{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T19:45:53Z","timestamp":1793907953633,"version":"4.8.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T00:00:00Z","timestamp":1516752000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Psittacosis (infection with\n                    <jats:italic>Chlamydia psittaci<\/jats:italic>\n                    ) can have diverse presentations in humans, ranging from asymptomatic infection to severe systemic disease. Awareness of psittacosis and its presentations are low among clinicians and the general public. Therefore, underdiagnosis and thereby underestimation of the incidence and public health importance of psittacosis is very likely. We used the methodology developed for the Burden of communicable diseases in Europe toolkit of the European Centre for Disease Prevention and Control, to construct a model to estimate disease burden in disability-adjusted life years (DALYs) attributable to psittacosis. Using this model, we estimated the disease burden caused by psittacosis in the Netherlands to have been 222 DALY per year (95% CI 172\u2013280) over the period 2012\u20132014. This is comparable with the amount of DALYs estimated to be due to rubella or shigellosis in the same period in the Netherlands. Our results highlight the public health importance of psittacosis and identify evidence gaps pertaining to the clinical presentations and prognosis of this disease.\n                  <\/jats:p>","DOI":"10.1017\/s0950268817003065","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T04:56:30Z","timestamp":1516769790000},"page":"303-305","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":43,"title":["Disease burden of psittacosis in the Netherlands"],"prefix":"10.1017","volume":"146","author":[{"given":"B.","family":"de Gier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6329-7831","authenticated-orcid":false,"given":"L.","family":"Hogerwerf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Dijkstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"van der Hoek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"key":"S0950268817003065_ref8","unstructured":"Anon. (2015) ECDC BCoDE toolkit [software application]: Version 1.2. In. Stockholm: European Centre for Disease Prevention and Control."},{"key":"S0950268817003065_ref15","unstructured":"Anon. R (2017) A language and environment for statistical computing. In. version 1.0.143 ed. Vienna, Austria: R Core team."},{"key":"S0950268817003065_ref4","doi-asserted-by":"crossref","first-page":"228","DOI":"10.5694\/j.1326-5377.1988.tb99430.x","article-title":"Psittacosis--a review of 135 cases","volume":"148","author":"Yung","year":"1988","journal-title":"Medical Journal of Australia"},{"key":"S0950268817003065_ref16","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.2008\/001578-0"},{"key":"S0950268817003065_ref9","article-title":"Outbreak of psittacosis in a group of women exposed to Chlamydia psittaci-infected chickens","volume":"20","author":"Laroucau","year":"2015","journal-title":"Euro Surveillance"},{"key":"S0950268817003065_ref6","first-page":"75","article-title":"Chlamydia psittaci: a relevant cause of community-acquired pneumonia in two Dutch hospitals","volume":"74","author":"Spoorenberg","year":"2016","journal-title":"Netherlands Journal of Medicine"},{"key":"S0950268817003065_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-1641-9"},{"key":"S0950268817003065_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268817002060"},{"key":"S0950268817003065_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12963-015-0042-4"},{"key":"S0950268817003065_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-017-2302-3"},{"key":"S0950268817003065_ref7","doi-asserted-by":"publisher","DOI":"10.1371\/annotation\/caf33818-3453-4e30-b307-7526427b09b7"},{"key":"S0950268817003065_ref1","first-page":"21026","article-title":"Typing of Chlamydia psittaci to monitor epidemiology of psittacosis and aid disease control in the Netherlands, 2008 to 2013","volume":"20","author":"Heddema","year":"2015","journal-title":"Euro Surveillance"},{"key":"S0950268817003065_ref2","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.064675-0"},{"key":"S0950268817003065_ref3","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.46692-0"},{"key":"S0950268817003065_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2008.02669.x"},{"key":"S0950268817003065_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/2052-2975.29"},{"key":"S0950268817003065_ref11","first-page":"408","article-title":"Acute Q fever related in-hospital mortality in the Netherlands","volume":"68","author":"Kampschreur","year":"2010","journal-title":"Netherlands Journal of Medicine"},{"key":"S0950268817003065_ref18","volume-title":"State of Infectious Diseases in the Netherlands, 2015","author":"Bijkerk","year":"2016"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268817003065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T23:36:01Z","timestamp":1674084961000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268817003065\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,24]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S0950268817003065"],"URL":"https:\/\/doi.org\/10.1017\/s0950268817003065","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,24]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2018\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}