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. 2019 Jan-Feb;21(1):10–19. doi: 10.1016/j.micinf.2018.06.001

Fig. 5.

Fig. 5

Number of cases of Q fever reported each year in the EU/EEA. Data is shown for every country with >125 total cases reported between 2008 and 2016. The 2007–2010 Q fever epidemic was contained within southern areas of the Netherlands, affecting small ruminant farms in the direction of the prevailing wind from the affected goat farms. This accounted for 37% of the total cases of Q fever in the EU/EEA between 2008 and 2016, with on average 1300 cases reported per year. After this was resolved, the country with the highest prevalence of Q fever was Germany, with on average 240 cases/year between 2011 and 2016 (incidence of 2 in 100,000), followed by France, Spain and Hungary, with 180, 110 and 60 cases/year, respectively. In the six years following the epidemic resolution, the Netherlands experienced a much-reduced average of 37 cases reported per year. Additionally, in 2013 Hungary experienced an epidemic of 135 cases, this was resolved within two years. Dataset provided by ECDC based on data provided by WHO and Ministries of Health from the affected countries [10]. Figure generated using GraphPad Prism v.6.0.1.