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Q fever: Evidence of a massive yet undetected cross-border outbreak, with ongoing risk of extra mortality, in a Dutch-German border region.

Volker H HackertChristian J P A HoebeNicole H T M Dukers-MuijrersThomas KrafftBoris KauhlKlaus HenningWolfram KargesLisa SpragueHeinrich NeubauerSascha Al Dahouk
Published in: Transboundary and emerging diseases (2020)
Our findings were suggestive of widespread cross-border transmission, with thousands of undetected infections, arguing for intensified cross-border collaboration and surveillance and screening of individuals susceptible to chronic Q fever in the affected area.
Keyphrases
  • public health
  • type diabetes
  • risk factors
  • cardiovascular disease
  • drug induced