High incidence of acute Q fever among incarcerated people in Cayenne, French Guiana

Q fever is a major public health problem in French Guiana. In recent years, a considerable number of cases has been reported in French Guiana’s penitentiary center. The main objective of this study was to describe the epidemiology of these cases. A retrospective study was conducted at the prison to...

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Detalles Bibliográficos
Autores principales: Bonifay, Timothée, Beillard, Emmanuel, Daniel, Marie, Schiemsky, Vanessa, Vierendeels, Evelyn, Demar, Magalie, Pastre, Agathe, Hamiche, Karim, Nacher, Mathieu, Epelboin, Loic
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical de São Paulo 2022
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9190515/
https://www.ncbi.nlm.nih.gov/pubmed/35703611
http://dx.doi.org/10.1590/S1678-9946202264042
Descripción
Sumario:Q fever is a major public health problem in French Guiana. In recent years, a considerable number of cases has been reported in French Guiana’s penitentiary center. The main objective of this study was to describe the epidemiology of these cases. A retrospective study was conducted at the prison to identify cases of acute Q fever in people incarcerated between 2010 and 2021. During the study period, 16 patients were diagnosed with acute Q fever. The positivity rate varied between 13 and 57%. The annual incidence rate in 2019, 2020 and 2021 was 269 (95% CI: 0-640) 1,120 (95% CI: 290-1950) and 1,931 (95% CI: 60-3810) per 100,000 person-years, respectively. While several vertebrate species have already been shown to play an important role in the transmission of Coxiella burnetii, the full epidemiology picture in the tropics is far from clear, and the prison context, with its controlled environment, could help provide answers.

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