{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:45:51Z","timestamp":1790837151470,"version":"4.1.0"},"reference-count":24,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2017,5,19]],"date-time":"2017-05-19T00:00:00Z","timestamp":1495152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Sciences"],"abstract":"<jats:p>Between 2000 and 2015, 904 cases of acute Q fever were reported in England and Wales. The case dataset had a male to female ratio of 2.5:1, and a median age of 45 years. Two outbreaks were recognised during this time period, and the incidence of sporadic cases was highest across the southwest of England, and Wales. There are limitations in the surveillance system for Q fever, including possible geographical differences in reporting and limited epidemiological data collection. The surveillance system needs to be strengthened in order to improve the quality and completeness of the epidemiological dataset. The authors conclude with recommendations on how to achieve this.<\/jats:p>","DOI":"10.3390\/vetsci4020028","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T01:47:33Z","timestamp":1495504053000},"page":"28","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Epidemiology of Q Fever in England and Wales 2000\u20132015"],"prefix":"10.3390","volume":"4","author":[{"given":"Kate","family":"Halsby","sequence":"first","affiliation":[{"name":"Emerging Infections and Zoonoses Section, Public Health England, London NW9 5EQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Kirkbride","sequence":"additional","affiliation":[{"name":"Travel and Migrant Health Section, Public Health England, London NW9 5EQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Walsh","sequence":"additional","affiliation":[{"name":"Emerging Infections and Zoonoses Section, Public Health England, London NW9 5EQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebere","family":"Okereke","sequence":"additional","affiliation":[{"name":"Global Public Health, Public Health England, London SE1 8UG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Brooks","sequence":"additional","affiliation":[{"name":"Rare and Imported Pathogens Laboratory, Public Health England, Wiltshire SP4 0JG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Donati","sequence":"additional","affiliation":[{"name":"Bristol Regional Laboratory, Public Health England, Bristol BS2 8EL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilys","family":"Morgan","sequence":"additional","affiliation":[{"name":"Emerging Infections and Zoonoses Section, Public Health England, London NW9 5EQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,5,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jinf.2006.10.048","article-title":"Q Fever","volume":"54","author":"Cutler","year":"2007","journal-title":"J. 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