{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:57:05Z","timestamp":1791305825149,"version":"4.3.1"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2007,9,25]],"date-time":"2007-09-25T00:00:00Z","timestamp":1190678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>In June 2005 <jats:italic>Coxiella burnetii<\/jats:italic>-infected sheep, grazing and lambing on a meadow bordering a residential area, caused a large Q fever outbreak (331 cases) in Germany. Our outbreak investigation provided attack rates (AR) by distance between residence and meadow, sex and age groups. The AR of people living within 50\u00a0m of the meadow was 11\u00b78%. It decreased the further the residence was from the meadow, falling to 1\u00b73% at 350\u2013400\u00a0m distance (RR 8\u00b77, 95% CI 4\u00b75\u201317\u00b71). The AR was higher in men (RR 1\u00b74, 95% CI 1\u00b71\u20131\u00b78). In the 25\u201364 years age group, the AR was 2\u00b73 times higher compared to other age groups (95% CI 1\u00b77\u20133\u00b70). The distance-related AR showed a relationship between risk of infection and living close to the meadow. Ongoing urbanization will probably lead to further Q fever outbreaks, hence prevention activities undertaken by animal and public health practitioners should be aligned and strengthened.<\/jats:p>","DOI":"10.1017\/s0950268807009533","type":"journal-article","created":{"date-parts":[[2007,9,25]],"date-time":"2007-09-25T06:35:06Z","timestamp":1190702106000},"page":"1084-1087","source":"Crossref","is-referenced-by-count":95,"title":["Large Q fever outbreak due to sheep farming near residential areas, Germany, 2005"],"prefix":"10.1017","volume":"136","author":[{"given":"A.","family":"GILSDORF","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"KROH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"GRIMM","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"JENSEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"WAGNER-WIENING","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"ALPERS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,9,25]]},"reference":[{"key":"S0950268807009533_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68266-4"},{"key":"S0950268807009533_ref007","doi-asserted-by":"publisher","DOI":"10.1086\/380798"},{"key":"S0950268807009533_ref006","doi-asserted-by":"crossref","first-page":"789","DOI":"10.3201\/eid0705.010504","volume":"7","author":"Hellenbrand","year":"2001","journal-title":"Emerging Infectious Diseases"},{"key":"S0950268807009533_ref005","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-6-147"},{"key":"S0950268807009533_ref010","volume-title":"RKI-Ratgeber Infektionskrankheiten-Merkbl?tter f?r ?rzte","author":"none","year":"2003"},{"key":"S0950268807009533_ref003","first-page":"180","volume":"1","author":"Hawker","year":"1998","journal-title":"Communicable Disease and Public Health"},{"key":"S0950268807009533_ref002","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1128\/CMR.12.4.518","volume":"12","author":"Maurin","year":"1999","journal-title":"Clinical Microbiology Reviews"},{"key":"S0950268807009533_ref001","doi-asserted-by":"publisher","DOI":"10.1007\/BF01647731"},{"key":"S0950268807009533_ref009","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/16.2.282"},{"key":"S0950268807009533_ref004","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.6.701"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268807009533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T18:57:03Z","timestamp":1556650623000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268807009533\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,9,25]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["S0950268807009533"],"URL":"https:\/\/doi.org\/10.1017\/s0950268807009533","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,9,25]]}}}