Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022

Background: Q fever is a bacterial zoonosis caused by Coxiella burnetii. Spain has the highest number of notified human cases in Europe. Small ruminants are a key reservoir for the pathogen, transmission from animals to humans is usually airborne. Aim: We aimed at exploring temporal and spatial epid...

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Detalles Bibliográficos
Autores: Cifo, Daniel, Estevez-Reboredo, Rosa Maria, Gonzalez-Barrio, David, Jado, Isabel, Gomez-Barroso, Diana
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/25069
Acceso en línea:https://hdl.handle.net/20.500.12105/25069
Access Level:acceso abierto
Palabra clave:Bacterial zoonoses
Infectious disease outbreaks
One Health
Public health surveillance
Q fever
Spain
Spatial analysis
Adolescent
Adult
Age Distribution
Aged
Animals
Child
Child, Preschool
Coxiella burnetii
Disease Outbreaks
Female
Goats
Humans
Incidence
Male
Middle Aged
Population Surveillance
Q Fever
Seasons
Sex Distribution
Young Adult
Zoonoses
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spelling Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022Cifo, DanielEstevez-Reboredo, Rosa MariaGonzalez-Barrio, DavidJado, IsabelGomez-Barroso, DianaBacterial zoonosesInfectious disease outbreaksOne HealthPublic health surveillanceQ feverSpainSpatial analysisAdolescentAdultAge DistributionAgedAnimalsChildChild, PreschoolCoxiella burnetiiDisease OutbreaksFemaleGoatsHumansIncidenceMaleMiddle AgedPopulation SurveillanceQ FeverSeasonsSex DistributionSpainYoung AdultZoonosesBackground: Q fever is a bacterial zoonosis caused by Coxiella burnetii. Spain has the highest number of notified human cases in Europe. Small ruminants are a key reservoir for the pathogen, transmission from animals to humans is usually airborne. Aim: We aimed at exploring temporal and spatial epidemiological patterns of sporadic and outbreak cases of Q fever in four Spanish regions with the highest number of notified cases. Methods: We extracted data on Q fever cases in the Canary Islands, Basque Country, La Rioja and Navarre between 2016 and 2022 from the Spanish National Epidemiological Surveillance Network. We calculated standardised incidence ratios (SIR), spatial relative risks (sRR) and posterior probabilities (PP) utilising Besag-York-Mollié models. Results: There were 1,059 notifications, with a predominance of males aged 30-60 years. In Basque Country, La Rioja and Navarre area, 11 outbreaks were reported, while no in the Canary Islands. A seasonal increase in incidence rates was observed between March and June. In the Canary Islands, elevated sRR was seen in La Palma, Gran Canaria, Lanzarote and Fuerteventura. In Basque Country, La Rioja and Navarre area, the highest sRR was identified in the south of Biscay province. Conclusion: Goats were the main source for humans in outbreaks reported in the literature. Seasonal increase may be related to the parturition season of small ruminants and specific environmental conditions. Local variations in sRR within these regions likely result from diverse environmental factors. Future One Health-oriented studies are essential to deepen our understanding of Q fever epidemiology.European Centre for Disease Prevention and Control (ECDC)20242024-10-0920242024-07-0120242024-07-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/20.500.12105/25069reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/250692026-06-12T12:43:37Z
dc.title.none.fl_str_mv Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
title Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
spellingShingle Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
Cifo, Daniel
Bacterial zoonoses
Infectious disease outbreaks
One Health
Public health surveillance
Q fever
Spain
Spatial analysis
Adolescent
Adult
Age Distribution
Aged
Animals
Child
Child, Preschool
Coxiella burnetii
Disease Outbreaks
Female
Goats
Humans
Incidence
Male
Middle Aged
Population Surveillance
Q Fever
Seasons
Sex Distribution
Spain
Young Adult
Zoonoses
title_short Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
title_full Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
title_fullStr Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
title_full_unstemmed Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
title_sort Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022
dc.creator.none.fl_str_mv Cifo, Daniel
Estevez-Reboredo, Rosa Maria
Gonzalez-Barrio, David
Jado, Isabel
Gomez-Barroso, Diana
author Cifo, Daniel
author_facet Cifo, Daniel
Estevez-Reboredo, Rosa Maria
Gonzalez-Barrio, David
Jado, Isabel
Gomez-Barroso, Diana
author_role author
author2 Estevez-Reboredo, Rosa Maria
Gonzalez-Barrio, David
Jado, Isabel
Gomez-Barroso, Diana
author2_role author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Bacterial zoonoses
Infectious disease outbreaks
One Health
Public health surveillance
Q fever
Spain
Spatial analysis
Adolescent
Adult
Age Distribution
Aged
Animals
Child
Child, Preschool
Coxiella burnetii
Disease Outbreaks
Female
Goats
Humans
Incidence
Male
Middle Aged
Population Surveillance
Q Fever
Seasons
Sex Distribution
Spain
Young Adult
Zoonoses
topic Bacterial zoonoses
Infectious disease outbreaks
One Health
Public health surveillance
Q fever
Spain
Spatial analysis
Adolescent
Adult
Age Distribution
Aged
Animals
Child
Child, Preschool
Coxiella burnetii
Disease Outbreaks
Female
Goats
Humans
Incidence
Male
Middle Aged
Population Surveillance
Q Fever
Seasons
Sex Distribution
Spain
Young Adult
Zoonoses
description Background: Q fever is a bacterial zoonosis caused by Coxiella burnetii. Spain has the highest number of notified human cases in Europe. Small ruminants are a key reservoir for the pathogen, transmission from animals to humans is usually airborne. Aim: We aimed at exploring temporal and spatial epidemiological patterns of sporadic and outbreak cases of Q fever in four Spanish regions with the highest number of notified cases. Methods: We extracted data on Q fever cases in the Canary Islands, Basque Country, La Rioja and Navarre between 2016 and 2022 from the Spanish National Epidemiological Surveillance Network. We calculated standardised incidence ratios (SIR), spatial relative risks (sRR) and posterior probabilities (PP) utilising Besag-York-Mollié models. Results: There were 1,059 notifications, with a predominance of males aged 30-60 years. In Basque Country, La Rioja and Navarre area, 11 outbreaks were reported, while no in the Canary Islands. A seasonal increase in incidence rates was observed between March and June. In the Canary Islands, elevated sRR was seen in La Palma, Gran Canaria, Lanzarote and Fuerteventura. In Basque Country, La Rioja and Navarre area, the highest sRR was identified in the south of Biscay province. Conclusion: Goats were the main source for humans in outbreaks reported in the literature. Seasonal increase may be related to the parturition season of small ruminants and specific environmental conditions. Local variations in sRR within these regions likely result from diverse environmental factors. Future One Health-oriented studies are essential to deepen our understanding of Q fever epidemiology.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-10-09
2024
2024-07-01
2024
2024-07-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/25069
url https://hdl.handle.net/20.500.12105/25069
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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