“…The incidence of Valley fever has increased eightfold from 1998 to 2011 in the endemic areas (Arizona, California, Nevada, New Mexico, and Utah) [ CDC , 2013]. Although little is known of the underlying forces, previous studies have concluded that the overall increasing trend in Valley fever incidence is not explainable through changes in medical practice, disease surveillance, land use, climate, or weather variability alone [ Zender and Talamantes , 2006; Comrie , 2005; Park et al ., 2005; Sprigg et al ., 2014]. …”