in diagnosis, and we believe this leads to more complicated and difficult-to-treat disease,\" McCarty says.\u003c/p>\n\u003cp>Researchers say most cases are misdiagnosed or missed entirely. That's in part because of a lack of training and attention in the medical community, and because the symptoms are so varied.\u003c/p>\n\u003cp>\u003cstrong>East-coast bias among researchers, policymakers an issue\u003c/strong>\u003c/p>\n\u003cp>Part of the problem is a lack of research and attention from policymakers.\u003c/p>\n\u003cp>\"Diseases that receive a lot of national attention tend to be diseases that occur in the East, and where they read about it in the [newspapers],\" says Dr. \u003ca href=\"http://www.epibiostat.ucsf.edu/epidem/personnel/grutherford2.html\">George Rutherford\u003c/a> of the University of California, San Francisco.\u003c/p>\n\u003cp>But \"diseases that don't exist in that belt really fall off the radar screen,\" he says, \"and, unfortunately, valley fever is one of those diseases.\"\u003c/p>\n\u003cp>Diseases that don't have a high profile also struggle for funding. Consider this: In the past 12 years, the National Institutes of Health has granted valley fever just 4 percent of the research funding it has directed toward \u003ca href=\"http://www.npr.org/blogs/health/2012/08/02/157832358/west-nile-virus-makes-a-comeback-this-summer\">West Nile virus\u003c/a>. But valley fever has afflicted about four times more people than West Nile, with thousands more going undiagnosed. Valley fever has killed many more people, too.\u003c/p>\n\u003cp>Since he contracted valley fever 10 years ago, Schaefer, the Paso Robles winemaker, has continued making award-winning pinot noirs. But even as his boutique winery prospers, his health is faltering. He's losing his memory, and the doctor expects he will suffer strokes and seizures in the future.\u003c/p>\n\u003cp>\"This disease is ... not a fairytale,\" he says. \"It's an absolute nightmare.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>As the search for better treatments and, eventually, a vaccine continues, people throughout the Southwest United States will suffer from valley fever.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003ca href=\"http://kvpr.org/people/rebecca-plevin\" target=\"_blank\">Rebecca Plevin\u003c/a>, \u003ca href=\"http://www.npr.org/blogs/health/2013/05/13/181880987/cases-of-mysterious-valley-fever-rise-in-american-southwest\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12696\" class=\"wp-caption aligncenter\" style=\"max-width: 462px\">\u003cimg class=\"size-full wp-image-12696\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/Emily-.jpg\" alt=\"(Daniel Casarez/Vida en el Valle/Reporting on Health Collaborative)\" width=\"462\" height=\"346\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily-.jpg 462w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily--400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/Emily--320x240.jpg 320w\" sizes=\"(max-width: 462px) 100vw, 462px\">\u003cfigcaption class=\"wp-caption-text\">(Daniel Casarez/Vida en el Valle/Reporting on Health Collaborative)\u003c/figcaption>\u003c/figure>\n\u003cp>When she was just 6, Emily Gorospe became very tired and sick. The spunky girl, now 8, developed a fever that wouldn't go away, and red blotches appeared across her body.\u003c/p>\n\u003cp>\"She's got so much energy usually,\" says Emily's mother, Valerie Gorospe. \"Just walking from one part of the house ... she was drained.\" The little girl was also very pale. \"She just didn't look like herself,\" Valerie recalls.\u003c/p>\n\u003cp>Emily, who lives in the Central Valley town of Delano, was eventually diagnosed with \u003ca href=\"http://www.cdc.gov/fungal/coccidioidomycosis/\">valley fever\u003c/a>, also known as coccidioidomycosis. She's one of an estimated 150,000 people nationwide who get the fungal disease every year. There is no cure and no vaccine.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Valley fever has afflicted about four times more people than West Nile virus, with thousands more going undiagnosed.\u003c/aside>\n\u003cp>Valley fever is well known in the Central Valley and other areas of California and Arizona. Tiny fungal spores live in the soil throughout much of this arid region. When the spores are disturbed, they can be inhaled into the lungs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.childrenscentralcal.org/OurDoctors/Pages/jmccarty.aspx\">James McCarty\u003c/a>, the medical director of infectious diseases at Children's Hospital Central California, says most people feel nothing, or experience symptoms similar to the flu. Common symptoms include fever, night sweats, weight loss, chest pain, cough and sometimes skin rashes.\u003c/p>\n\u003cp>Valley fever can be a very serious disease for some people, McCarty says. It can spread from the lungs to other parts of the body, like the central nervous system, bones or skin. It can be life-altering or even fatal.\u003c!--more-->\u003c/p>\n\u003cp>\"About five out of 100 patients will develop pneumonia,\" McCarty said. \"Then in about one out of 100 patients, valley fever will spread outside of the lungs and go to other parts of the body.\"\u003c/p>\n\u003cp>\u003cstrong>Valley fever cases up nearly 900 percent\u003c/strong>\u003c/p>\n\u003cp>In recent years, valley fever numbers have soared so high that some health officials are calling it an epidemic. The disease has become \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=179895982\">a huge problem\u003c/a> in California's prisons. The state is being ordered to move inmates at high-risk of contracting the illness from two prisons where the fungus is rampant.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the total number of valley fever cases nationwide \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\">rose by nearly 900 percent\u003c/a> from 1998 to 2011. Researchers don't have a good explanation for the dramatic increase. Even when accounting for growing populations throughout the Southwest, the numbers are still staggering.\u003cem>\u003c/em>\u003c/p>\n\u003cp>\"What's really interesting ... is that the number of cases — the incidence of these cases — increased steadily throughout this time period, and really accelerated over the last few years,\" says Benjamin Park, a medical officer at the CDC.\u003c/p>\n\u003cp>Relatively little is known about valley fever. No one knows how much exposure to the fungus it takes to contract the illness, or why some people die and others never know they have spores in their lungs. It's also unclear why the illness seems to strike African-Americans and Filipinos harder than the rest of the population.\u003c/p>\n\u003cp>Researchers do know this: People who work outside — like workers in construction and on farms — are at higher risk.\u003c/p>\n\u003cp>\u003ca href=\"http://www.pacificcoastvineyards.com/about-us/\">Todd Schaefer\u003c/a>, a winemaker in Paso Robles, was running a bulldozer in his vineyard about 10 years ago. A few days later, he became very sick.\u003c/p>\n\u003cp>Doctors said he had an ordinary form of pneumonia, and recommended that he go home and eat chicken soup. It took them a month to realize he had valley fever, and to start him on anti-fungal medication. By that time, the fungal infection had spread to his central nervous system.\u003c/p>\n\u003cp>\"I think if they had caught it early, it would not have been allowed to disseminate through my body and set up shop in my brain and spinal cord,\" Schaefer says. \"That's the killer right there.\"\u003c/p>\n\u003cp>Schaefer is 48; he'll take anti-fungal medication for the rest of his life. The medication has horrible side effects. One of the worst ones, for a winemaker, is that Schaefer can't drink his own wine while on the drugs.\u003c/p>\n\u003cp>The drugs are keeping him alive, he says, but not necessarily healthy. The disease saps his energy and prevents him from working more than four or five hours a day.\u003c/p>\n\u003cp>\"It's an anti-fungal poison,\" he says. \"It doesn't kill it. It just keeps it down to a low roar.\"\u003cem>\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>McCarty says if the disease is caught early, physicians have a better chance of keeping it at bay.\u003c/p>\n\u003cp>\"We do see patients in whom there's been a delay in diagnosis, and we believe this leads to more complicated and difficult-to-treat disease,\" McCarty says.\u003c/p>\n\u003cp>Researchers say most cases are misdiagnosed or missed entirely. That's in part because of a lack of training and attention in the medical community, and because the symptoms are so varied.\u003c/p>\n\u003cp>\u003cstrong>East-coast bias among researchers, policymakers an issue\u003c/strong>\u003c/p>\n\u003cp>Part of the problem is a lack of research and attention from policymakers.\u003c/p>\n\u003cp>\"Diseases that receive a lot of national attention tend to be diseases that occur in the East, and where they read about it in the [newspapers],\" says Dr. \u003ca href=\"http://www.epibiostat.ucsf.edu/epidem/personnel/grutherford2.html\">George Rutherford\u003c/a> of the University of California, San Francisco.\u003c/p>\n\u003cp>But \"diseases that don't exist in that belt really fall off the radar screen,\" he says, \"and, unfortunately, valley fever is one of those diseases.\"\u003c/p>\n\u003cp>Diseases that don't have a high profile also struggle for funding. Consider this: In the past 12 years, the National Institutes of Health has granted valley fever just 4 percent of the research funding it has directed toward \u003ca href=\"http://www.npr.org/blogs/health/2012/08/02/157832358/west-nile-virus-makes-a-comeback-this-summer\">West Nile virus\u003c/a>. But valley fever has afflicted about four times more people than West Nile, with thousands more going undiagnosed. Valley fever has killed many more people, too.\u003c/p>\n\u003cp>Since he contracted valley fever 10 years ago, Schaefer, the Paso Robles winemaker, has continued making award-winning pinot noirs. But even as his boutique winery prospers, his health is faltering. He's losing his memory, and the doctor expects he will suffer strokes and seizures in the future.\u003c/p>\n\u003cp>\"This disease is ... not a fairytale,\" he says. \"It's an absolute nightmare.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As the search for better treatments and, eventually, a vaccine continues, people throughout the Southwest United States will suffer from valley fever.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"politicalbreakdown": {
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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},
"radiolab": {
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
"science-friday": {
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