RESUMEN
During large Q fever outbreaks in the Netherlands between 2007 and 2010, dairy goat farms were implicated as the primary source of human Q fever. The transmission of Coxiella burnetii to humans is thought to occur primarily via aerosols, although available data on C. burnetii in aerosols and other environmental matrices are limited. During the outbreak of 2009, 19 dairy goat farms and one dairy sheep farm were selected nationwide to investigate the presence of C. burnetii DNA in vaginal swabs, manure, surface area swabs, milk unit filters, and aerosols. Four of these farms had a positive status during the Coxiella burnetii bulk milk monitoring program in 2009 and additionally reported abortion waves in 2008 or 2009. Eleven farms were reported as having positive bulk milk only, and five selected (control) farms had a bulk milk-negative status in 2009 and no reported Q fever history. Screening by quantitative PCR (qPCR) revealed that on farms with a history of abortions related to C. burnetii and, to a lesser extent, on farms positive by bulk milk monitoring, generally higher proportions of positive samples and higher levels of C. burnetii DNA within positive samples were observed than on the control farms. The relatively high levels of C. burnetii DNA in surface area swabs and aerosols sampled in stables of bulk milk-positive farms, including farms with a Q fever-related abortion history, support the hypothesis that these farms can pose a risk for the transmission of C. burnetii to humans.
Asunto(s)
Coxiella burnetii/aislamiento & purificación , ADN Bacteriano/aislamiento & purificación , Brotes de Enfermedades , Microbiología Ambiental , Leche/microbiología , Fiebre Q/epidemiología , Fiebre Q/veterinaria , Animales , Enfermedades de las Cabras/epidemiología , Enfermedades de las Cabras/microbiología , Cabras , Humanos , Países Bajos/epidemiología , Reacción en Cadena en Tiempo Real de la Polimerasa , Ovinos , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/microbiologíaRESUMEN
For the first time, bluetongue has been diagnosed in goats in the Netherlands and in Northwest-Europe. On the 17th of August 2006, bluetongue was for the first time diagnosed in sheep and a little later in cattle in The Netherlands. The clinical symptoms, diagnostics and differential diagnosis of bluetongue (BT) in goats in the Netherlands are described. The most obvious clinical signs were an acute drop in milk production and high fever (up to 42 degrees C). Clinical signs were less obvious than usually seen for clinically diseased sheep and cattle. A few goats showed oedema of the lips and the head, some nasal discharge and scabs on the nose and lips. Further erythema of the skin of the udder and small subcutaneous hemorrhages were seen. Just like one year ago, for the very first suspicion of bluetongue in Northwest-Europe, a good collaboration between practitioners, specialists of the Animal Health Service (GD Deventer), the Specialist Team of the Food and Consumer Product Safety Authority (VWA), and the Central Institute for animal Disease Control (CIDC-Lelystad) in The Netherlands, led to the first and rapid notification and confirmation of the suspicion of bluetongue.