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Related Experiment Videos

Q fever outbreak in industrial setting.

Hugo C van Woerden1, Brendan W Mason, Lika K Nehaul

  • 1National Public Health Service for Wales, Cardiff, United Kingdom. vanwoerdenh1@cf.ac.uk

Emerging Infectious Diseases
|August 25, 2004
PubMed
Summary

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An outbreak of Q fever occurred in South Wales, linked to a cardboard factory. Drilling into contaminated straw board likely aerosolized Coxiella burnetii, causing infection, especially in office workers.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Occupational Health

Background:

  • Q fever is a zoonotic disease caused by Coxiella burnetii.
  • Outbreaks can occur in occupational settings with potential environmental contamination.
  • Previous Q fever outbreaks have been linked to livestock and parturient animals.

Purpose of the Study:

  • To investigate the source and transmission routes of a Q fever outbreak.
  • To identify risk factors associated with Q fever infection in an occupational cohort.
  • To determine the specific exposure event leading to the outbreak.

Main Methods:

  • A cohort and nested case-control study was conducted among employees and subcontractors at a cardboard manufacturing plant.
  • Data collection included blood sampling for serological testing and questionnaires.

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  • Epidemiological analysis, including epidemic curve and odds ratio calculation, was performed.
  • Main Results:

    • Ninety-five cases of acute Q fever were identified among 282 individuals.
    • The likely exposure period was August 5-9, 2002.
    • Employees in factory offices had a significantly higher risk (OR 3.46) of infection, coinciding with renovation work involving drilling into straw board.

    Conclusions:

    • The Q fever outbreak was likely caused by aerosolization of Coxiella burnetii from contaminated straw board during renovation activities.
    • Occupational exposure in office environments during renovation poses a risk for Q fever transmission.
    • Preventive measures should address potential aerosolization of pathogens in similar occupational settings.