FROM THE FOUNDATION

Big Business, Little Data

A growing number of Californians are being sent to ambulatory surgery centers for a wide variety of procedures, yet little is known about the care they deliver because reporting is not required.

And the Winner Is...

See how human-centered designers answered our challenge to encourage more people to complete advance directives and document their end-of-life wishes.

Ready or Not

Even with new federal resources to help, a study finds that communities with weaker safety-net systems are lagging in preparations for health reform.

Health Care Costs

Monday, October 15, 2012

High Rate of Valley Fever Among Prisoners Costs State Millions Annually

California taxpayers are spending millions of dollars annually on the treatment of state prison inmates with valley fever, New America Media reports (New America Media, 10/14).

About Valley Fever

Researchers estimate that more than 150,000 people nationwide contract valley fever, or coccidioidomycosis, each year.

The cocci fungus is commonly found in soil in much of the Southwestern U.S., and is especially common in California's Central Valley.

People can contract valley fever by breathing in cocci fungal spores (California Healthline, 9/13).

Valley Fever Cases Among Inmates

In 2005, the rate of valley fever among inmates in Pleasant Valley State Prison in Coalinga was 600 times the rate of valley fever in Fresno County.

Seven other state prisons in San Joaquin Valley also have seen high rates of valley fever.

After the Pleasant Valley outbreak, the prison health system took preventive steps -- such as sending vulnerable inmates to prisons outside the region. However, the rate of valley fever has continued to climb.

Cost of Treating Inmates With Valley Fever

California Correctional Health Care Services spends about $23 million annually to send inmates with valley fever to hospitals outside the prison, to guard those patients and to cover their antifungal treatments.

That total does not include the cost of treating valley fever inside the prisons or the costs associated with the long-term care of patients who have complications from valley fever, such as meningitis.

The majority of those costs occur at eight prisons in the San Joaquin area with high rates of valley fever.

Former state Sen. Roy Ashburn (R-Bakersfield) often cited the high costs of valley fever when advocating for funds for vaccine research. However, state lawmakers stopped funding such research when Ashburn left office (New America Media, 10/14).



Readers are invited to send feedback to: chl@chcf.org

Click to register for California Healthline