Sustained intensive transmission of Q fever in the south of the Netherlands, 2009

Author:

Schimmer B1,Dijkstra F1,Vellema P2,Schneeberger P M3,Hackert V4,ter Schegget R5,Wijkmans C6,van Duynhoven Y1,van der Hoek W1

Affiliation:

1. Centre for Infectious Disease Control, (CIb), National Institute for Public Health and the Environment, RIVM, Bilthoven, the Netherlands

2. Animal Health Service (GD), Deventer, the Netherlands

3. Jeroen Bosch Hospital, ’s Hertogenbosch, The Netherlands

4. Municipal Health Service South Limburg, Sittard-Geleen, the Netherlands

5. Municipal Health Service Brabant-Southeast, Helmond, the Netherlands

6. Municipal Health Service “Hart voor Brabant”, ’s Hertogenbosch, the Netherlands

Abstract

The Netherlands is again facing a sharp increase in Q fever notifications, after the unprecedented outbreaks of 2007 and 2008. The most affected province of Noord Brabant has a high density of large dairy goat farms, and farms with abortion waves have been incriminated. Mandatory vaccination of small ruminants has started and should have an effect in 2010. A large multidisciplinary research portfolio is expected to generate better knowledge about transmission and additional control measures.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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