Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023

Because epidemiologic and environmental risk factors for nontuberculous mycobacteria (NTM) have been reported only infrequently, little information exists about those factors. The state of Virginia, USA, requires certain ecologic features to be included in reports to the Virginia Department of Heal...

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Main Authors: Brendan Mullen, Eric R. Houpt, Josh Colston, Lea Becker, Sharon Johnson, Laura Young, Jasie Hearn, Joe Falkinham, Scott K. Heysell
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2024-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/30/3/23-1162_article
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author Brendan Mullen
Eric R. Houpt
Josh Colston
Lea Becker
Sharon Johnson
Laura Young
Jasie Hearn
Joe Falkinham
Scott K. Heysell
author_facet Brendan Mullen
Eric R. Houpt
Josh Colston
Lea Becker
Sharon Johnson
Laura Young
Jasie Hearn
Joe Falkinham
Scott K. Heysell
author_sort Brendan Mullen
collection DOAJ
description Because epidemiologic and environmental risk factors for nontuberculous mycobacteria (NTM) have been reported only infrequently, little information exists about those factors. The state of Virginia, USA, requires certain ecologic features to be included in reports to the Virginia Department of Health, presenting a unique opportunity to study those variables. We analyzed laboratory reports of Mycobacterium avium complex (MAC) and M. abscessus infections in Virginia during 2021–2023. MAC/M. abscessus was isolated from 6.19/100,000 persons, and 2.37/100,000 persons had MAC/M. abscessus lung disease. M. abscessus accounted for 17.4% and MAC for 82.6% of cases. Saturated vapor pressure was associated with MAC/M. abscessus prevalence (prevalence ratio 1.414, 95% CI 1.011–1.980; p = 0.043). Self-supplied water use was a protective factor (incidence rate ratio 0.304, 95% CI 0.098–0.950; p = 0.041). Our findings suggest that a better understanding of geographic clustering and environmental water exposures could help develop future targeted prevention and control efforts.
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spelling doaj.art-63e8b006b226462ca3e0e02b3d23a2b62024-02-23T14:01:39ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592024-03-0130354855410.3201/eid3003.231162Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023Brendan MullenEric R. HouptJosh ColstonLea BeckerSharon JohnsonLaura YoungJasie HearnJoe FalkinhamScott K. Heysell Because epidemiologic and environmental risk factors for nontuberculous mycobacteria (NTM) have been reported only infrequently, little information exists about those factors. The state of Virginia, USA, requires certain ecologic features to be included in reports to the Virginia Department of Health, presenting a unique opportunity to study those variables. We analyzed laboratory reports of Mycobacterium avium complex (MAC) and M. abscessus infections in Virginia during 2021–2023. MAC/M. abscessus was isolated from 6.19/100,000 persons, and 2.37/100,000 persons had MAC/M. abscessus lung disease. M. abscessus accounted for 17.4% and MAC for 82.6% of cases. Saturated vapor pressure was associated with MAC/M. abscessus prevalence (prevalence ratio 1.414, 95% CI 1.011–1.980; p = 0.043). Self-supplied water use was a protective factor (incidence rate ratio 0.304, 95% CI 0.098–0.950; p = 0.041). Our findings suggest that a better understanding of geographic clustering and environmental water exposures could help develop future targeted prevention and control efforts. https://wwwnc.cdc.gov/eid/article/30/3/23-1162_articlenontuberculous mycobacteriaMycobacterium abscessusMycobacterium avium complexrespiratory infectionstuberculosis and other mycobacteriaepidemiology
spellingShingle Brendan Mullen
Eric R. Houpt
Josh Colston
Lea Becker
Sharon Johnson
Laura Young
Jasie Hearn
Joe Falkinham
Scott K. Heysell
Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
Emerging Infectious Diseases
nontuberculous mycobacteria
Mycobacterium abscessus
Mycobacterium avium complex
respiratory infections
tuberculosis and other mycobacteria
epidemiology
title Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
title_full Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
title_fullStr Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
title_full_unstemmed Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
title_short Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021–2023
title_sort geographic variation and environmental predictors of nontuberculous mycobacteria in laboratory surveillance virginia usa 2021 2023
topic nontuberculous mycobacteria
Mycobacterium abscessus
Mycobacterium avium complex
respiratory infections
tuberculosis and other mycobacteria
epidemiology
url https://wwwnc.cdc.gov/eid/article/30/3/23-1162_article
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