Us map by county population density3/31/2024 Virginia is one of the few states in the United States where NTM infections are reported to a statewide public health agency ( 2) those data are uniquely suited to study the NTM bacterial complex. However, because of scarce public health reporting, little is known about epidemiologic and environmental risk factors for NTM. Nontuberculous mycobacteria (NTM) infections are increasing globally and have thus become pathogens of substantial public health concern ( 1). Our findings suggest that a better understanding of geographic clustering and environmental water exposures could help develop future targeted prevention and control efforts. Self-supplied water use was a protective factor (incidence rate ratio 0.304, 95% CI 0.098–0.950 p = 0.041). Saturated vapor pressure was associated with MAC/ M. abscessus accounted for 17.4% and MAC for 82.6% of cases. abscessus infections in Virginia during 2021–2023. We analyzed laboratory reports of Mycobacterium avium complex (MAC) and M. 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. Because epidemiologic and environmental risk factors for nontuberculous mycobacteria (NTM) have been reported only infrequently, little information exists about those factors.
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