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The City Where People Are Afraid To Breathe

HonorPoncaCityDotCom writes "BBC reports that cases of an incurable illness called valley fever are multiplying at an alarming and mystifying rate in the American south-west. Few places have been hit as hard as Avenal, a remote city of 14,000 people, nestling in a dip in the floor of the San Joaquin Valley in what experts refer to as a 'hot zone' for coccidioidomycosis — an illness caused by the inhalation of tiny fungal spores that usually reside in the soil. 'On windy days you are more conscious of it,' says Enrique Jimenez. 'You breathe in through your nose, and try not to breathe in as much dust. I worked in the fields for a long time, my father managed a few crops out here, and we took precautions, wearing bandanas.' Valley Fever is not easy to treat. Anti-fungal drugs are available for serious cases but some patients don't respond and it can take years to clear up. It never leaves the body and symptoms can be triggered again. Some patients are on the drugs for life, at a crippling financial cost. During World War II, German prisoners held at a camp in Arizona fell ill. Germany reportedly invoked the Geneva Convention to try to get them moved. Longstanding concerns about valley fever were heightened recently when a federal health official ordered the transfer of more than 3,000 exceptionally vulnerable inmates from two San Joaquin Valley prisons where several dozen have died of the disease in recent years. Dale Pulde, a motorcycle mechanic in Los Angeles County, said he contracted the disease three years ago after traveling to Bakersfield in Kern County and was coughing so hard he was blacking out; he spit blood and couldn't catch his breath. For two months, doctors tested him for everything from tuberculosis to cancer until blood tests confirmed he had the fever. 'When I found out that health officials knew about (this disease) and how common it is, I was beside myself,' said Pulde. 'Why don't they tell people?'"

47 of 243 comments (clear)

  1. hmm.. by DFurno2003 · · Score: 5, Insightful

    BBC is the closest news network to cover it?

    1. Re:hmm.. by Daemonik · · Score: 4, Insightful

      Of course the citizens are left to fend for themselves but the prisoners are evacuated in air conditioned buses.

      The prisoners are the direct responsibility of the State and therefore the State is liable for their health and well being.

    2. Re:hmm.. by Mike+Frett · · Score: 4, Insightful

      American media are busy trying to inform you of the NSA being the good guys on their five-hour long morning show. Later, they want you to know about the upcoming season of Honey Boo Boo. After they tell you all this they want to show you some Commercials so you can buy a Laptop with Windows 8. After the break they want to have a sit-down with some self-proclaimed former attorney that will explain to you why the Jury was wrong about the Zimmerman verdict, they'll be sure to spend two whole hours with limited Commercial breaks on that fiasco.

    3. Re:hmm.. by VanGarrett · · Score: 3, Insightful

      The prisoners may be free men again some day, and have the same right to health that everyone else does. Free men are able to leave the dangerous areas as they please. Prisoners don't have that choice.

    4. Re:hmm.. by Your.Master · · Score: 4, Informative

      It was 40 out of 8000 people that died. That's a 0.5% death toll in 7 years, which annualizes to 0.07%. That's way higher than most Flus (2009 was relatively deadly at 0.03%). And those Flus are worldwide averages, not localized to prisons in developed countries.

    5. Re:hmm.. by thomst · · Score: 2

      Hey, my wife and I both contracted Valley Fever when we moved to Las Vegas, in 2004. I've never been that sick before. Throwing up once an hour for close to a week. Drained of energy for a couple of months afterward. God-fucking-AWFUL disease.

      --
      Check out my novel.
    6. Re:hmm.. by Whatsmynickname · · Score: 2

      BBC is the closest news network to cover it?

      You must be new to the United States media, where the local TV devotes far more airtime to crucial stories such as fucking Zippy the Wonder Dog which does backflips and where the local Pravda newspaper devotes front 5 pages to a local recycling effort. If you're lucky, I mean really really lucky, the local Prava may, just may, have an article buried in page A15 of a 30 page section to 2 paragraphs on something which may affect you.

    7. Re:hmm.. by AK+Marc · · Score: 3, Informative

      Yeah, 80 hours a week at minimum wage will net you about $2000 a month (fed min, I don't know CA min). Panhandling, that's about $1 every 10 minutes. The problem isn't panhandling, but the minimum wage. And maybe the way taxes are held for those making minimum wage.

    8. Re:hmm.. by popeye44 · · Score: 2

      Well, I'm a bit closer but not a source of News. I live in Fresno which is 35 or so miles from the town mentioned. However I have lived in the valley almost all my life as has most of my family. My Mother however who lived in Oregon until she was a teen has had Valley Fever. Not a single other person in my family (on mother or fathers side across uncles and aunts) have ever had it. My Fathers family farmed and lived in the dust. I myself have ran open loaders, graders, tractors and all sorts of equipment in it. I have ran equipment in the same place I have known a co-worked to get infected. It's a picky disease apparently. Growing up as I did in the valley (Bakersfield through Fresno) I knew a few people who had it.Some to the point of it being a disabling disease and others who only got a knot on the leg but tested positive for it. At the extremes it can have life long effects but most people I have known have no lasting problems from it (there are a few that do) My Mother only had symptoms for about a week but was weak for a month. I had a friend in junior high that struggled for a year but then became healthy. It's such an unusual disease and it is very common for mis-diagnosis because outside of this area it's unheard of. Strange to see something from the BBC on it.

      --
      Inane Comments are Generously Disregarded
    9. Re:hmm.. by ultranova · · Score: 2

      Of course the citizens are left to fend for themselves but the prisoners are evacuated in air conditioned buses.

      If you hold someone prisoner, you are responsible for his wellbeing. So either lobby for your government to hold less prisoners, or lobby for a welfare state where it has a responsibility to everyone, or accept that you'll be paying for buses - air-conditioned where appropriate - to haul felons out of danger's way while you're left to fend for yourself.

      Vengeance is not cheap.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    10. Re:hmm.. by jeffmflanagan · · Score: 3, Insightful

      I think they're saying they're the kind of person who doesn't give a damn about people locked up by the state, and that they like to pretend that not treating prisoners like rats is somehow an affront to non-prisoners. A lot of people are just awful, and since being awful actually gets you rewards in the wingnut subculture, I don't see them improving until that whole culture collapses due to their inability to compete with educated people.

    11. Re:hmm.. by jeffmflanagan · · Score: 2

      Are you advocating a welfare state that busses non-prisoners, or to not keep prisoners anymore? It'll have to be one or the other to resolve this imagined problem of yours.

    12. Re:hmm.. by xevioso · · Score: 2

      The vast majority of the homeless who encamp in GGP are not war veterans; that's asinine. Go to the end of Haight and look in the park, and what do you see? Dozens, if not hundreds of young adults and 20-30 somethings who just want to smoke weed all day and live in squalor. Those aren't veterans. Those are kids who don't want to make a living like the rest of us. They just wanna be carefree. I know; I live here.

    13. Re:hmm.. by zaft · · Score: 2

      Yes, valley fever is hardly news. Growing up in Arizona it was common knowledge. Most people get it and it's no big deal, just like a cold or mild flu. It's true that for some it's far worse, but that's rare. This is news?

    14. Re:hmm.. by steveg · · Score: 2

      It's very localized, and is not normally fatal. Nonetheless, it can be very debilitating. Years ago, when I worked in the oilpatch, one of my crew got a bad case. A big strong guy -- when I saw him six or so months later, he looked like a skeleton. Years later you will still feel some of the effects. Expect respiratory weakness for the rest of your life.

      If you have lived in this area for any length of time, chances are very good that you've had it. It may hit you like a bad cold, or like a bad case of pneumonia, or anything in between. Even if you live in one of the hot spots, it's quite possible that doctors won't realize that's what you've got. If you live somewhere else, chances are the doctors have never heard of it.

        They called mine bronchial pneumonia (of course that was more than 40 years ago), and it wasn't until I got a Valley Fever test years later as part of a physical exam that I was told "you've had Valley Fever." There are still spots on my lungs that show up on xrays.

      Some people get hit exceptionally hard, but lots of people get it. Most probably don't even realize they have.

      --
      Ignorance killed the cat. Curiosity was framed.
  2. Valley fever by mendax · · Score: 2, Insightful

    As if the California Department of Corrections and Rehabilitation doesn't have enough problems on its hands being forced to downsize the population of its myriad gulags, they have two prisons near Ground Zero of this disease and several more in the general vicinity. It would not be surprising if they are forced by a court eventually to close these prisons because of valley fever. I, for one, would be pleased to see a reversal in the trend in the United States to imprison instead of rehabilitate those who are eminently rehabilitatable.

    --
    It's really quite a simple choice: Life, Death, or Los Angeles.
    1. Re:Valley fever by CanHasDIY · · Score: 4, Informative

      I, for one, would be pleased to see a reversal in the trend in the United States to imprison instead of rehabilitate those who are eminently rehabilitatable.

      Not going to happen, so long as we have people making money from an industrial prison complex.

      Potheads and repeat offenders are their bread-and-butter.

      --
      An enigma, wrapped in a riddle, shrouded in bacon and cheese
    2. Re:Valley fever by Sparticus789 · · Score: 4, Insightful

      The real problem is not prison population. The real problem is that urban areas like Los Angeles, San Diego, and San Francisco ship their prisoners to the Central Valley (more recently Arizona, Mississippi, and Oklahoma) because they do not want to pay for a prison in their own urban centers. Lower land costs, lower utility costs, and lower cost of living/labor makes the Central Valley a better place to house prisoners.

      My father-in-law works at one of these Central Valley prisons, and I can tell you that his entire prison (3,000) does not fall within the category of rehabilitation. The entire prison is for people who were transferred from other prisons for murdering another prisoner or who were convicted of murder prior to being jailed. Not exactly the type of people that respond well to counseling and talk therapy. More like the kind of people that would stab you with a metal pen.

      --
      sudo make me a sandwich
    3. Re:Valley fever by dkleinsc · · Score: 2

      It would not be surprising if they are forced by a court eventually to close these prisons because of valley fever.

      It would not be surprising, because it's already happened.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
  3. Moderators asleep at the job by Sparticus789 · · Score: 4, Informative

    From the summary:

    It never leaves the body and symptoms can be triggered again.

    From the linked article

    The infection ordinarily resolves leaving the patient with a specific immunity to re-infection.

    Both cannot be true.

    --
    sudo make me a sandwich
    1. Re:Moderators asleep at the job by Anonymous Coward · · Score: 3, Informative

      As an infected person, I can tell you the wikipedia article is incorrect. For more information visit valleyfeversurvivor.org.

    2. Re:Moderators asleep at the job by Qzukk · · Score: 3, Informative

      Both cannot be true.

      The Shingles says they can.

      --
      If I have been able to see further than others, it is because I bought a pair of binoculars.
    3. Re:Moderators asleep at the job by asdfman2000 · · Score: 5, Informative

      There are multiple forms of infection. I recently got taken out by this for about a week and had to go on intense anti-fungal meds. Most people just get a minor rash and flu-like symptoms and it goes away on its own. Few even realize they had it.

      There is a form that basically remains dormant in your system for the rest of your life, however it's rare and mostly only affects immunocompromised people.

      Some people treat Valley Fever like some doomsday infection, and some sites like valleyfeversurvivor.org have communities of people acting like it's the source of all their health problems regardless of whether or not it's actually true.

    4. Re:Moderators asleep at the job by Anonymous Coward · · Score: 3, Informative

      They can certainly be true.

      The infection is growing fungus in your lungs. The symptoms are caused by the fungus physically being there.

      Specific Immunity means immunity to only that specific strain, and not any mutations of it, which happen regularly, and in parallel. It's even possible to be immediately re-infected with a different strain if exposed to the same conditions.

      It also doesn't remove the crap that has built up in your lungs - which at a later date can cause irritation, and a resurgence of symptoms without requiring re-infection. Fungus can be a major problem - when it grows, it sends roots all through the infected tissue, and those roots, even if they're killed, are still there. You can't scrape them off, since they're embedded in the tissue itself.

    5. Re:Moderators asleep at the job by asmkm22 · · Score: 2

      Thanks, I've always wondered what it would be like to time travel back to the late 90's.

    6. Re:Moderators asleep at the job by asdfman2000 · · Score: 5, Interesting

      As another "infected person", valleyfeversurvivor.org Is filled with misinformation and fear-mongering. The community is filled with hypochondriacs blaming everything from smelly farts to tooth loss on the disease.

      Valley fever is no more dangerous than the flu. Most people who get it recover on their own with no complications and sometimes without even realizing they had it. Rare cases result in long term problems or death, but again, those are extremely rare.

      Talk to your doctor if you have questions.

    7. Re:Moderators asleep at the job by sexconker · · Score: 5, Insightful

      Shingles is a virus, Valley Fever is a fungus that gets inhaled. They are not the same.

      So what? Both are obviously true despite your claim that they can't be. Virus vs. fungus has no bearing on it.

      0) You can be infected with something.
      1) You can fight it off and become immune to it.
      2) You can later be reinfected by the remnants that still remain in your body - because the infectious agent has changed, because your immune system has failed/been overwhelmed, because your specific immunity has gone away, or because the mechanism of infection (or location in your body) is different (even if the infectious agent is unchanged).

    8. Re:Moderators asleep at the job by sjames · · Score: 2

      yes, they can be and are both true.

      SOME infected people never develop symptoms at all. Others develop severe flu-like symptoms and then clear the infection. less fortunate individuals develop a chronic infection which may never be cleared. Still less fortunate people develop the chronic disseminated form of the disease.

      Perhaps you should try reading more than the introduction to the linked article. All of this is in there.

    9. Re:Moderators asleep at the job by Khashishi · · Score: 3, Informative

      I have a chronic form of Valley Fever, and I can attest that it is no joke. It might be true that on average it is less dangerous than the flu, but for some people it is much, much worse than the flu. If you restrict your domain to people who "actually suffer" from Valley Fever, then within that population, it is a very serious disease. So I guess you can play around with words and call Valley Fever a very common, mild disease, or a very rare, serious disease. If you call just the disseminated form of the disease Valley Fever, then it's usually fatal. Your statements are just not fair to people who suffer serious complications from the disease.

      I think it's fairer to consider Valley Fever to be a rare, serious disease than a common benign disease because the difference between an asymptomatic infection and a chronic sufferer is so great.

  4. This thing is very common. by Entropius · · Score: 5, Informative

    I lived for a while in Tucson. Pretty much anyone who's outdoors in the desert much is likely to get it; in most people there are either no symptoms or flu-like symptoms. My PhD advisor had to have major surgery, and in the pre-surgery physical they found some characteristic scar tissue in his lungs and commented that he'd had valley fever at some point; he had no idea.

    I'm pretty sure I had it; I got an unexplained very high fever and "flu-like" muscle pains along with a cough, but no sinus congestion at the end of my first year there.

    1. Re:This thing is very common. by slew · · Score: 2

      Won't the desert being the exact opposite environment that fungus would exist in?

      When it's in the dry desert soil, these fungi (Coccidioides immitis) are dormant. When it rains, it grows into mold and then yields spores. Then when it's dry again after a rainy spell, the spores detach and blow in the wind. The spores want an environment just like your lungs so if they happen to end up there, it's party time for them.

      How did this fungus get to located in the desert in the first place? Who knows, but it's there in the soil, probably longer that humans were around.

      Of course there are also other fungi like Cryptococcus gattii (a kind of yeast-like fungi) which fit the more traditional view as they thrive in the humid pacific northwest (Vancouver, Washington, Oregon) and wreak their havok on people there...

      Basically fungi are everywhere...

  5. Re:I expected China, but here in the US? by jcdenhartog · · Score: 2

    Then you would have to close off the southwest United States. While the San Joaquin Valley has the most cases, I live in much farther south in CA and know two people who had valley fever serious enough to end up in the hospital. So it is not uncommon elsewhere in the southwest as well.

    --
    "The majority is always wrong; the minority is rarely right." - Henrik Ibsen
  6. Re:I expected China, but here in the US? by gandhi_2 · · Score: 5, Informative

    Most of the medical professionals and vetrinarians in my area of southwest Utah know about it.

    It's no secret.

    People gotta live somewhere. Fires, floods, earthquakes, malaria, congressmen, natural radiation, natural heavy metals in ground water... every place has some problem.

    It isn't like we are talking about bubonic plague running rampant. What should the government do? Spray bleach over everything? Kick people off their own property?

  7. Don't worry, it's organic by phantomfive · · Score: 5, Funny

    Organic and natural things are good for you, right?

    --
    "First they came for the slanderers and i said nothing."
    1. Re:Don't worry, it's organic by phantomfive · · Score: 2

      When organic means food produced in accordance with USDA organic guidelines, yes. Absolutely.

      I guarantee that you are creative enough to come up with some products produced in accordance with the USDA organic guidelines that aren't good for you.

      --
      "First they came for the slanderers and i said nothing."
    2. Re:Don't worry, it's organic by the+eric+conspiracy · · Score: 2

      The deadliest poisons are organic products.

      Botulitim
      Ricin
      Dart Frog Venom
      Beaked Sea Snake Venom
      Strychnine
      Amatoxin
      Fiddleback Spider Venom

  8. Our dog got valley fever and died last year in AZ by idioto · · Score: 2, Interesting

    Your pets can get this too, especially if they eat dirt. It's something to be aware of, since the vets took a couple of months figuring it out. It's the sort of thing if you want an expedited diagnosis you probably have to bring up yourself, so it's good to see it getting a little publicity so maybe doctors will become more aware in other parts of the country/world.

  9. Why don't they tell?????? by jayteedee · · Score: 4, Insightful

    Why don't they tell people that the southwest is full of sharp plants???
    Why don't they tell people that the southwest if HOT???
    Why don't they tell people that "it's a dry heat"???
    Because most southwesterners already KNOW, that's why. Few people have problems from valley fever(1 in 1000, or 1 in 5000 depending on source). And all the medical people will test for it first when a patient comes in experiencing a bad "fever". Even the people that have it (or have noticeable symptoms) usually can overcome it themselves without any medical treatment.

    --
    Religion and science are both 90% crap..but that doesn't negate the other 10%.
  10. Re:Sounds familiar by Anonymous Coward · · Score: 2, Interesting

    Desert fever was/is just another name for Valley Fever. I had it too and lived in Phoenix in the late 70's early 80's. It always freaked out my Doctors when they would see my lung x-rays. Loved having to explain that no I wasn't a smoker that was from valley fever and then having to teach them what coccidioidomycosis was to a MD.

  11. npr shots by westlake · · Score: 4, Informative
  12. Re:I expected China, but here in the US? by Tailhook · · Score: 2

    On a windy day you can pick up a hantavirus infection as well if you're near any varmint feces in a Western state. HPS fatality rate is 50%. Doctors know about it and they're not telling anybody. We need to close off New Mexico, Colorado, Arizona, California, Washington, Texas, Utah and Montana.

    Or not. Life is risky and temporary. Your wish to invoke power to assuage a brand new fear or outrage you were given sometime during the last 10 minutes is a result of training. You're behaving exactly as intended.

    --
    Maw! Fire up the karma burner!
  13. Re:I expected China, but here in the US? by Kozar_The_Malignant · · Score: 4, Insightful

    >Surprising. It's a "new low" in the US as far as I'm concerned. If an area is not safe for human habitation, it needs to be closed off. "Why don't they tell people?!"

    It's no big secret. People who live there know about it. God alone knows why they live there. If you go to Avenal and look around, you can see 20+ really good reasons not to live there before you even think about Valley Fever.

    --
    Some mornings it's hardly worth chewing through the restraints to get out of bed.
  14. Old saw still applies by dkleinsc · · Score: 5, Insightful

    In undeveloped countries, don't drink the water. In developed countries, don't breathe the air.

    --
    I am officially gone from /. Long live http://www.soylentnews.com/
  15. Re:The City Where People Are Afraid To Breathe by tragedy · · Score: 3, Insightful

    Stories like that always make me wonder why the turbines in coal, gas, and nuclear plants don't use neodymium magnets. Why is it that only renewable energy sources have to use materials that cause environmental damage to extract, but the physical equipment for non-renewables are made out of 110% non-polluting unicorn giggles?

  16. Bad summary by Bill,+Shooter+of+Bul · · Score: 2

    According to the linked story, Germany did not invoke the Geneva convention, the US preemptively decided to remove the prisoners because they thought it might be a violation to subject them to the conditions. It would have been rather odd for Nazi Germany to complain about treatment of people in camps, from what I understand about history ( primarily through a tv channel with history in the name of it ).

    --
    Well.. maybe. Or Maybe not. But Definitely not sort of.
  17. My brother got a kidney in CA by coyote_oww · · Score: 4, Informative

    The list does not work the way you think it does. My brother had not been employed for several years, not a problem. Kidney transplants are money saving operations, so money is not really an obstacle. All kidney patients are eligible for Medicare, and the break-even of cost of transplanted patients vs dialysis is 2 years or less. So, generally the government is eager for you to get a kidney transplant because they are covering all or the bulk of your costs regardless of socio-economic status or voluntariness of your residence.

    So... everyone goes on the list, and it's pretty much do first come, first serve, with exceptions for people who have some particular difficulty that might make a long wait impossible. Generally, loss of kidney function will not kill you directly, you can live a very long time on dialysis. My brother lived for several years with no kidneys at all (removed for extreme size).

    Bad (medical) behavior can get you off the list (excessive drugs, alcohol, or obesity, for example), but money can be worked around.

    Other organs do not have the same cost-benefit structure, and there are not alternative therapies, so the rules work differently.

    I don't know what the rules are for sex changes, so I'm no help there.

  18. Re:The City Where People Are Afraid To Breathe by amorsen · · Score: 4, Informative

    Most wind turbines actually do not use neodymium magnets. They use plain old electromagnetic generators. However, to electromagnetic generators get inefficient at low speeds, so using electromagnetic generators also means using gears, possibly multi-stage. Coal, gas, and nuclear plants generally work with very hot steam. You can design your steam turbine for pretty much any rotational speed you want. No gears necessary.

    So why not just increase the rotational speed of wind turbines? You lose aerodynamic efficiency when the tip speed gets to a reasonable fraction of the speed of sound. To avoid gears and use electromagnetic generators on a typical 3MW wind turbine, you would need the tips to go faster than the speed of sound. Extracting power from the wind while going at supersonic speeds is a yet unsolved problem.

    If the use of permanent magnets was banned entirely from wind turbines, the market would not really change much. Some manufacturers would temporarily lose market share while they redesigned, but overall turbine price would not change dramatically.

    --
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