{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:05:30Z","timestamp":1791266730429,"version":"4.1.0"},"reference-count":28,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Trop Med Hyg"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:p>Although Q fever is considered enzootic in the United States, surveillance for human Q fever has been historically limited. From 1978 through 1999, 436 cases (average = 20 per year) of human Q fever were reported. After Q fever became nationally reportable in 1999, 255 human Q fever cases (average = 51 per year) were reported with illness onset during 2000 through 2004. The median age of cases was 51 years, and most cases were male (77%). The average annual incidence of Q fever was 0.28 cases per million persons, and was highest in persons 50\u201359 years of age (0.39 cases per million). State-specific incidence ranged from a high of 2.40 cases per million persons in Wyoming, to 0 cases in some states. Since Q fever became reportable, case reports have increased by more than 250%. Surveillance for Q fever is essential to establish the distribution and magnitude of disease and to complement U.S. bioterrorism preparedness activities.<\/jats:p>","DOI":"10.4269\/ajtmh.2006.75.1.0750036","type":"journal-article","created":{"date-parts":[[2017,7,7]],"date-time":"2017-07-07T07:00:41Z","timestamp":1499410841000},"page":"36-40","source":"Crossref","is-referenced-by-count":66,"title":["NATIONAL SURVEILLANCE AND THE EPIDEMIOLOGY OF HUMAN Q FEVER IN THE UNITED STATES, 1978\u20132004"],"prefix":"10.4269","volume":"75","author":[{"given":"JENNIFER H.","family":"McQUISTON","sequence":"first","affiliation":[{"name":"Viral and Rickettsial Zoonoses Branch and Office of the Director, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBERT C.","family":"HOLMAN","sequence":"additional","affiliation":[{"name":"Viral and Rickettsial Zoonoses Branch and Office of the Director, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CANDACE L.","family":"McCALL","sequence":"additional","affiliation":[{"name":"Viral and Rickettsial Zoonoses Branch and Office of the Director, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JAMES E.","family":"CHILDS","sequence":"additional","affiliation":[{"name":"Viral and Rickettsial Zoonoses Branch and Office of the Director, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAVID 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