Epidemiology of Q Fever in Southeast Europe for a 20-Year Period (2002-2021).

Autor: Pustahija T; Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia. tatjana.pustahija@mf.uns.ac.rs.; Institute of Public Health of Vojvodina, Novi Sad, Serbia. tatjana.pustahija@mf.uns.ac.rs., Medić S; Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Institute of Public Health of Vojvodina, Novi Sad, Serbia., Vuković V; Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Institute of Public Health of Vojvodina, Novi Sad, Serbia., Lozanov-Crvenković Z; Department of Mathematics and Informatics, Faculty of Science, University of Novi Sad, Novi Sad, Serbia., Patić A; Institute of Public Health of Vojvodina, Novi Sad, Serbia.; Department of Microbiology with Parasitology and Immunology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia., Štrbac M; Institute of Public Health of Vojvodina, Novi Sad, Serbia., Jovanović V; Institute of Public Health of Serbia, Belgrade, Serbia., Dimitrijević D; Institute of Public Health of Serbia, Belgrade, Serbia., Milinković M; Institute of Public Health of Serbia, Belgrade, Serbia., Kosanović ML; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia., Maltezou HC; Directorate for Research, Studies and Documentation, National Public Health Organization, Athens, Greece., Mellou K; Department of Epidemiological Surveillance and Interventions, Hellenic Centre for Diseases Control and Prevention, Athens, Greece., Musa S; Department of Epidemiology, Institute for Public Health of the Federation of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina.; Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina., Bakić M; Institute of Public Health of Montenegro, Podgorica, Montenegro., Medenica S; Institute of Public Health of Montenegro, Podgorica, Montenegro., Sokolovska N; Epidemiology with Unit for Pest Control and Laboratory of Entomology, Center for Public Health, Skopje, North, Macedonia., Rodić NV; Public Health Institute of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina.; Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina., Devrnja M; Institute of Public Health of Vojvodina, Novi Sad, Serbia., Ristić M; Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Institute of Public Health of Vojvodina, Novi Sad, Serbia., Petrović V; Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Institute of Public Health of Vojvodina, Novi Sad, Serbia.
Jazyk: angličtina
Zdroj: Journal of epidemiology and global health [J Epidemiol Glob Health] 2024 Sep; Vol. 14 (3), pp. 1305-1318. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1007/s44197-024-00288-4
Abstrakt: This study aimed to assess epidemiological trends of Q fever in six countries of Southeast Europe by analysing surveillance data for 2002-2021 period. In this descriptive analysis, we collected and analysed data on confirmed human Q fever cases, obtained from the national Public Health Institutes of Bosnia and Herzegovina, Croatia, Greece, Montenegro, North Macedonia and Serbia. Overall, 2714 Q fever cases were registered during the 20-year period. The crude average annual notification rate was 0.82 (± 2.06) (95% CI: 0.47-1.16) per 100,000 inhabitants, ranged from 0.06 (± 0.04) (95% CI: 0.04-0.08) /100,000 in Greece to 2.78 (± 4.80) (95% CI: 0.53-5.02) /100,000 in the Republic of Srpska (entity of Bosnia and Herzegovina). Significant declining trends of Q fever age standardized rates were registered in Croatia, the Federation of Bosnia and Herzegovina, North Macedonia and Serbia, with an average annual change of -30.15%; -17.13%; -28.33% and - 24.77%, respectively. An unequal spatial distribution was observed. The highest average age-specific notification rate was reported in the 20-59 age group (0.84 (± 0.40) (95% CI: 0.65-1.02) /100,000). Most cases (53.69%) were reported during the spring. Q fever remains a significant public health threat in this part of Europe. The findings of this study revealed the endemic maintenance of this disease in the including countries, with large regional and subnational disparities in notification rates. A downward trend was found in Q fever notification rates across the study countries with the average notification rate higher than in the EU/EEA, during the same period.
(© 2024. The Author(s).)
Databáze: MEDLINE
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