TABLE 2. Incidence* of coccidioidomycosis, histoplasmosis, and blastomycosis, by selected patient characteristics — United States, 2019–2021.
| Characteristic | Incidence* (95% CI) |
||||||||
|---|---|---|---|---|---|---|---|---|---|
| Coccidioidomycosis† |
Histoplasmosis§ |
Blastomycosis¶ |
|||||||
| 2019 | 2020 | 2021 | 2019 | 2020 | 2021 | 2019 | 2020 | 2021 | |
|
Sex
| |||||||||
| Female |
14.1 (14.1–14.7) |
12.4 (12.2–12.7) |
12.6 (12.4–12.9) |
1.3 (1.2–1.4) |
1.1 (1.0–1.2) |
1.6 (1.5–1.8) |
0.5 (0.4–0.6) |
0.3 (0.2–0.4) |
0.6 (0.5–0.7) |
| Male |
15.8 (15.5–16.2) |
14.1 (13.8–14.4) |
15.0 (14.7–15.3) |
1.8 (1.6–1.9) |
1.7 (1.6–1.8) |
2.3 (2.2–2.5) |
1.2 (1.0–1.4) |
1.3 (1.2–1.5) |
1.1 (0.9–1.2) |
|
Age group, yrs
| |||||||||
| <5 |
0.8 (0.7–1.1) |
0.9 (0.7–1.2) |
0.5 (0.4–0.7) |
0.1 (0.1–0.3) |
0.3 (0.2–0.5) |
0.2 (0.1–0.4) |
0.1 (0–0.5) |
0.1 (0–0.4) |
0 (—) |
| 5–19 |
4.9 (4.7–5.2) |
4.0 (3.7–4.2) |
3.6 (3.4–3.9) |
0.7 (0.6–0.9) |
0.8 (0.7–1.0) |
1.2 (1.0–1.4) |
0.4 (0.3–0.6) |
0.5 (0.3–0.7) |
0.3 (0.2–0.5) |
| 20–39 |
12.9 (12.6–13.3) |
11.9 (11.5–12.2) |
11.6 (11.2–11.9) |
1.5 (1.3–1.7) |
1.2 (1.1–1.4) |
2.0 (1.8–2.2) |
1.0 (0.8–1.2) |
0.7 (0.6–1.0) |
0.6 (0.5–0.9) |
| 40–64 |
19.8 (19.3–20.2) |
18.0 (17.6–18.4) |
18.9 (18.5–19.4) |
2.0 (1.9–2.2) |
1.8 (1.7–2.0) |
2.5 (2.3–2.7) |
1.0 (0.8–1.2) |
1.1 (0.9–1.4) |
1.2 (1.0–1.4) |
| 65–79 |
27.3 (26.6–28.1) |
27.5 (26.7–28.3) |
27.6 (26.8–28.4) |
2.1 (1.9–2.5) |
2.2 (2.0–2.6) |
2.7 (2.4–3.1) |
1.1 (0.8–1.5) |
1.2 (0.9–1.6) |
1.4 (1.1–1.9) |
| ≥80 |
26.2 (24.8–27.7) |
23.8 (22.5–25.1) |
30.0 (28.6–31.6) |
1.1 (0.8–1.6) |
0.8 (0.5–1.2) |
1.5 (1.1–2.0) |
0.5 (0.2–1.1) |
0.6 (0.3–1.3) |
0.7 (0.4–1.4) |
|
Race and ethnicity
| |||||||||
| AI/AN, NH |
17.4 (15.3–19.7) |
18.4 (16.2–20.8) |
25.6 (22.7–28.9) |
1.2 (0.5–3.2) |
2.4 (1.1–5.0) |
2.0 (0.8–5.4) |
4.5 (2.4–8.4) |
5.0 (2.7–9.3) |
6.1 (3.0–12.1) |
| Asian and NH/OPI, NH |
4.6 (4.2–5.0) |
3.4 (3.1–3.8) |
5.8 (5.4–6.3) |
1.0 (0.7–1.5) |
0.6 (0.3–0.9) |
0.9 (0.6–1.3) |
1.6 (1.1–2.4) |
2.0 (1.3–3.1) |
0.8 (0.4–1.6) |
| Black or African American, NH |
4.0 (3.7–4.4) |
3.9 (3.6–4.3) |
5.9 (5.5–6.4) |
0.9 (0.7–1.1) |
1.0 (0.8–1.2) |
1.4 (1.2–1.7) |
0.6 (0.4–1.0) |
0.7 (0.5–1.0) |
0.5 (0.3–0.8) |
| White, NH |
4.1 (4.0–4.2) |
4.4 (4.3–4.6) |
5.9 (5.7–6.0) |
1.3 (1.2–1.4) |
1.2 (1.1–1.3) |
1.7 (1.6–1.9) |
0.7 (0.4–1.2) |
0.7 (0.6–0.8) |
0.8 (0.7–0.9) |
| Hispanic or Latino (all races) |
11.2 (10.8–11.6) |
9.8 (9.5–10.2) |
12.5 (12.1–12.9) |
1.2 (0.9–1.5) |
0.8 (0.6–1.0) |
1.0 (0.8–1.3) |
0.9 (0.8–1.1) |
1.1 (0.7–1.7) |
0.8 (0.5–1.3) |
| Other** |
4.6 (4.0–5.3) |
5.2 (4.7–5.8) |
8.6 (8.0–9.3) |
1.9 (1.3–2.6) |
1.1 (0.8–1.6) |
1.3 (0.9–1.7) |
0.2 (0–1.4) |
0.1 (0–0.6) |
0.1 (0–0.6) |
| Total |
15.1
(14.9–15.3) |
13.1
(12.9–13.2) |
13.8
(13.6–14.0) |
1.6
(1.5–1.7) |
1.4
(1.3–1.5) |
2.0
(1.9–2.1) |
0.8
(0.7–0.9) |
0.8
(0.7–0.9) |
0.8
(0.7–0.9) |
Abbreviations: AI/AN = American Indian or Alaska Native; NH = non-Hispanic; NH/OPI = Native Hawaiian or other Pacific Islander.
* Cases per 100,000 population. Summed state-specific denominators from 2019–2021 U.S. Census Bureau data were used to calculate incidence for the total grouping for each year.
† Sex was missing for 68 cases, age was missing for 65 cases, and race and ethnicity were missing for 20,749 cases.
§ Sex was missing for five cases, age was missing for five cases, and race and ethnicity were missing for 497 cases.
¶ Race and ethnicity were missing for 48 cases.
** Calculated on the basis of two or more reported race categories.