Kings County proclaims August Valley Fever Awareness Month amid rising local cases

Kings County formally recognized August as Valley Fever Awareness Month on Aug. 18 following a public health presentation that highlighted rising case counts, at‑risk groups and the need for clinician and public education.

Public Health Program Manager David Long opened the presentation, explaining that the fungus Coccidioides lives in soil and that spores can become airborne when the soil is disturbed, particularly during dusty or windy conditions. "Exposure doesn't always mean illness," Long said, but he emphasized that early recognition and provider testing can prevent severe outcomes.

Nursing Director Zarina Martinez presented local surveillance figures: "In 2025, 323 Valley Fever cases were reported in Kings County," she said, noting that incidence in Kings County that year was 209.3 per 100,000 — higher than the 93 per 100,000 reported in Fresno County. Martinez identified Avenal and Kettleman City as communities that have consistently experienced a high burden, and she highlighted occupational risks among agricultural and construction workers.

County Health Officer Dr. Milton Tesky recounted a clinical case to illustrate the stakes: he described a patient who presented late with disseminated disease and later died despite extensive care, urging clinicians and residents to ask early, "Could this be Valley Fever?" The board also heard a personal account from Paula Massie, who said her son died after a delayed diagnosis and urged persistent advocacy and community education.

After questions about testing, reinfection and research on environmental sampling, the board voted to adopt the proclamation acknowledging Valley Fever Awareness Month and endorsed continued outreach, clinical training and preparedness initiatives that the public‑health department is coordinating with managed care plans and the CDC guidance.