{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:56:36Z","timestamp":1787604996922,"version":"build-2736575974"},"reference-count":26,"publisher":"Australian Centre for Disease Control","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Commun Dis Intell"],"abstract":"<jats:p>Q fever is a notifiable zoonotic disease in Australia, caused by infection with Coxiella burnetii. This study has reviewed 2,838 Q fever notifications reported in Queensland between 2003 and 2017 presenting descriptive analyses, with counts, rates, and proportions. For this study period, Queensland accounted for 43% of the Australian national Q fever notifications. Enhanced surveillance follow-up of Q fever cases through Queensland Public Health Units was implemented in 2012, which improved the data collected for occupational risk exposures and animal contacts. For 2013\u20132017, forty-nine percent (377\/774) of cases with an identifiable occupational group would be considered high risk for Q fever. The most common identifiable occupational group was agricultural\/farming (31%). For the same period, at-risk environmental exposures were identified in 82% (961\/1,170) of notifications; at-risk animal-related exposures were identified in 52% (612\/1,170) of notifications; abattoir exposure was identified in 7% of notifications. This study has shown that the improved follow-up of Q fever cases since 2012 has been effective in the identification of possible exposure pathways for Q fever transmission. This improved surveillance has highlighted the need for further education and heightened awareness of Q fever risk for all people living in Queensland, not just those in previously-considered high risk occupations.<\/jats:p>","DOI":"10.33321\/cdi.2020.44.48","type":"journal-article","created":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T22:16:19Z","timestamp":1592345779000},"source":"Crossref","is-referenced-by-count":12,"title":["The improving state of Q fever surveillance. A review of Queensland notifications, 2003\u20132017"],"prefix":"10.33321","author":[{"given":"Sarah","family":"Tozer","sequence":"first","affiliation":[{"name":"Centre for Children\u2019s Health Research, Queensland Paediatric Infectious Disease Laboratory, Lady Cilento Research Precinct, South Brisbane, Queensland; Children\u2019s Health Research Centre, University of Queensland, South Brisbane, Queensland; The University of Queensland, School of Veterinary Science, Gatton, Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Wood","sequence":"additional","affiliation":[{"name":"Centre for Children\u2019s Health Research, Queensland Paediatric Infectious Disease Laboratory, Lady Cilento Research Precinct, South Brisbane, Queensland; The University of Queensland, School of Veterinary Science, Gatton, Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damin","family":"Si","sequence":"additional","affiliation":[{"name":"Communicable Diseases Branch, Prevention Division, Department of Health, Queensland Government"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nissen","sequence":"additional","affiliation":[{"name":"Children\u2019s Health Research Centre, University of Queensland, South Brisbane, Queensland; Director of Scientific Affairs & Public Health, GSK Vaccines Intercontinental, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theo","family":"Sloots","sequence":"additional","affiliation":[{"name":"Centre for Children\u2019s Health Research, Queensland Paediatric Infectious Disease Laboratory, Lady Cilento Research Precinct, South Brisbane, Queensland; Children\u2019s Health Research Centre, University of Queensland, South Brisbane, Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Lambert","sequence":"additional","affiliation":[{"name":"Children\u2019s Health Research Centre, University of Queensland, South Brisbane, Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"18788","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Fournier PE, Marrie TJ, Raoult D. Diagnosis of Q fever. J Clin Microbiol. 1998;36(7):1823\u201334.","DOI":"10.1128\/JCM.36.7.1823-1834.1998"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Greenslade E, Beasley R, Jennings L, Woodward A, Weinstein P. Has Coxiella burnetii (Q fever) been introduced into New Zealand? Emerg Infect Dis. 2003;9(1):138\u201340.","DOI":"10.3201\/eid0901.010305"},{"key":"ref2","unstructured":"Kaplan MM, Bertagna P. The geographical distribution of Q fever. Bull World Health Organ. 1955;13(5):829\u201360."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Cutler SJ, Bouzid M, Cutler RR. Q fever. J Infect. 2007;54(4):313\u20138.","DOI":"10.1016\/j.jinf.2006.10.048"},{"key":"ref4","unstructured":"Stoker MG, Marmion BP. The spread of Q fever from animals to man; the natural history of a rickettsial disease. 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