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It's a disease that we run into in TB control programs in certain areas because it can resemble it on chest X-ray. Most people with it I've encountered did okay with modest or even no treatment, but I had one case who ended up with it chronically and all I could do was suppress it. Trying to control dust and reduce inhalation are right now the best options to prevent it, and everyone acknowledges it's nowhere near enough.

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Yeah, it does not seem like an easy disease to do anything about. Not like we're going to be able to purge it from all the dust.

Absent work on a treatment/cure, best we can probably do is education and maybe get people to wear masks while doing dusty work outside?

It does seem like the medical community isn't really _that_ informed about it either. I basically had to diagnose myself and convince the doctor at the clinic I went to.

The only people who seem that informed about it are whoever writes that "places where certain fungal infections are common" warning in every advert for immunosuppressants.

It's definitely not top of mind for most physicians, no. Even in my hyperspecialized world I need to have a certain level of suspicion, and I've made the diagnosis not infrequently. VF is way underdiagnosed.

Do we not have effective anti fungals?

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