Q-fever in Spain
The following background data on Q-fever in Spain are abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2]
Time and Place:
The first cases of Q-fever in Spain were reported in 1950. Q-fever rates are highest in the Basque region (accounting for 60% of community-acquired pneumonias) and Navarre. Pneumonia is the predominant clinical presentation in the north, and hepatitis in the south. Ten outbreaks were registered during 1981 to 1985. 130 cases of Q-fever were reported in the Basque Country during 1981 to 1984; and 1,261 cases in Gipuzkoa (Basque Country) during 1984 to 2004.
Rates of Q-fever in Spain have been decreasing for over 25 years – see graph:
Prevalence surveys:
5% of community-acquired pneumonia in Palma de Mallorca (1992 to 1994)
18.5% of community-acquired pneumonia (2006 to 2007)
30% of patients with fever exceeding 7 days
20.1% of women with spontaneous abortion vs. 9.7% of controls (Burgos, 2009 to 2010)
13.7% of patients hospitalized with fever lasting 1 to 4 weeks (Grenada, 2000 to 2005)
3% of ovine flocks in northern Spain (1999 to 2003)
22% of sheep flocks in the Basque Country (2009 publication)
5.1% of roe deer (Capreolus capreolus), 4.3% of wild boar (Sus scrofa), 9.1% of European hare (Lepus europaeus), 11% of vultures (Gyps fulvus) , 14% of black kites (Milvus migrans) and 0% of associated ticks (Basque region, 2010 publication)
Coxiella burnetii has been detected in ticks...
Source: GIDEON blog - Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: Ebooks Epidemiology Graphs ProMED Q-fever Spain Source Type: blogs
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