PIPages
Labs

Theodore C. White

University of Missouri-Kansas City, MO·Public Health & Epidemiology

Fungal infections in the U.S. have become more common and more widespread over the past 40 years.

Fields

Public Health & Epidemiology

Microbiology & Immunology

Earth & Environmental Science

Topics

fungal disease

mycoses

environmental epidemiology

Grants
1 known grant, through Jun 2028

What they work on

  1. Estimate regional U.S. trends in incidence, hospitalization and death from major fungal diseases, using de-identified Oracle/Cerner electronic health records for over 96 million patients after correcting for data biases.
  2. Measure how temperature, precipitation, soil moisture and extreme events such as dust storms and floods affect fungal disease incidence, using time-series analysis of EHR and California coccidioidomycosis surveillance data.
  3. Test whether patient and community factors, such as rural residence, income, comorbidities and housing quality, change the link between environmental exposures and fungal disease outcomes.
  4. Forecast near-term trends in fungal disease incidence across the U.S. from EHR and surveillance data.

More about the research

New fungal pathogens have emerged, resistance to antifungal drugs has risen, and more people have weakened immune systems. Weather and soil may add to this risk. They can change where disease-causing fungi grow, lengthen the season when spores spread, and scatter spores during extreme events. Yet past studies of fungal disease have been too small and too limited in time and place to say clearly who is most at risk and why.

Why it matters

Fungal infections are rising across the U.S., but limited surveillance has left their environmental drivers poorly understood. Identifying how weather, extreme events and patient circumstances raise fungal disease risk could help protect high-risk groups. These include rural, low-income and underinsured patients. Near-term forecasts could alert clinicians and public health agencies to coming increases in infections such as Valley fever.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Using massive, multi-regional EHR data to estimate the impacts of environmental and other risk factors on fungal disease epidemiology in the U.S.

NIH · Jul 2023 – Jun 2028

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The school

University of Missouri-Kansas City: 7 labs on PI Pages, $57M a year on research, 94 research doctorates a year.

More about University of Missouri-Kansas City

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