Large Q fever outbreak due to sheep farming near residential areas, Germany, 2005

被引:100
作者
Gilsdorf, A. [1 ,2 ]
Kroh, C. [3 ]
Grimm, S. [3 ]
Jensen, E. [4 ]
Wagner-Wiening, C.
Alpers, K. [2 ]
机构
[1] Field Epidemiol Training Program, Berlin, Germany
[2] Robert Koch Inst, Dept Infect Dis Epidemiol, D-1000 Berlin, Germany
[3] Off Publ Hlth, Jena, Germany
[4] Thuringian State Author Food Safety & Consumer Pr, Weimar, Germany
关键词
D O I
10.1017/S0950268807009533
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In June 2005 Coxiella burnetii-infected sheep, grazing and lambing on a meadow bordering a residential area, caused a large Q fever outbreak (331 cases) in Germany. Our outbreak investigation provided attack rates (AR) by distance between residence and meadow, sex and age groups. The AR of people living within 50 m of the meadow was 11.8 %. It decreased the further the residence was from the meadow, falling to 1.3 % at 350-400 m distance (RR 8.7, 95 % CI 4.5-17.1). The AR was higher in men (RR 1.4, 95 % CI 1.1-1.8). In the 25-64 years age group, the AR was 2.3 times higher compared to other age groups (95 % CI 1.7-3.0). The distance-related AR showed a relationship between risk of infection and living close to the meadow. Ongoing urbanization will probably lead to further Q fever outbreaks, hence prevention activities undertaken by animal and public health practitioners should be aligned and strengthened.
引用
收藏
页码:1084 / 1087
页数:4
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