Advocating for Coccidioidomycosis to Be a Reportable Disease Nationwide in the United States and Encouraging Disease Surveillance across North and South America

Coccidioidomycosis (Valley fever) has been a known health threat in the United States (US) since the 1930s, though not all states are currently required to report disease cases. Texas, one of the non-reporting states, is an example of where both historical and contemporary scientific evidence define the region as endemic, but we don't know disease incidence in the state. Mandating coccidioidomycosis as a reportable disease across more US states would increase disease awareness, improve clinical outcomes, and help antifungal drug and vaccine development. It would also increase our understanding of where the disease is endemic and the relationships between environmental conditions and disease cases. This is true for other nations in North and South America that are also likely endemic for coccidioidomycosis, especially Mexico. This commentary advocates for US state and territory epidemiologists to define coccidioidomycosis as a reportable disease and encourages disease surveillance in other endemic regions across North and South America in order to protect human health and reduce disease burden.

Antecedent Soil Moisture Conditions Influenced Vertical Dust Flux: A Case Study in Iran Using WRF-Chem Model

Soil moisture is one of the most important parameters affecting dust emission flux. This study was conducted to investigate the effects of soil moisture on vertical dust flux in the central plateau region of Iran. In this study, the WRF-Chem (Weather Research and Forecast with Chemistry) model, with the GOCART (Global Ozone Chemistry Aerosol Radiation and Transport) scheme, was used to estimate the dust emission flux during a major storm from 19 to 21 July 2015, and to discriminate between dust sources. The results showed that the Kyrgyz deserts in Turkmenistan, the Arabian deserts in Saudi Arabia, the deserts of Iraq, and the Helmand region in Afghanistan are sources of foreign dust. Additionally, the central desert plain was identified as an internal dust source, where the dust level reached 7000 µg m−2 s−1. The results of WRF-Chem simulation were verified with reanalysis data from MERRA2 and AERONET data from Natanz station, which showed good agreement with the simulation. Based on the GLDAS reanalysis, soil moisture content varied between 2.6% and 34%. Linear and nonlinear regression of vertical dust flux values and soil moisture showed nonlinear behavior following the exponential function, with a correlation coefficient of 0.8 and a strong negative association between soil moisture and vertical dust flux.

Spatial-Temporal Variation Characteristics of Vertical Dust Flux Simulated by WRF-Chem Model with GOCART and AFWA Dust Emission Schemes (Case Study: Central Plateau of Iran)

Dust and sand storms are among the major threats to central Iran. These phenomena pose irreparable risks to natural ecosystems and human societies, including effects on health. In this study, the spatial and temporal pattern of vertical dust flux (VDF) was used to identify dust sources as well as areas with high potential for dust generation. To simulate VDF, two intense dust storms, from 21 February 2015 and 14 February 2018, were selected using synoptic data and Moderate Resolution Imaging Spectroradiometer (MODIS) images. These dust storms were identified as responsible for a reduction of horizontal visibility to less than 1000 m, using remote sensing tools and Ackerman Dust Index. MODIS images show that these two storms covered most of Central Plateau of Iran. The Weather Research and Forecasting model with chemistry (WRF-Chem) was used to simulate the storms, with either the Global Ozone Chemistry Aerosol Radiation and Transport (GOCART) or Air Force Weather Agency (AFWA) scheme to calculate VDF. Modeled vertical dust fluxes in both events indicate that the Arabian deserts in Saudi Arabia and in southwestern Iran can be identified as main sources of the dust in the central Iranian plateau. The other source of dust is the Hirmand Basin, located in the country of Afghanistan and in the southeast of Iran. The results of VDF simulations indicate that central southeast Iran could be the main dust source of internal origin. Additionally, over seasonal wetlands in Iran, the amount of VDF was simulated to be sometimes over 4000 μg/(m2s), an indication that these areas are sensitive to wind erosion in dry conditions and can be a source of dust. The WRF-Chem results were compared with the horizontal visibility measured in synoptic stations in the area. The results showed that the coefficients of determination of GOCART results with the measured horizontal visibility on 21 February 2015 and 14 February 2018 were 0.72 and 0.76, respectively, while the coefficient values from the simulations with AFWA scheme on 21 February 2015 and 14 February 2018 with the measured horizontal visibility were lower, 0.44 and 0.50, respectively. Modern-Era Retrospective analysis for Research and Applications, version 2 (MERRA2) re-analysis data also showed timing of peak dust levels consistent with the GOCART scheme.