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Hungary: Spread of Q fever in Baranya

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
machinetranslation

Spread of Q fever in Baranya

2013th June 5

BARANYA | 've almost reached the number of one hundred patients with pneumonia in Baranja.

Spread of Q fever - in contrast to last week's 77-tel - now keep track of 91 disease epidemiology department of the government agency. As dr. Gabriella Kiss department said, has been pushed to 22 patients hospitalized, but is not cared for symptoms of Q fever anyone, but there are still another source of infection and disease is unknown for now.

- Touch Q fever epidemic in the region and Vokány on May 7, had the County Government Office of Public Health's services Health Department's attention. The announcement by general practitioners with multiple cases of pneumonia occurring said. The District Institute of Public Health in collaboration with the county health department immediately began patient interviews among blood sampling was organized for the hospitalized patients, such as from the filing date is not less than a week, and diagnosis and preventive advice can you give to the public through the local authority. In parallel, we notified the government agency Food Chain Safety and Animal Health Directorate, who also immediately started to sheep, goats, cattle (ruminants) keepers interviews, samples were taken and have been doing as soaking.

The regional and county general practitioners, Mohács Hospital emergency department, clinical center for PTE, Pécs, and the Siklos Pulmonary Care Patients attended the announcement, care and organization of the samples.

- We currently have 91 patient who Vokány regional and Q fever outbreak based on epidemiological aspects are associated. There are currently no lies sick in hospital admissions had 22 people at the clinic in Pecs. I still have 1-1 new patients who come to our attention. Patients should be treated for 2-3 weeks Doxycycline. Given the long incubation period of the infection was still possible in early May, is not yet possible to speak of the conduct of an epidemic. The source of infection is still unknown, is believed to contain the spread of the pathogen infected aerosols may have played a role that wind for miles is submitted, but must consider other factors - dr. Gabriella Kiss.

Bama

Location of Baranya province in Hungary
Hongarije_Baranya.png
 
Re: Hungary: Spread of Q fever in Baranya

computertranslation

06/20/2013

Spread of Q-fever in Baranya by dry manure

Further increased the number of counties in pulmonary diseases with high fever: A total of 110 cases have been aware of the health authority - writes bama.hu.

According to information from the National Epidemiology Center of dried, stirred up by the wind and airborne manure could cause infections around the Vok?ny.

As we previously reported , the Q-fever outbreak on May 7, came to the attention of government agencies. The announcement by general practitioners with multiple cases of pneumonia occurring said.

The disease can be cured with antibiotics, the patient condition continues to improve. Cough, stabbing chest pain, leverts?ggel, weakness, feeling symptoms associated with muscle pain were observed in half the cases. In almost every case, the X-ray examination revealed that it is pneumonia.

Kassay Veronika County chief medical officer, said earlier that the disease does not spread from human to human, only from animal to man. The disease is caused by the bacterium Coxiella burnetii, is spread through the air by inhalation of dust contaminated with animal secretions, but can range from contact with infected domestic animals as well.

Last occurred about twenty years ago in Hungary of Q fever outbreak.

HIR24
 
Re: Hungary: Spread of Q fever in Baranya

Eurosurveillance, Volume 19, Issue 30, 31 July 2014

Surveillance and outbreak reports

Q FEVER EPIDEMIC IN HUNGARY, APRIL TO JULY 2013

We investigated a Q fever outbreak with human patients showing high fever, respiratory tract symptoms, headache and retrosternal pain in southern Hungary in the spring and summer of 2013.

Seventy human cases were confirmed by analysing their serum and blood samples with micro-immunofluorescence test and real-time PCR.

The source of infection was a merino sheep flock of 450 ewes, in which 44.6% (25/56) seropositivity was detected by enzyme-linked immunosorbent assay. Coxiella burnetii DNA was detected by real-time PCR in the milk of four of 20 individuals and in two thirds (41/65) of the manure samples.

The multispacer sequence typing examination of C. burnetii DNA revealed sequence type 18 in one human sample and two manure samples from the sheep flock. The multilocus variable-number tandem repeat analysis pattern of the sheep and human strains were also almost identical, 4/5-9-3-3-0-5 (Ms23-Ms24-Ms27-Ms28-Ms33-Ms34).

It is hypothesised that dried manure and maternal fluid contaminated with C. burnetii was dispersed by the wind from the sheep farm towards the local inhabitants. The manure was eliminated in June and the farm was disinfected in July. The outbreak ended at the end of July 2013.

Link to full article
 
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