Sustained intensive transmission of Q fever in the south of the Netherlands, 2009

B Schimmer; F Dijkstra; P Vellema; P M Schneeberger; V Hackert; R ter Schegget; C Wijkmans; Y van Duynhoven; W van der Hoek

doi:10.2807/ese.14.19.19210-en

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Sustained intensive transmission of Q fever in the south of the Netherlands, 2009
B Schimmer¹ , F Dijkstra¹ , P Vellema² , P M Schneeberger³ , V Hackert⁴ , R ter Schegget⁵ , C Wijkmans⁶ , Y van Duynhoven¹ , W van der Hoek¹
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Affiliations: ¹ Centre for Infectious Disease Control, (CIb), National Institute for Public Health and the Environment, RIVM, Bilthoven, the Netherlands ² Animal Health Service (GD), Deventer, the Netherlands ³ Jeroen Bosch Hospital, ’s Hertogenbosch, The Netherlands ⁴ Municipal Health Service South Limburg, Sittard-Geleen, the Netherlands ⁵ Municipal Health Service Brabant-Southeast, Helmond, the Netherlands ⁶ Municipal Health Service “Hart voor Brabant”, ’s Hertogenbosch, the Netherlands

Correspondence:
B Schimmer
barbara.schimmer rivm.nl
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Citation style for this article: Schimmer B, Dijkstra F, Vellema P, Schneeberger P M, Hackert V, ter Schegget R, Wijkmans C, van Duynhoven Y, van der Hoek W. Sustained intensive transmission of Q fever in the south of the Netherlands, 2009. Euro Surveill. 2009;14(19):pii=19210. https://doi.org/10.2807/ese.14.19.19210-en Received: 12 May 2009

Abstract

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.