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



Document title: High incidence of acute Q fever among incarcerated people in Cayenne, French Guiana
Journal: Revista do Instituto de Medicina Tropical de Sao Paulo
Database:
System number: 000547856
ISSN: 0036-4665
Authors: 1
2
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Institutions: 1Centre Hospitalier de Cayenne, Cayenne, French Guiana. Francia
2Institut Pasteur, Cayenne. Argelia
Year:
Volumen: 64
Country: Brasil
Language: Inglés
English abstract 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.
Keyword: Q fever,
Zoonotic diseases,
Prison,
Inmates,
French Guiana
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