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Abstract zur Publikation: Q fever outbreak - Germany, 1996

Lyytikäinen O, Petersen L, Schwartländer B, Matzdorff P, Kuhnen C, Burger C, Krug W, Ziese T (1997): Q fever outbreak - Germany, 1996
Morbidity and Mortality Weekly Report 46 (2): 29-32.

An outbreak of Q fever (caused by Coxiella burnetii) occurred in May 1996 in and around Rollshausen, district of Lohra, Hessen, Germany. A retrospective cohort study of all Rollshausen residents aged more than or equal to 15 years was conducted, with a questionnaire (distributed 10-11 July), antibody testing and survey of doctors and hospitals in the area. 49 of the 200 residents (of the 239 eligible) who submitted a blood sample and/or completed a questionnaire had either clinical or laboratory-confirmed cases of Q fever. Onset of illness occurred from January to June. Risk for Q fever was 2-fold greater among residents who reported proximity to sheep than those without this exposure, and in residents who reported walking near a large sheep farm. Cases were also identified in 12 persons residing in towns other than Rollshausen. Of 20 sheep tested from the large flock, 15 were positive for C. burnetii antibodies. The large sheep farm was the most likely source of the outbreak, and the principal mode of transmission was believed to be airborne.

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