Large Q fever outbreak due to sheep farming near residential areas, Germany, 2005
Large Q fever outbreak due to sheep farming near residential areas, Germany, 2005
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DOI：
10.1017/s0950268807009533
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发表时间：
2008-08-01
影响因子：
4.2
通讯作者：
Alpers, K.
中科院分区：
文献类型：
--
作者：
Gilsdorf, A.;Kroh, C.;Alpers, K.
2005年6月，在德国，在与居民区接壤的草地上放牧和产羔的感染贝氏柯克斯体的绵羊引起了大规模Q热暴发（331例）。我们的暴发调查提供了攻击率（AR）的住所和草地之间的距离，性别和年龄组。距草地50 m范围内人群的AR为11.8%。居住地离草地越远，其降低，在350-400 m距离处降至1.3%（RR 8.7，95%CI 4.5-17.1）。男性的AR更高（RR 1.4，95% CI 1.1-1.8）。在25-64岁年龄组中，AR是其他年龄组的2.3倍（95% CI 1.7-3.0）。距离相关的AR显示感染风险与居住在草甸附近之间的关系。正在进行的城市化可能会导致Q热进一步爆发，因此动物和公共卫生从业人员开展的预防活动应得到协调和加强。
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.