Visits on ‘lamb-viewing days’ at a sheep farm open to the public was a risk factor for Q fever in 2009
Autor: | B. Schimmer, R. ter Schegget, W. van der Hoek, A. de Bruin, Jane Whelan, M. Robert-Du Ry Van Beest Holle |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Epidemiology Q fever Logistic regression Risk Assessment Young Adult Zoonoses medicine Animals Humans Risk factor Aged Netherlands Aged 80 and over Past medical history Sheep business.industry Case-control study Environmental Exposure Odds ratio Middle Aged medicine.disease Confidence interval Vaccination Infectious Diseases Animals Domestic Case-Control Studies Female Q Fever business Demography |
Zdroj: | Epidemiology and Infection. 140:858-864 |
ISSN: | 1469-4409 0950-2688 |
Popis: | SUMMARYBetween February and May 2009, 347 laboratory-confirmed cases of acute Q fever were reported in a southern municipal health service region in The Netherlands. Commercial dairy-goat farms were implicated and control measures were initially targeted there. A preliminary investigation also implicated a non-dairy sheep farm, open to the public on ‘lamb-viewing days’. This study tested the association between visiting the non-dairy sheep farm and developing Q fever in residents of the region between February and May 2009. A case-control study of 146 cases and 431 address-matched controls was conducted. Multivariable logistic regression analysis confirmed the association between visiting to the sheep farm and Q fever disease (matched odds ratio 43, 95% confidence interval 9–200). Other risk factors were being a smoker, having a past medical history and being aged >40 years. Vaccination of sheep and goats on farms open to the public should help to reduce the number of future human cases. |
Databáze: | OpenAIRE |
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