Art Reingold提醒,相關疾病在2001年與2011年各約有5000千位病患,2013年則有3298例,雖然案例數字呈現上升,但目前沒有直接證據連結乾旱;但美國亞利桑納州立大學學者John Galgiani表示,雖然潮濕土擾才有助於真菌生長,但是土壤乾燥時容易被風揚起,孢子可藉著空氣飄散數百公里。
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