The Brief

Cases of valley fever — a lung infection that can cause severe sickness in some people — are rising across California. And state health officials said they’re seeing an increasing number of cases of the disease reported outside the Central Valley and Central Coast areas where valley fever is traditionally most common.

In the first half of this year alone, more than 5,300 people in California have caught valley fever — including five people who contracted the disease after attending the Lightning in a Bottle music festival outside Bakersfield, according to the California Department of Public Health. These cases “occurred among people who traveled through Kern County, California, to attend the outdoor music festival,” officials said.

Three of the festivalgoers were hospitalized with the condition, which is not contagious. More people among the 20,000-plus attendees at the festival may have been affected.

While valley fever has been present in the Western U.S. for years, the frequency of cases has gone up in recent years. According to new research funded by the National Institutes of Health, the number of valley fever cases tripled between 2014 and 2018 — and then tripled again between 2018 and 2022. Overall, the infection rate has increased by 800% over the past 20 years.

“We are observing quite a bit of expansion of valley fever in California,” CDPH epidemiologist Gail Cooksey told health care professionals at a briefing last week, as reported by the San Francisco Chronicle. “Something you may not have previously thought was in your [backyard] may start to emerge in those areas.”

Climate and health experts believe that changing climate conditions are contributing to the increase, with whiplashed cycles of wet weather followed by drought creating an ideal environment for the fungus that causes valley fever to thrive.

• Read more about the link between valley fever and climate change.

This all means that folks who were previously unfamiliar with valley fever — or have assumed the disease is unlikely to affect them personally — might benefit from knowing more about this condition and its symptoms. Keep reading for how to spot valley fever, who is most at risk of getting seriously sick and how to seek testing and treatment.

What is valley fever, and how do people catch it?

Valley fever is a lung infection that’s caused by a fungus called coccidioides (or “cocci”), which lives in soil in certain areas of California and the Southwestern U.S.

When soil that’s contaminated with cocci is kicked up or otherwise disturbed, infectious spores — that is, tiny particles — are released into the air and can be inhaled by people and animals. From there, cocci can enter the lungs and cause the disease known as valley fever (or coccidioidomycosis), resulting in symptoms that resemble pneumonia.

“You can get valley fever from just one breath of dust from outdoor air that contains spores of the valley fever fungus,” CDPH said. That said, the disease is “something that we think is much more common to get if you’re exposed to large amounts of dust,” said Alexandra Heaney, an assistant professor of public health at UC San Diego.

Anyone can get valley fever, but CDPH said that people who live, work, or travel in areas with high rates of valley fever are particularly at risk — especially people who are near areas where dirt and soil are stirred up, like construction, landscaping or archeological sites.

Pets can also be infected with valley fever and present different symptoms than humans.

Where am I most at risk from valley fever?

“Valley fever” itself is named for the San Joaquin Valley, where the majority of cases have historically been concentrated within California. But the disease is no longer limited to the Central Valley and Central Coast areas, where many people associate it with most. State health officials said that “more and more cases” have been recently reported in Central and Southern California.

Travel to these areas poses a risk of contracting valley fever. In the first half of 2024, 300 cases of the disease were reported in residents of the nine-county Bay Area. In that same timeframe, 35% of all cases of valley fever in California were reported in Kern County, where the Lightning in the Bottle festival took place outside Bakersfield in May.

• See the California Department of Public Health’s map of areas where valley fever has been detected.

To complicate matters when it comes to the geography of the disease, the fungus that causes valley fever can travel some distance in the air. “So even if you don’t live in the region, you still might be exposed,” Katrina Hoyer, an immunologist at UC Merced, told CalMatters.

Wildfire smoke, which can already travel huge distances and cause health complications, could also contribute to the spread of the cocci fungus. According to a 2020 paper published in the journal Science, the spores that cause valley fever can essentially hitch a ride with this smoke and travel hundreds — even thousands — of miles into areas where the disease isn’t usually common.

Is there a particular time of year I’m most at risk from valley fever?

People can get valley fever any time of the year, according to CDPH — but a person is “more likely” to be infected in the late summer and fall than at other times of the year.

“We’re going into the season for valley fever right now,” state epidemiologist Cooksey warned health professionals in mid-August — noting that it was “definitely time to watch out for increases.”

What are the symptoms of valley fever?

Not everyone who is exposed to the cocci fungus will get valley fever. But those who do can get the following symptoms:

• Fatigue
• Cough
• Fever and headache
• Shortness of breath
• Night sweats
• Muscle aches or joint pain
• A rash on upper body or legs

The symptoms of valley fever can last for anywhere from a week to a few months, but health officials advise that if symptoms last for more than a week, you should contact your healthcare provider.

Is valley fever contagious if I get it?

No: Valley fever is a respiratory disease, but it isn’t contagious in the way that COVID-19 or the flu is. Other people with valley fever can’t infect you, and if you get it, you can’t infect others either.

How will I know if my symptoms are really valley fever? Is there a test?

Valley fever has a fairly long incubation period, which can cause confusion when pinpointing the source of a sickness. Symptoms don’t show up straight away — rather, they take between one and three weeks to start. Several of the symptoms of valley fever can be easily confused with COVID-19, including fever, cough, fatigue, and body aches.

All this means that “the only way to find out if you have Valley fever is to see a doctor,” CDPH said. A blood test or a skin test can be used to diagnose valley fever and is available from health care providers.

CDPH recommends that when you see a doctor, “think about any recent outdoor exposures to dirt and dust you may have had, especially if you work outdoors or have recently traveled to or through areas where valley fever is common.” You’ll also be asked if you’ve had any symptoms for more than a week.

How dangerous is valley fever, and what treatment is available?

The CDC said that many people who get sick with valley fever have “mild symptoms,” and they’ll “often get better without medication within a few months.”

However, some people who are at higher risk for severe disease from valley fever (see below) should seek treatment to make sure their infection doesn’t get worse. Currently, this treatment is a three- to six-month course of oral antifungal medication like fluconazole.

“Rarely,” valley fever can result in severe lung infections or infections throughout the body, according to the CDC. The agency said that around 5%–10% of people who get valley fever will develop “serious or long-term problems in their lungs,” and in around 1% of cases, the valley fever infection can spread from the lungs to elsewhere in the body, including the brain and nervous system, skin or bones.

In “extremely rare cases,” the agency said, the spores from the cocci fungus can enter your skin through a cut or even a splinter and cause an infection that way.

Who’s most at risk of developing severe disease from valley fever?

CDPH said these groups include:

• Older adults (60+ years old)
• People who are Black or Filipino
• Pregnant people, especially in the later stages of pregnancy
• People with diabetes
• People with health conditions that weaken the immune system, such as cancer, HIV, autoimmune illnesses, treatment with medications that affect the immune system like chemotherapy and steroids, and organ transplant recipients.

What can I do to lower my risk of getting valley fever?

There currently is no vaccine against valley fever, according to the CDC, but “scientists are continuing to work on a vaccine to prevent valley fever with minimal side effects.”

Moreover, the CDC acknowledges that it’s “very difficult” to avoid breathing in this type of fungus “in areas where it lives in the environment.”

What to do when you’re driving through an area where valley fever is common

CDPH advised that you keep all car windows closed and use the “recirculating air” button in your car if you have one (it’s the button with the symbol of a car with a looping arrow inside it.)

When your recirculating air is on, your car will stop taking in any air from the outside — and instead, your AC will recirculate the air that’s already inside your car. This will help prevent dust carrying this fungus from entering your car while still keeping the inside of your car cool.

What to do if you’re visiting where valley fever is common

Locations like construction and excavation sites can pose more risk, as the cocci fungal spores can travel into the air when dust is kicked up. The CDC said that if you can’t avoid these areas outright, you should wear a fitted N95 mask and stay inside during dust storms.

The agency also recommended using air filtration or air conditioning indoors and avoiding activities like gardening that involve “contact with soil.” UC San Diego’s Heaney noted that when activities like gardening or construction are unavoidable, “wetting down soil before doing any of that disruption can help prevent the emission of dust” and help reduce your valley fever risks.

KQED’s Katie DeBenedetti and Riley Cooke contributed to this story.

Longtime Republican Rep. Darrell Issa will not seek reelection, he announced Friday.

His decision comes four months after his San Diego-area congressional district was redrawn to favor Democrats, and shortly after San Diego County Supervisor Jim Desmond, a Republican, filed papers to run in the same district.

Issa, a longtime GOP stalwart, said that he was endorsing Desmond in a statement announcing his decision to retire.

“This decision has been on my mind for a while, and I didn’t make it lightly,” he said. “But after a quarter century in Congress — and before that, a quarter century in business — it’s the right time for a new chapter and new challenges.”

A history of reshuffling

Issa represented the San Diego area in Congress for more than 20 years. He briefly retired in 2019 when his seat, now represented by Democrat Mike Levin, became more competitive. He returned to Congress in 2021 after winning a seat in the 50th District, which was redrawn after statewide redistricting later that year. He moved to his current seat in the 48th District in 2023.

The newly configured seat attracted a slew of Democratic challengers after it became more competitive when voters approved Proposition 50 last fall. The redistricting measure was designed to give Democrats up to five additional seats in the U.S. House and counter similar redistricting efforts in other states that favored Republicans.

Desmond had previously announced that he would run in the 49th District against Levin.

“They drew me into this district, but the truth is, I’ve been serving this community for years,” Desmond said in a statement to CalMatters. Prior to Prop. 50, Desmond lived in the 49th District. He now lives in the 48th. “I’ll fight every single day to make life more affordable, more safe, and more free.”

Crowded field of Democrats

In the 48th District, two Democratic candidates — Ammar Campa-Najjar, a former opponent of Issa, and San Diego city council member Marni von Wilpert — lead a crowded field eager to flip the district blue. No candidate garnered enough support for the party’s endorsement last month.

California Republicans have been reshuffling for months as their districts were redrawn.

Republican Rep. Ken Calvert, one of the longest-serving members in Congress, is now running in the 40th District against Republican incumbent Young Kim of Orange County. His present district, the neighboring 41st, was moved entirely out of conservative pockets of Riverside County to Los Angeles County.

Issa briefly contemplated a congressional run in Texas in December after the new districts were created but decided against it.

It must have been about 10 years ago when I was running in the L.A. Marathon and had worked my way through the early miles along Sunset Boulevard, through downtown L.A. and up Temple Street.

On crossing the 101 Freeway into historic residential Echo Park, I see them: the hand-painted signs, lined up one after another: “Super Sloppy,” “Chili Cheese Dogz.” Then “BAD IDEA?” … “Maybe, Maybe not!”

Then I hear the music, and cheering from the neighbors who’ve come out to see who will tempt gastric disaster for some spicy, drippy chili and yellow American cheese atop nitrate-laced tube steaks.

Did I grab a chili cheese dog? No. I have never dared to take anything more than photos at the stand, given that I still have, at about Mile 5, 21 more miles to run, and running with the “runs” is not my thing.

But Marvin Suntonvipart did in 2016, he said, because he was undertrained and going at a slow jog. He figured it wouldn’t hurt.

“Digestive speed,” he called it. And the roadside snack? “It was good, highly recommended.”

The chili cheese dogs, free to marathon participants, have been the brainchild of artist and puppeteer Julianna Parr and her friend Alex Kenefick since 2011

“He ran up to me breathlessly and said I have this idea where we serve super sloppy chili cheese dogs to marathon runners. And I said to him 'That's a terrible idea. When do we start?'" Parr said.

This will be their 13th year serving marathoners, having skipped a few during the pandemic.

“It’s a happening,” Parr said, adding that she still gets a kick thinking about the runners’ reactions when they turn the corner off the freeway and see the signs leading them to free chili cheese dogs.

“We know that you're expecting to make choices about how you'll run, how fast you'll run, how slow you'll run, how you're going to pace, you've been doing this maybe for months to train, but we know that you have one choice that you probably did not bank on and that would be whether you're going to eat a super sloppy chili cheese dog,” she said.

The food is prepped outdoors on site starting at 5 a.m. Marathon Sunday using camp stoves and heated chafing dishes to keep everything at a safe temperature. Then, the group waits for the athletes to come through. The race starts at Dodger Stadium before 7 a.m. First to pass their stand are the wheelchair racers, then the pro men and women runners and then amateur elites, who are too fast to try to stop.

Soon, by about 8 a.m., there is a trickle of takers. And then the masses arrive.

David Winslow of Culver City partakes of a free chili cheese dog in the fifth mile of the L.A. Marathon in March 2020.

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Courtesy David Winslow

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“We just get mobbed,” she said. “People will try to grab them out of the hot vat. And I go, ‘Back, back!’ Like that's when they get wild, and they don't have common sense anymore and that's [just] at Mile 5."

The stunt costs about $700 each year to put together, which Parr and friends have footed. But this year, for the first time, she has put up a website to sell merch, including stickers, hats, tote bags and mugs. I think it will be a very “locals only” statement to be walking around with a Super Sloppy Chili Cheese Dog tote bag.

Runner Diana Kitching said she picks up a free dog almost every year when she passes by. In fact, in 2024, as a breastfeeding mom whose marathon pace was slowed with a few breaks to pump, she had two!

Unsurprisingly, the chili cheese dogs are most attractive to runners on a more relaxed and fun pace, those who are not taking their marathon times too seriously.

That was the case for David Winslow one year, when he was running with a group of cancer survivors and living kidney and liver organ donors.

“Each time you see the chili guys it’s like, ‘Who would be that crazy and stupid?’ You see guys grab them and go for it, and you shake your head," Winslow said.

But in 2019 and 2020, as he and his survivor and donor friends rounded the turn over the freeway, something changed.

“We just said, ‘Hey, we HAVE to do this!’ And I do not regret it. One of the craziest things to do during a race," Winslow said.

Playwright and performance artist Kristina Wong has eaten bagel and lox and baklava while taking on the L.A. Marathon, but she draws the line at a chili cheese dog.

“These hot dog portions look downright diarrhea-sized,” Wong said.

And runner O. Gary Pealer said he’d eat one at Mile 5 if they also served beer to wash it down.

But in my experience, the people pouring free beer are usually at Mile 20.

Jubilations to the sky! Have you heard the news? Costco is now selling Heinz baked beans. Thank you Costco! And not just that… the British kind!

(Ask any Brit you know who has tried American baked beans. They just taste .... different. Much too sweet. We don’t tend to show much emotion generally but a disappointment like that is not easily gotten over. I’ve seen weeping in the streets.)

And if there are now easily accessed British baked beans in L.A., that means there will be beans on toast at my house. I know that Americans generally don’t get it. As someone once said to me, "you can have beans. You can have toast. But why would you put the beans on the toast?" Because, dear American, you did not grow up in a country where you can put pretty much anything on toast.

Baked beans are now being sold at Costco!

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Suzanne Levy

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LAist

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You see, we got used to putting things on toast during World War II — rationing and making do and all that. Bread was cheap and available, so why not make it the base of some delicious dishes? Mashed banana on toast? Yummy. Sardines? With a bit of vinegar, lovely. And how about spaghetti hoops? That one really blows American minds. "Wait, you put pasta on toast? Carb on carb?" Yes sir, and it tastes heavenly. The tomato sauce slowly seeps into the toast below, making for a wonderfully gooey texture. It is a work of art.

(There’s also cheese on toast, also known as Welsh rabbit, which I always thought was odd given we were not in Wales and there was no long-eared animal involved, but apparently it’s a corruption of the word rarebit. In case you were wondering).

Like mac and cheese

Beaked beans on toast. Yum

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Suzanne Levy

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LAist

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But for us beans on toast is the most loved option. We all grow up on it, an affordable go-to for weary mums. In many ways, beans on toast is our mac and cheese. Bland yet tasty, the perfect comfort food. For years as an adult, when I went back home for a visit from America, I’d ask my mum to have beans on toast waiting for me when I walked in.

I’m happy to say I’ve got my daughter into baked beans on toast. She resisted at first but now loves it. My American husband has never really developed a taste but understands its centrality in my life. Early on when we were dating, I asked him for egg, beans and toast. As in scrambled eggs, baked beans and toast, a classic breakfast combo.

When he’d made it he walked in and asked if it should be toast, egg and then the beans on top, or toast, beans and then the egg. I almost sputtered. Of course the beans have to go on top of the egg! What are we, peasants? The heavy egg would squash the beans and unbalance the whole precarious structure! He’s never made that mistake again. And has become an expert in making a lovely cup of tea.

So if you see me, feel free to join me in celebrating this major baked bean news. I may have baked beans on toast every night for dinner this week. Just because! It brings a little bit of Britain to my home. There is a New Yorker cartoon which has a man asking a waiter for baked beans on toast. “I’m not British,” he says. “I’m just crazy.” That cartoon is now on my wall.

You may know the sounds of parrots screeching pretty well. They’re now definitely part of L.A.'s soundscape, even though they're not native to Southern California and only started multiplying a few decades ago, thriving in our urban jungle.

Researchers at Occidental College, with the Free Flying Los Angeles Parrot Project, have been studying one species in particular to see how they’re adapting to life in the L.A. basin.

The standout parrot

About nine species of parrots, native to South and Central America, fly around the region, according to John McCormack, who’s the director and curator of the Moore Laboratory of Zoology at Occidental College.

He says it’s not clear how they got here. Urban legends say these birds are descendants of parrots that escaped the pet trade, or broke free from homes and aviaries. Regardless, they’ve stuck around.

One of those species is the nanday parakeet, which are known for their rich green bodies, with blue-tinged tails and wings, and dark heads. They showed up in the 1980s and roost in our native Sycamore trees. McCormack says over the years they’ve acted differently from other species.

Nanday parakeets eat fuzzy Sycamore balls instead of local fruits, like the loquats that other parrots love. They also don’t fly as far as nandays would typically do in their native habitats, which includes Brazil and Argentina, or as far as other parrots do here.

“ The nandays had not spread all over the city,” he said. “They’d remained pretty confined to the canyons around Malibu.”

McCormack says the conditions here are different than back home, so that left them with a question:  If they were able to make that switch to L.A. County, why have they not spread beyond Malibu? Only a small portion of their habitat was impacted by the Palisades Fire.

(Russell Campbell/Courtesy Free-Flying Los Angeles Parrot Project)

Flapping to new frontiers

One of the ideas the team investigated was whether the nanday parakeets stayed put because there weren’t any suitable habitats around.

At the time of their analysis, the team found multiple areas where nandays could potentially thrive but hadn’t been spotted in yet. That included a coastal-facing canyon near Fillmore, next to Thousand Oaks, with sycamores.

John McCormack's lab has multiple parrot study specimens.

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Cato Hernández

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LAist

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Then, during their research, they noticed something had changed in that area.

“Lo and behold, we see on iNaturalist that, in fact, there has been this little persisting block of them in the canyon,” he said.

A small group of nanday parakeets have been there for about six months — the first stable population above the 101. Brenda Ramirez, a  research technician on the project, says the community science observations on iNaturalist is what makes their work possible.

“People always get so excited about these birds, and so it’s really wonderful that they get included in our research,” she said.

It’s not clear how the nandays got to these canyons. There’s a possibility it could be a repeat of the past — the birds may have escaped or been released from somewhere nearby.

Or, it could be a sign of changing behavior. Historically, nandays have been reluctant to cross infrastructure like the 101 Freeway. (Maybe they took a page from L.A.’s departed legend, the mountain lion P-22?)

McCormack says it goes to show that if given enough time in the parrot world, interesting things can happen. Next, his team will look into the birds’ DNA to see if there are other signs parrots are adapting to urban life.