Abstract :
Following the 17 January 1994 Northridge, California earthquake (M = 6.7), Ventura County, California, experienced a major outbreak ofcoccidioidomycosis (CM), commonly known as valley fever, a respiratory disease contracted byinhaling airborne fungal spores. In the 8 weeks following the earthquake (24 Januarythrough 15 March), 203 outbreak-associated cases were reported, which is about an order of magnitude more than the expected number of cases, and three of these cases were fatal.Simi Valley, in easternmost Ventura County, had the highest attack rate in the county,and the attack rate decreased westward across the county. The temporal and spatial distribution of CM cases indicates that the outbreak resulted from inhalation of spore-contaminated dust generated by earthquake-triggered landslides. Canyons North East of Simi Valleyproduced many highly disrupted, dust-generating landslides during the earthquake andits aftershocks. Winds after the earthquake were from the North East, which transporteddust into Simi Valley and beyond to communities to the West. The three fatalities from the CM epidemic accounted for 4 percent of the total earthquake-related fatalities.
