Accession Number : AD0767538

Title :   The Epidemiology and Ecology of Q Fever in Central and Eastern Europe and in Southeast Asia,

Corporate Author : OPERATIONS RESEARCH GROUP EDGEWOOD ARSENAL MD

Personal Author(s) : Mark,Harris J.

Report Date : AUG 1973

Pagination or Media Count : 434

Abstract : Nine countries of Central and Eastern Europe and five countries of Southeast Asia were investigated for the prevalence of Q fever. The disease is generally endemic and enzootic in Central and Eastern Europe, the evidence for this being substantial in Yugoslavia, Switzerland, Czechoslovakia, Romania, and Greece. The other four countries reviewed were Poland, Hungary, Albania, and Austria. A total of more than 5,178 cases (including 14 deaths) appeared in the nine European countries from 1943 through 1967 - a case rate of 0.48 per 10,000 population. The wildlife reservoir of infection in this region, which is generally considered to be a secondary source for man, also included three tick and two louse fly species. In Southeast Asia, only 170 cases (including 9 deaths) were reported from 1952 through 1964 in Malaya, Vietnam, Thailand, Ceylon, and India - a case rate of 0.004 per 10,000 population. Two tick species were also found to be infected. Human infection was regionally widespread in India, Thailand, and (perhaps) Malaya; wildlife appears to be the primary source of this infection in Malaya and perhaps Thailand. However, in view of the fact that no surveys of domestic animals have been carried out in Thailand, final opinion concerning the primary source of human infection in this country should be deferred. (Modified author abstract)

Descriptors :   (*COXIELLA, *EPIDEMIOLOGY), (*ECOLOGY, COXIELLA), SOUTHEAST ASIA, EASTERN EUROPE, SERODIAGNOSIS, ANIMALS, HUMANS, DISEASE VECTORS, RICKETTSIACEAE, TICKS, DIPTERA

Subject Categories : Medicine and Medical Research
      Microbiology

Distribution Statement : APPROVED FOR PUBLIC RELEASE