Via Healio.com: Valley fever confirmed in cast, crew of outdoor filming event. Excerpt:
An investigation by the California Department of Health identified five laboratory-confirmed cases and five probable cases of coccidioidomycosis, or valley fever, among cast and crew members filming at an outdoor set in Ventura County, Calif., according to an MMWR report.
“Public health professionals, clinicians and the television and film industry should be aware that employees working outdoors in areas where Coccidioides is endemic (eg, central and southern California), even those not engaged in soil-disruptive work, might be at risk for coccidioidomycosis,” the investigators wrote.
The first patient identified was an actor who presented to the ED on Feb. 28, 2012, after a 2-week history of fever and cough. The second patient identified was a camera operator who sought treatment in the ED on Feb. 24, 2012, after a 2-week history of cough, joint aches and muscle pain. Both patients had worked at the same outdoor filming event that took place Jan. 17 to 19 in Ventura County.
A subsequent review of information from the California Department of Industrial Relations found six more workers with the same employer, who had also participated in the filming event and were evaluated for possible work-related valley fever. Two other cases were identified: one by review of social media in which one patient posted about his hospitalization, and one by a relative.
Only two of the patients reported soil-disrupting activities, including digging and moving dirt. However, substantial soil-disruptive work, including grading and digging and filling a mud pit, occurred on the site shortly before filming.