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 DahoukPublished 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.