{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T06:03:40Z","timestamp":1784268220307,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    In recent years, several large outbreaks have shown that Q fever is a serious disease that unfortunately is underreported in Europe. Furthermore, no seroprevalence data for\n                    <jats:italic>Coxiella burnetii<\/jats:italic>\n                    in the general German population are available. The aim of this study is to examine the seroprevalence of\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    in a normal, non\u2010risk population in Germany. To this end, blood donors in the federal states Baden\u2010Wuerttemberg and Hesse were screened for\n                    <jats:italic>C. burnetii\u2010<\/jats:italic>\n                    specific antibodies as well as associated risk factors. Of over 5000 participants without prior knowledge of a\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    infection, 153 (2.96%) were seropositive for anti\u2010\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    antibodies. Place of residence and contact with animals represent increased risk factors, as do occupations closely related to animals. Furthermore, it was shown that in high\u2010risk occupations, prevalence is higher in younger age groups than in older ones.\n                  <\/jats:p>","DOI":"10.1002\/puh2.70284","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T11:02:44Z","timestamp":1781607764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Coxiella burnetii<\/i>\n                    Infection Among Blood Donors From Baden\u2010Wuerttemberg Province and Hesse Province, Germany: A Multicentre Cross\u2010Sectional Serological Study"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2803-1907","authenticated-orcid":false,"given":"Larissa","family":"Dangel","sequence":"first","affiliation":[{"name":"State Health Office, Ministry of Social Affairs Health and Integration Baden\u2010Wuerttemberg  Stuttgart Germany"},{"name":"ECDC Fellowship Programme Public Health Microbiology Path (EUPHEM), European Centre for Disease Prevention and Control (ECDC)  Stockholm Sweden"},{"name":"Q Fever Consulting Laboratory Baden\u2010W\u00fcrttemberg State Health Office  Stuttgart Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Hummel","sequence":"additional","affiliation":[{"name":"State Health Office, Ministry of Social Affairs Health and Integration Baden\u2010Wuerttemberg  Stuttgart Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkhard A. J.","family":"Kempf","sequence":"additional","affiliation":[{"name":"Institute of Medical Microbiology and Infection Control Goethe University  Frankfurt\/Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Faber","sequence":"additional","affiliation":[{"name":"Department for Infectious Disease Epidemiology Robert Koch Institute  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Hourfar","sequence":"additional","affiliation":[{"name":"German Red Cross, Baden\u2010Wuerttemberg\u2010Hesse Institute of Transfusion Medicine and Immuno\u2010Hemotherapy Goethe University  Frankfurt\/Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brockmann","family":"Stefan","sequence":"additional","affiliation":[{"name":"State Health Office, Ministry of Social Affairs Health and Integration Baden\u2010Wuerttemberg  Stuttgart Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Eichner","sequence":"additional","affiliation":[{"name":"Institute for Clinical Epidemiology and Applied Biometrics University of Tuebingen  Tuebingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke F.","family":"Fischer","sequence":"additional","affiliation":[{"name":"State Health Office, Ministry of Social Affairs Health and Integration Baden\u2010Wuerttemberg  Stuttgart Germany"},{"name":"Q Fever Consulting Laboratory Baden\u2010W\u00fcrttemberg State Health Office  Stuttgart Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.12.4.518"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326\u20105377.1937.tb43743.x"},{"issue":"12","key":"e_1_2_12_4_1","first-page":"382","article-title":"Q Fever in the Netherlands From 2007 to 2010","volume":"68","author":"Delsing C. 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E.Rousset P.Gasqui et\u00a0al. \u201cCoxiella burnetiiCirculation in a Naturally Infected Flock of Sheep: Individual Follow\u2010Up of Antibodies in Serum and Milk \u201dApplied and Environmental Microbiology83(2017): e00222\u201317 https:\/\/doi.org\/10.1128\/AEM.00222\u201017.","DOI":"10.1128\/AEM.00222-17"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/vbz.2009.0101"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1086\/321878"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.00613\u201012"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268812000404"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.00213\u201019"},{"key":"e_1_2_12_23_1","unstructured":"Statistischen Bundesamt Daten aus dem Gemeindeverzeichnis Grad der Verst\u00e4dterung nach Fl\u00e4che Bev\u00f6lkerung und Bev\u00f6lkerungsdichte EU\u2010Grad der Verst\u00e4dterung (Statistischen Bundesamt 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