Q Fever in the United States: Summary of Case Reports from Two National Surveillance Systems, 2000–2012

Autor: Jennifer H. McQuiston, Robert F. Massung, F. Scott Dahlgren, Alicia D. Anderson
Rok vydání: 2015
Předmět:
Zdroj: The American Journal of Tropical Medicine and Hygiene. 92:247-255
ISSN: 1476-1645
0002-9637
Popis: Q fever is a worldwide zoonosis historically associated with exposure to infected livestock. This study summarizes cases of Q fever, a notifiable disease in the United States, reported to the Centers for Disease Control and Prevention through two national surveillance systems with onset during 2000-2012. The overall incidence rate during this time was 0.38 cases per million persons per year. The reported case fatality rate was 2.0%, and the reported hospitaliza- tion rate was 62%. Most cases (61%) did not report exposure to cattle, goats, or sheep, suggesting that clinicians should consider Q fever even in the absence of livestock exposure. The prevalence of drinking raw milk among reported cases of Q fever (8.4%) was more than twice the national prevalence for the practice. Passive surveillance systems for Q fever are likely impacted by underreporting and underdiagnosis because of the nonspecific presentation of Q fever.
Databáze: OpenAIRE