The Q fever epidemic in The Netherlands : history, onset, response and reflection

被引:267
作者
Roest, H. I. J. [1 ]
Tilburg, J. J. H. C. [2 ]
Van der Hoek, W. [3 ]
Vellema, P. [4 ]
Van Zijderveld, F. G. [1 ]
Klaassen, C. H. W. [2 ]
Raoult, D. [5 ]
机构
[1] Cent Vet Inst Wageningen UR, Dept Bacteriol & TSEs, NL-8219 PH Lelystad, Netherlands
[2] Canisius Wilhelmina Hosp, Dept Med Microbiol & Infect Dis, Nijmegen, Netherlands
[3] Natl Inst Publ Hlth & Environm, Ctr Infect Dis Control, NL-3720 BA Bilthoven, Netherlands
[4] Anim Hlth Serv, Dept Small Ruminant Hlth, Deventer, Netherlands
[5] Univ Mediterranee, URM, CNRS IRD UMR 6236, Fac Med, Marseille, France
关键词
Control; Coxiella; outbreaks; Q fever; zoonoses; COXIELLA-BURNETII; OUTBREAK; GOATS;
D O I
10.1017/S0950268810002268
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The 2007-2009 human Q fever epidemic in The Netherlands attracted attention due to its magnitude and duration. The current epidemic and the historical background of Q fever in The Netherlands are reviewed according to national and international publications. Seroprevalence studies suggest that Q fever was endemic in The Netherlands several decades before the disease was diagnosed in dairy goats and dairy sheep. This was in 2005 and the increase in humans started in 2007. Q fever abortions were registered on 30 dairy goat and dairy sheep farms between 2005 and 2009. A total of 3523 human cases were notified between 2007 and 2009. Proximity to aborting small ruminants and high numbers of susceptible humans are probably the main causes of the human Q fever outbreak in The Netherlands. In general good monitoring and surveillance systems are necessary to assess the real magnitude of Q fever.
引用
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页码:1 / 12
页数:12
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