Sustained intensive transmission of Q fever in the south of the Netherlands, 2009.
The Netherlands is again facing a sharp increase in Q fever notifications, after the unprecedented outbreaks of 2007 and 2008. The most affected province of Noord Brabant has a high density of large dairy goat farms, and farms with abortion waves have been incriminated. Mandatory vaccination of small ruminants has started and should have an effect in 2010. A large multidisciplinary research portfolio is expected to generate better knowledge about transmission and additional control measures.
Schimmer
B
B
Centre for Infectious Disease Control, (CIb), National Institute for Public Health and the Environment, RIVM, Bilthoven, the Netherlands. barbara.schimmer@rivm.nl
Dijkstra
F
F
Vellema
P
P
Schneeberger
P M
PM
Hackert
V
V
ter Schegget
R
R
Wijkmans
C
C
van Duynhoven
Y
Y
van der Hoek
W
W
D000328:Adult; D000818:Animals; D000829:Animals, Domestic / Q000382:microbiology; D003612:Dairying; D018563:Disease Notification; D004196:Disease Outbreaks; D004197:Disease Reservoirs / Q000662:veterinary; D005260:Female; D006041:Goats / Q000382:microbiology; D006801:Humans; D017589:Immunization Programs; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D011778:Q Fever / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission* / Q000662:veterinary