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In contrast to C. neoformans infections, which typically cause meningitis in HIV-infected persons, outbreak-associated C. gattii infections occur primarily in persons without HIV and often cause pneumonia (1 – 3 ).
So you're looking at an 18,000 to 20,000 person outbreak, that the government isn't doing a damn thing about, other than writing letters.
If person-to-person transmission was reported to be one of the possible routes, the outbreak was considered a person-to-person outbreak.
The reasons for this finding are unknown, but intensive case finding efforts during suspected person-to-person outbreak investigations might identify more mild illnesses and asymptomatic patients, decreasing the overall hospitalization rate.
Person-to-person outbreaks peaked during summer; 70% occurred from June to August.
Person-to-person outbreaks were associated with the highest rates of hospitalizationC.
Person-to-person outbreaks occur most frequently in child daycare centers.
Person-to-person outbreaks accounted for the majority of cases of mortalityB.
Foodborne outbreaks showed a significantly weaker seasonality (105/73; ratio 1.43) than person-to-person outbreaks (χ 3.99; p=0.05).
GGII.4 strains were found in 73% of person-to-person outbreaks compared with 44% of food-related outbreaks (p<0.0001).
Person-to-person outbreaks have been better documented, such as those in hospitals [ 32- 37] and day care centers [ 38, 39].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com