{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:49:49Z","timestamp":1761662989981},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T00:00:00Z","timestamp":1313020800000},"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":[[2012,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Between February and May 2009, 347 laboratory-confirmed cases of acute Q fever were reported in a southern municipal health service region in The Netherlands. Commercial dairy-goat farms were implicated and control measures were initially targeted there. A preliminary investigation also implicated a non-dairy sheep farm, open to the public on \u2018lamb-viewing days\u2019. This study tested the association between visiting the non-dairy sheep farm and developing Q fever in residents of the region between February and May 2009. A case-control study of 146 cases and 431 address-matched controls was conducted. Multivariable logistic regression analysis confirmed the association between visiting to the sheep farm and Q fever disease (matched odds ratio 43, 95% confidence interval 9\u2013200). Other risk factors were being a smoker, having a past medical history and being aged &gt;40 years. Vaccination of sheep and goats on farms open to the public should help to reduce the number of future human cases.<\/jats:p>","DOI":"10.1017\/s0950268811001427","type":"journal-article","created":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T13:58:45Z","timestamp":1313071125000},"page":"858-864","source":"Crossref","is-referenced-by-count":23,"title":["Visits on \u2018lamb-viewing days\u2019 at a sheep farm open to the public was a risk factor for Q fever in 2009"],"prefix":"10.1017","volume":"140","author":[{"given":"J.","family":"WHELAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"SCHIMMER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"DE BRUIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. ROBERT-DU RY","family":"VAN BEEST HOLLE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"VAN DER HOEK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"TER SCHEGGET","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,8,11]]},"reference":[{"key":"S0950268811001427_ref009","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268808001908"},{"key":"S0950268811001427_ref007","volume-title":"Control of Communicable Diseases Manual","author":"Heymann","year":"2008"},{"key":"S0950268811001427_ref008","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2008.112797"},{"key":"S0950268811001427_ref012","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007452503863"},{"key":"S0950268811001427_ref011","first-page":"180","article-title":"A large outbreak of Q fever in the West Midlands: windborne spread into a metropolitan area?","volume":"1","author":"Hawker","year":"1998","journal-title":"Communicable Disease and Public Health"},{"key":"S0950268811001427_ref005","unstructured":"5. Q fever Evaluation Commission. Q fever policy in the Netherlands 2005\u20132010 [in Dutch], 2010 (http:\/\/www.rijksoverheid.nl\/documenten-en-publicaties\/rapporten\/2010\/11\/22\/van-verwerping-tot-verheffing.html). Accessed 5 December 2010."},{"key":"S0950268811001427_ref001","first-page":"385","article-title":"Q fever studies XVIII. Presence of Coxiella burnetii in the birth fluids of naturally infected sheep","volume":"58","author":"Abinanti","year":"1953","journal-title":"American Journal of Hygiene"},{"key":"S0950268811001427_ref016","unstructured":"16. Ministry of Agriculture Nature and Food Quality. Hygiene protocol for goat and sheep farms with a public function, 2010 (http:\/\/www.rijksoverheid.nl\/documenten-en-publicaties\/rapporten\/2010\/01\/27\/hygieneprotocol-voor-geiten-en-schapenbedrijven-met-een-publieke-functie.html). Accessed 3 December 2010."},{"key":"S0950268811001427_ref013","doi-asserted-by":"publisher","DOI":"10.1017\/S095026881000021X"},{"key":"S0950268811001427_ref015","unstructured":"15. Province of North Brabant. Brabant in figures. Leisure Industry Trend Report, 2010 (http:\/\/www.vrijetijdshuis.nl\/wp-content\/uploads\/2010\/05\/Totaal-Trendrapport2.pdf). Accessed 10 December 2010."},{"key":"S0950268811001427_ref017","doi-asserted-by":"crossref","DOI":"10.2807\/ese.15.12.19520-en","article-title":"Q fever in the Netherlands: an update on the epidemiology and control measures","volume":"15","author":"van der Hoek","year":"2010","journal-title":"Eurosurveillance"},{"key":"S0950268811001427_ref006","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-69"},{"key":"S0950268811001427_ref014","article-title":"Coxiella burnetii infection among blood donors during the 2009 Q-fever outbreak in the Netherlands","author":"Hogema","journal-title":"Transfusion"},{"key":"S0950268811001427_ref003","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-6-147"},{"key":"S0950268811001427_ref002","doi-asserted-by":"publisher","DOI":"10.1007\/BF01647731"},{"key":"S0950268811001427_ref018","unstructured":"18. Netherlands Foundation for Petting Zoos (SKBN). Hygiene Code, 2010 (http:\/\/www.skbn.net\/de-kinderboerderij\/hygiene-code). Accessed 3 December 2010."},{"key":"S0950268811001427_ref010","unstructured":"10. Food and Consumer Product Safety Authority, Ministry of Agriculture Nature and Food Quality. Q Fever: map with overview of infected dairy-goat and dairy-sheep farms, 2010 (http:\/\/www.vwa.nl\/onderwerpen\/dierziekten\/dossier\/q-koorts\/kaart-met-overzicht-van-besmette-bedrijven). Accessed 3 December 2010."},{"key":"S0950268811001427_ref004","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1128\/CMR.12.4.518","article-title":"Q fever","volume":"12","author":"Maurin","year":"1999","journal-title":"Clinical Microbiological Reviews"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268811001427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T05:55:13Z","timestamp":1638251713000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268811001427\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,11]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["S0950268811001427"],"URL":"https:\/\/doi.org\/10.1017\/s0950268811001427","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,11]]}}}