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

H I J Roest, J J H C Tilburg, W van der Hoek, P Vellema, F G van Zijderveld, C H W Klaassen, D Raoult

Research output: Contribution to journalReview articleAcademicpeer-review

320 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalEpidemiology and Infection
Volume139
Issue number1
DOIs
Publication statusPublished - Jan 2011
Externally publishedYes

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