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Changing Epidemiology of Q Fever in Germany, 1947-1999

Wiebke Hellenbrand, Thomas Breuer, and Lyle Petersen
Robert Koch-Institut, Berlin, Germany


Figure 1. Number of reported cases of Q fever in Germany, 1962-1999.

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Figure 1. Number of reported cases of Q fever in Germany, 1962-1999.

*In 1993, 184 persons with Q fever were officially reported; 101 of these persons were part of the outbreak in Oberscheid, Hesse, and were only reported to the Robert Koch Institute and not to the federal Office of Statistics (36). However, a total of 97 symptomatic persons with serologically confirmed Q fever were described in a report of the outbreak in Dortmund, Northrhine-Westphalia, and 43 serologically confirmed symptomatic cases were reported in an outbreak among military recruits in Sontra, Hesse (Table 1). Thus a minimum of 94 persons with Q fever were not officially reported in 1993. (In Northrhine-Westphalia, 34 cases were reported; thus a minimum of 97 - 34 = 63 cases were not reported. In Hesse, 117 cases were reported, including 105 in conjunction with the Oberscheid outbreak [Table 1]; thus, a minimum of 43 - [117-105] = 31 cases were not reported from Hesse).Sources: (36), Robert Koch-Institute, and Federal Office of Statistics, Wiesbaden.
 



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Emerging Infectious Diseases Journal
National Center for Infectious Diseases
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