title: Community outbreak of psittacosis in a rural Australian town.
abstract: BACKGROUND
  Health authorities in Victoria, Australia were notified of three men from a rural town with atypical pneumonia, admitted to hospital over 8 days. Initial serological testing suggested Chlamydia psittaci as the cause. We did a case-control study to find risk factors for psittacosis.
  
  
  METHODS
  We searched for cases of pneumonia or severe flu-like illness through family physicians and the regional hospital. We selected three controls per case from the region's electoral roll. We collected blood for serological tests and administered questionnaires to all cases and controls.
  
  
  RESULTS
  We found 16 cases of psittacosis and one died. Most cases were clustered within a small geographical area, with a median age of 58 years (range 23-76), 15 (94%) of whom were male. Keeping, handling, or feeding domestic or wild birds was not associated with illness. Cases spent a median of 17.5 h per week in their garden, compared with a median of 5.2 h for controls (p=0.04) and were more likely to have mowed lawns during the 3 weeks before onset of illness than controls (odds ratio 4.81 [95% CI 1.08-33.37]).
  
  
  CONCLUSIONS
  We showed that psittacosis outbreaks are not limited to direct contact with birds and pose new challenges for disease control. Modifications may be needed to work outdoors to decrease the risk of psittacosis.
authors.affiliation: Infectious Diseases Unit, Department of Human Services, Victoria, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Williams
authors.forename: G
authors.initials: G
authors.lastname: Tallis
authors.forename: C
authors.initials: C
authors.lastname: Dalton
authors.forename: S
authors.initials: S
authors.lastname: Ng
authors.forename: S
authors.initials: S
authors.lastname: Beaton
authors.forename: M
authors.initials: M
authors.lastname: Catton
authors.forename: J
authors.initials: J
authors.lastname: Elliott
authors.forename: J
authors.initials: J
authors.lastname: Carnie
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000453:epidemiology*; D009956:Psittacosis / Q000453:epidemiology*; D012307:Risk Factors; D014739:Victoria / Q000453:epidemiology