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Tracking the next pandemic: Avian Flu Talk

Is Q Fever Our Worst Nightmare?

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Mary008 View Drop Down
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    Posted: December 14 2009 at 11:40am
 
Image A: A normal chest X-ray. Image B: Q fever pneumonia.  C burnetii
 
 
 wikipedia
 
 
There Is A Vaccine For Our Worst Nightmare
 
 
And It Isn't Being Widely Given Out....?
 
 
...................................................................
 
 
 
 
 
No Profit in Curing this?
...........................................      
Why Are They Not Vaccinating For It?       (there is a vaccine )
 
 
The incubation period is 9 - 40 days. It can be considered
 
 
the most infectious disease in the world,
..........................................................................
 
as a human being can be infected by
 
 
a single bacterium.[2]
.................................................
 
 
More.....      On Q Fever
................................................
 
During the course, the disease can progress to an atypical pneumonia,
 
which can result in a life threatening acute respiratory distress syndrome (ARDS),
 
whereby such symptoms
 
usually occur        during      the first        4 to 5 days of infection.
 

 
 
Sexually transmitted Q fever
.......................................................
.................................................................
..............................................................................
 
Auteur(s) / Author(s)
MILAZZO Adriana (1) ; HALL Robert (1) ; STORM Paul A. (2) ; HARRIS Ray J. (3) ; WINSLOW William (4) ; MARMION Barrie P. (2 4) ;
Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Communicable Disease Control Branch, Department of Human Services, University of Adelaide, Adelaide, South Australia
 
 
 
 
a man with occupationally acquired Q fever to his wife.
Fifteen days after coitus, his wife also developed serologically proven acute Q fever.
C. burnetii DNA sequences were detected by polymerase chain reaction (PCR)
performed on semen samples obtained from the husband at 4 and 15 months after
the onset of acute Q fever, but PCR results were variable at 23 months, indicating the
presence of few organisms.
 

 
 
 

vol. 33, no3, pp. 399-402 (19 ref.)
Journal Title
Clinical infectious diseases   ISSN 1058-4838   CODEN CIDIEL
2001
Publisher
University of Chicago Press, Chicago, IL, ETATS-UNIS  (1992) (Revue)
 
 
 
 
 
 
Transmission
Aerosol
 
Cities and towns
Downwind from farms
By roads traveled by animals

Transmission
Aerosol
Parturient fluids
109 bacteria per gram of placenta
Urine, feces, milk
Wind-borne
Direct contact
Fomites
Ingestion
Arthropods (ticks)

 
 Center for Food Security and Public Health Iowa State University - 2004
 Center for Food Security and Public Health Iowa State University - 2004 
 

Prevention and Control 

  • Pasteurization
  • Vaccination
    • Human and animal
    • Not available in U.S.
  • Eradication not practical
    • Too many reservoirs
    • Constant exposure
    • Stability of agent in environment
 
  1. google-
    [PPT]
     

    Q Fever Presentation

    File Format: Microsoft Powerpoint - View as HTML
    ... Intradermal inoculation; Possibly sexually transmitted. Epidemiology ... Tested positive forQ fever; Antibiotics for 5 days; Resolved in 2 weeks ...
    www.cfsph.iastate.edu/DiseaseInfo/ppt/Qfever.ppt
 
Mary008
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C burnetii can cause debilitating disease

and may result in potentially fatal chronic infections

among humans. Although the disease is considered

enzootic in the United States, human and animal

C burnetii infections are underdiagnosed and underreported

because of the protean nature of its clinical

signs, the requirement for laboratory tests to establish

a diagnosis, and the lack of awareness of this disease in

the medical and veterinary communities.

Finally, C burnetii is considered a potential agent of

bioterrorism because of its accessibility, low infectious

dose, resistance to environmental degradation, and

aerosol route of transmission.52 Because national surveillance

for Q fever is currently lacking in the United

States, it would be difficult to detect and respond to a

bioterrorism event involving C burnetii. Q fever was

made nationally notifiable in humans in 1999, and

although this represents a critical first step toward

improved surveillance, the disease continues to be

underreported in the United States.

 
 
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.
 
 
 
Acute Infection
..............................
Flu-like, self limiting
Atypical pneumonia (30-50%)
Non-productive cough, chest pain
Acute respiratory distress possible
Hepatitis
Skin rash (10%)
Other signs (< 1%)
Myocarditis, pericarditis, meningoencephalitis
Death: 1-2%
 
Chronic Disease
....................................
 
1-5% of those infected

Prior heart disease, pregnant women, immunocompromised
Endocarditis
Other
Osteomyelitis
Granulomatous hepatitis
Cirrhosis
 
50% relapse rate after antibiotic therapy
.........................................................................
....................................................................................
 

Risk to Pregnant Women
.................................................
Most asymptomatic
Transplacental transmission
Reported complications
In-utero death
Premature birth
Low birth weight
Placentitis
Thrombocytopenia
 
Prognosis
......................

Overall case-fatality rate <1 - 2.4%
50% cases self-limiting
Only 2% develop severe disease
Active chronic disease
Usually fatal if left untreated
Fatality for endocarditis: 35-55%
50-60% need valve replacement
 
[PPT] Q Fever Presentation
File Format: Microsoft Powerpoint - View as HTML
... Intradermal inoculation; Possibly sexually transmitted. Epidemiology ... Tested positive for Q fever; Antibiotics for 5 days; Resolved in 2 weeks ...
www.cfsph.iastate.edu/DiseaseInfo/ppt/Qfever.ppt
 
 
 
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.
 
 in week 41-
A/H1N1 is 3,378  cases.....     out of     12,943    Influenza Like  Cases tested
 
or...
 
 
"... in clinical laboratory specimens (29% of all specimens tested are positive for
influenza A and all of those subtyped are pandemic H1N1 2009 virus."

This means that all Respiratory  illnes .... other than Influenza ...
 
is causing 71% of illness.    so...   what is it called?    
 
 
 
 
 
 
 
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.
 
 

  1. Australia's national Q fever vaccination program - Elsevier

    by HF Gidding - 2009 - Cited by 1 - Related articles
    A nationally funded Q fever vaccination program was introduced in Australia in 2002. ... The outcome of screening (vaccinated or pre-existing immunity, not .... In the UK and US, only around 100 or fewer cases are reported annually [15] ...
    linkinghub.elsevier.com/retrieve/pii/S0264410X09002102 - Similar
  2. Ministers call for Q-fever animal slaughter | Radio Netherlands ...

    Dec 9, 2009 ... Q-fever is caused by bacteria (Coxiella burnetii) released when pregnant ...US: no extradition of Bosnian ambassador · Vaccinating against ...
    www.rnw.nl/english/article/ministers-call-q-fever-animal-slaughter - Cached
  3. Chronic Q Fever in the United States

    by PC Karakousis - 2006 - Cited by 11 - Related articles
    Because Q fever is an occupational hazard, vaccination has been advocated ... Thus, it is likely that the prevalence of Q fever in the United States is not ...
    www.ncbi.nlm.nih.gov/pmc/articles/PMC1489455/
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.
 
 
  1. Safety Evaluation of a Q-Fever Vaccine - Full Text View ...

    Dec 20, 2007 ... Volunteer must agree to report any AEs which may or may not be associated with administration of the ... Prior history of Q fever disease or vaccination. ... U.S. Army Medical Research Institute of Infectious Diseases ...
    clinicaltrials.gov/ct2/show/NCT00584454 - Cached - Similar
  2. Q fever in dairy cattle - Human health considerations for vaccination

    Vaccination of workers exposed to dairy cattle is important in preventing Q fever in humans. There is no Q fever vaccine for cattle since it does not cause ...
    www2.dpi.qld.gov.au › Animal industries  Dairy - Cached - Similar
Rabies, Q Fever, & Zoonotic Resources
...............................................................................
 
  1. File Format: PDF/Adobe Acrobat - View as HTML
    Q Fever.  Novel Influenza A (H1N1) animal health related coordination ... Previous Case 1951 - Dog strain- no longer circulates in the US. DOGS STILL GET RABIES! ... has not beenvaccinated against rabies. Dogs kept in kennels ...
    www.idph.state.ia.us/eh/common/pdf/env/rabies_resources.pdf
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.
 
 
 
Will The Dutch Help Bring It Out Into The Open?
...........................................................................
**************************************
 
 

  1. Q Fever Vaccination
     Information - Dr Deb The Travel Doctor

    Not all doctors can give Q fever vaccination as it requires specialised ... Australian Q FeverImmunisation Guidelines (Federal Dept Of Health); USA Q Fever ...
    www.qfever.com.au/vaccine.html - Cached
  2. Vetsweb - News: Dutch call to investigate Q-fever effects in people

    Q-fever in humans causes flu like symptoms and can lead to pneumonia. ... Precautionary, only people who did not have antibodies against Q-fever were vaccinated. ... 17 Feb 2010 Pig Ski Conference 2010 // Copper Mountain, Colorado , USA ...
    www.vetsweb.com/.../dutch-call-to-investigate-q-fever-effects-in-people-643. html - Cached
  3. [PDF] 

    Q Fever

    File Format: PDF/Adobe Acrobat - Quick View
    A. A vaccine for Q fever is not commercially available in the U.S., ... U.S. Army Medical Research Institute of Infectious Diseases for vaccinating at-risk ...
    chppm-www.apgea.army.mil/documents/.../QFeverJusttheFactsDec08.pdf
 
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.
 
  1. Q Fever | Hunter Area Pathology Service | Hunter Area Pathology ...

    Candidates for vaccination are tested for previous Q fever exposure by serological and skin tests. Vaccination is not indicated in people who have a ...
    www.haps.nsw.gov.au/Research/Q_Fever.aspx - Cached - Similar
  2. Goats are vaccinated against Q-fever at a farm in Vinkel, the Netherlands, in 2008.  Photo Merlin Daleman

    Q-fever is killing more people than *********

    Published: 1 September 2009 16:10 | Changed: 2 September 2009 16:25

    By Hans van der Lugt

    Some experts say Q-fever, which has already killed five people in the Netherlands, is not getting enough attention compared to the ********* .
  3. nrc.nl - International - Features - Q-fever is killing more people ...

    Sep 1, 2009 ... Goats are vaccinated against Q-fever at a farm in Vinkel, the Netherlands, in 2008. ... is not getting enough attention compared to the ********* . ... Because of its persistency, the US Center for Disease Control and ...
    www.nrc.nl › International  Features -
  4. Q Fever Prevention - WorkSafe Victoria

    Aug 13, 2007 ... Animals carrying the germ do not show any signs or symptoms that they are infected. Acute symptoms of Q fever include ... Vaccination should be administered by a doctor trained by the Q fever vaccination program or its equivalent. ... Call us on 1800 136 089. Email us on info@worksafe.vic.gov.au ...
    www.worksafe.vic.gov.au/...Notes/import_Q+fever+prevention - Cached - Similar
  5. 2009-10-05-193 Q fever - Netherlands (09): predictions

    We= would not be surprised if the numbers exceed those of 2009. .... Q fever - Netherlands= (04): sheep & goat vaccination 20081023.3352 Q feve= r ...
    centaur.vri.cz/docs/cnfi/2009-10-05-193.mht - Cached
  6. Q Fever Travel Health Report - Coxiella Burnetti

    Persons who have already had Q fever cannot be vaccinated as they develop severe ...Vaccination is not normally given by General Practitioners since it requires ... Some of our patients have informed us that they have had great ...
    www.thetraveldoctor.com.au/qfever.html - Cached
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.
 
 
 
 
In humans, Q fever is not a clinically distinct illness and may resemble a viral illness 
.........................................................................................................................................
........................................................................................................................................
 
 

  1. Q Fever
     Control Measures: Recommendations for Research Facilities ...

    by KW Bernard - 1982 - Cited by 34 - Related articles
    Centers for Disease Control, Public Health Service, U.S. Department of. Health and Human Services, Atlanta, ... of Q fever outbreaks in research facilities not directly ..... Fiset P:Vaccination against Q fever, in First International ...
    www.jstor.org/stable/30143792
  2. NHS Direct Wales - Encyclopaedia : Q Fever

    Vaccination. A vaccination for Q fever has been produced in Australia but has not been licensed for use in England. However, the Health and Safety Executive ...
    www.nhsdirect.wales.nhs.uk/encyclopaedia/q/article/qfever/ - Cached
  3. Serologic and Skin-Test Response after Q Fever Vaccination by the ...

    by JF Bell - 1964 - Cited by 7 - Related articles
    From the United States Department of Health, Education, and Welfare, Public Health ...Results of intracutaneous injection of Q fever vaccine in man were ... Volunteers with strong reactions were not vaccinated, but some persons with ...
    www.jimmunol.org/cgi/content/abstract/93/3/403 - Similar
  4. Prevention of Q fever - CureResearch.com

    Prevention of Q fever including prevention, vaccinations, and avoiding ... However, this vaccine is not commercially available in the United States. ...
    www.cureresearch.com/q/q_fever/prevent.htm - Cached
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.
 
Hi, Mary,
 
Outstanding sources!!!!  Occupational hazard is about right.
 
..................................................
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.
 
 
 
FIG.%201.
 
 
 
 
[PDF] 

Immunogenicity and reactogenicity of a Q fever chemovaccine in ...

File Format: PDF/Adobe Acrobat - View as HTML
by J Kazar - 1982 - Cited by 18 - Related articles
South America (14), and in the United States of. America (8). Q fever poses an importam public health problem in Slovakia (/ 7), and long-term studies have ...
whqlibdoc.who.int/bulletin/1982/Vol60.../bulletin_1982_60(3)_389-394.pdf
 
 
 
 
 

Immuno-histochemistry of
C.burnetii in clinical sample
 
 
 
 
 
 
 
 
 
 
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.
 
 

Bacterial Infections

Electron%20micrograph%20showing%20an%20infected%20monkey%20cell%20with%20one%20large%20vacuole%20harboring%20about%2020%20Coxiella%20burnetii%20bacteria.%20%5bCredit:%20R%20Heinzen,%20NIAID%5d

Electron micrograph showing an infected monkey cell with one large vacuole harboring about 20 Coxiella burnetii bacteria. Credit: R Heinzen, NIAID

www3.niaid.nih.gov/topics/bacterialInfections/
.
 
 
 
 
 
 
 
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  1. Dutch ministers call for Q-fever animal slaughter

  2. ........................................................................................

  3. An estimated 15,000 to 20,000 goats and sheep in the Netherlands are to be slaughtered in connection with Q-fever.

  4. http://www.expatica.com/nl/news/dutch-news/Dutch-ministers-call-for-Q_fever-animal-slaughter_58704.html

    1. VANA Dutch ministers call for Q-fever animal slaughter en

      Dec 13, 2009 ... have agreed that on infected farms where animals have not been vaccinated,... Q-fever is caused by bacteria (Coxiella burnetii) released when ... there is no end of health problems brought to us by animal farming. ...
      www.evana.org/index.php?id=51337&lang=en - Cached
    2. Chapter 10 Q FEVER

      by DM WAAG - Related articles
      vaccinating at-risk persons in the United States. Although attenuated microorganisms generally are not used as Q fever vaccines, a phase II attenu- ...
      www.bordeninstitute.army.mil/published_volumes/.../BW-ch10.pdf - Similar
    3. Study to look into effects of Q-fever on humans | Radio ...

      Nov 12, 2009 ... The results of this measure will not be visible until next year. The cabinet also wants to prevent farms where animals have Q-fever ... Vaccinating against Q -fever in June... US upbeat on extra troops for Afghanistan ...
      www.rnw.nl/english/article/study-look-effects-q-fever-humans - Cached


  5. Q Fever
    : Introduction - The Merck Veterinary Manual

    Ticks may transmit the disease among domestic ruminants, but are not thought to ... Q feverin humans is a notifiable disease in the USA, primarily because of its ... Vaccination has prevented infection when administered to uninfected ...
    merckvetmanual.com/mvm/htm/bc/52000.htm - Cached

  1. Q Fever
     in Dogs (Coxiellosis)

    Cat Behavior. Dog Answers. Cat Answers. Recent Answers. About Us ... Despite affecting various body systems, Q fever does not often cause noticeable illness ...
    www.petplace.com › Dogs Home Page  Infection - Cached - Similar
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.
 
 
 
 
 
Why Billions would be spent on Influenza... rather than something as insidious as this
 
amazing.
 
 
 
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.
Interesting read...
 
 

Acute Q fever has three major manifestations:

1) a self limited febrile illness;
 
2) pneumonia; and
 
3) hepatitis.
 
 
 
Hard to kill it...
 
 
Two studies documented that high winds can result in infection with C. burnetii up to an 11-mile (18.3 km) distance from the point source 13, 39.
 
 
 
Spore-like formation explains why C. burnetii is so successful as a pathogen.
 
 
 It can survive for 7–10 months on walls
 
at 15–20°C, for >1 month on meat in cold storage
 
and for >40 months in skimmed milk at room temperature 8.
 
 
And...
 
 
 
 
exposure to 10% bleach solution for 30 minutes will not kill it   :/
 
 
 
 
 
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.
 
  • Q fever-related cholecystitis: a missed entity? - Elsevier

    by S Reina-Serrano - 2005 - Cited by 3 - Related articles - All 4 versions
    ... burnetii, hepatitis B s antigen, antibodies against hepatitis B c ... tests done 2 weeks later revealed a positive ELISA for C burnetii IgM antibodies. ...
    linkinghub.elsevier.com/retrieve/pii/S1473309905702747 - Similar
  • Journal of Medical Case Reports | Full text | Coxiella burnetii as ...

    We report the simultaneous presence of chronic Q-fever hepatitis and autoimmune liver disease. Serology for C. burnetii is highly specific, and we are not ...
    www.jmedicalcasereports.com/content/3/1/8870 - Cached
  • Q Fever in Patients with Hepatitis and Pneumonia: Results of ...

    by LA Sawyer - 1988 - Cited by 19 - Related articles
    hepatitis A virus) for antibodies to C burnetii. In addition, se- rum specimens that were submitted for testing with respiratory ...
    www.jstor.org/stable/30136359
  • Steroids treatment of Granulomatous hepatitis complicating ...

    by M CRESPO - 1999 - Cited by 8 - Related articles - All 3 versions
    A case of granulomatous hepatitis complicating C. burnetii acute infection is reported, which was refractory to antibiotics but, as in four other cases ...
    cat.inist.fr/?aModele=afficheN&cpsidt=1718276 - Similar
  • Complement Fixation Test To C Burnetii - a comprehensive view ...

    Complement Fixation Test To C Burnetii - Health Knowledge Made Personal. ... Diagnosis Hepatitis C is diagnosed by a blood test that can detect antibodies ...
    www.wellsphere.com/.../complement-fixation-test-to-c-burnetii - Cached
  • [PDF]

    Surveillance Case Definition Q Fever (Coxiella burnetii, Query Fever)

    File Format: PDF/Adobe Acrobat - Quick View
    vascular prosthesis, or chronic hepatitis in the absence of other known etiology AND o Serological evidence of IgG antibody to C. burnetii IFA phase I IgG ...
    www.state.nj.us/health/cd/documents/casedef/qfever.pdf - Similar
  • Case Definitions for Infectious Conditions Under Public Health ...

    A, B, C, D ... Corynebacterium diphtheriae (Diphtheria): 1995 | 1990; Coxiella burnetii (Q Fever): 2009 | 2008 ... Hepatitis C virus infection (past or present): 2005 | 2003; Hepatitis, Viral, Perinatal Hepatitis B Virus Infection: 1995 ...
    www.cdc.gov/ncphi/disss/nndss/casedef/case_definitions.htm - Cached - Similar
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    .

    Surveillance Case Definition
     
    Q Fever
    (Coxiella burnetii, Query Fever)

     


    Clinical description
     
     
    Acute infection: A febrile illness (up to 105 F) usually accompanied by rigors, myalgia, malaise, and
    retrobulbar headache. Fatigue, night sweats, dyspnea, confusion, nausea, diarrhea, abdominal
    pain, vomiting, non-productive cough, and chest pain have also been reported.
    Severe disease can
    include acute hepatitis, atypical pneumonia with abnormal radiograph, and meningoencephalitis.
    Pregnant women are at risk for fetal death and abortion. Clinical laboratory findings may include
    elevated liver enzyme levels, leukocytosis, and thrombocytopenia. Asymptomatic infections may
    also occur.

    Chronic infection: Infection that persists for more than 6 months. Potentially fatal endocarditis
    may evolve months to years after acute infection, particularly in persons with underlying valvular
    disease. Infections of aneurysms and vascular prostheses have been reported.
    Immunocompromised individuals are particularly susceptible. Rare cases of chronic hepatitis
    without endocarditis, osteomyelitis, osteoarthritis, and pneumonitis have been described.
    Laboratory criteria for diagnosis

    Laboratory diagnosis is made by demonstration of the presence of antibodies to C burnetii antigens
    using indirect immunoflourescent assay (IFA), or enzyme-linked immunosorbent assay (ELISA)
    methods. Organisms can also be identified in the tissues using immunohistochemical (ICH)
    staining, DNA detection methods by polymerase chain reaction (PCR), or electron microscopy.
    Recovery of the organism from blood is diagnostic but poses a hazard to laboratory workers.
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    Mary008 View Drop Down
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    Post Options Post Options   Thanks (0) Thanks(0)   Quote Mary008 Quote  Post ReplyReply Direct Link To This Post Posted: December 14 2009 at 11:21pm
    .
     
    CDC
    ...........

    Diagnosis

    Because the signs and symptoms of Q fever are not specific to this disease,

     
    it is difficult to make an accurate diagnosis without appropriate laboratory testing.
     
     
    Results from some types of routine laboratory tests in the appropriate clinical and epidemiologic settings may suggest a diagnosis of Q fever. 
     
     
    For example, a platelet count may be suggestive because persons with Q fever may show a transient thrombocytopenia.  Confirming a diagnosis of Q fever requires serologic testing to detect the presence ofantibodies to Coxiella burnetii antigens. In most laboratories, theindirect immunofluorescence assay (IFA) is the most dependable and widely used method. Coxiella burnetii may also be identified in infected tissues by using immunohistochemical staining and DNA detection methods.

    Coxiella burnetii exists in two antigenic phases called phase I and phase II.

     
     
    This antigenic difference is important in diagnosis. In acute cases of Q fever, the antibody level to phase II is usually higher than that to phase I,
     
     
     often by several orders of magnitude, and generally is first detected during the second week of illness. 
     
     
     
    In chronic Q fever, the reverse situation is true. 
     
     
    Antibodies to phase I antigens of C. burnetii generally require longer to appear and indicate continued exposure to the bacteria. 
     
     
    Thus, high levels of antibody to phase I in later specimens in combination with constant or falling levels of phase II antibodies
     
     
    and other signs of inflammatory disease suggest chronic Q fever.
     
     
    Antibodies to phase I and II antigens have been known to persist for months or years after initial infection.

    Recent studies have shown that greater accuracy in the diagnosis of Q fever can be achieved by

     
    looking at specific levels of classes of antibodies other than IgG, namely IgA and IgM.  Combined detection of IgM and IgA in addition to IgG improves the specificity of the assays and provides better accuracy in diagnosis.  IgM levels are helpful in the determination of a recent infection.  In acute Q fever, patients will have IgG antibodies to phase II and IgM antibodies to phases I and II.  Increased IgG and IgA antibodies to phase I are often indicative of Q fever endocarditis.  
     
     
     
     
     
     
     
    Wow... Imagine trying to test people for that... the time ... the expense
     
     
    It isn't possible at this time....   
     
    It could be  anywhere...  ( big woop... Biotesting in a few big cities... so there they go ...out to the country, who would know?
     
     
    Is It Flu?  Or Is It Q?
     
     
    ..................................
     
     
     
     
     
     

     

    Treatment

    Doxycycline is the treatment of choice for acute Q fever. Antibiotic treatment is most effective when initiated within the first 3 days of illness. A dose of 100 mg of doxycycline taken orally twice daily for 15-21 days is a frequently prescribed therapy.  Quinolone antibiotics have demonstrated good in vitro activity against C. burnetii and may be considered by the physician. Therapy should be started again if the disease relapses.

    Chronic Q fever endocarditis is much more difficult to treat effectively and often requires the use of multiple drugs. Two different treatment protocols have been evaluated: 1) doxycycline in combination with quinolones for at least 4 years and 2) doxycycline in combination with hydroxychloroquine for 1.5 to 3 years. The second therapy leads to fewer relapses, but requires routine eye exams to detect accumulation of chloroquine. Surgery to remove damaged valves may be required for some cases of C. burnetii endocarditis.

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    Mahshadin View Drop Down
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    Post Options Post Options   Thanks (0) Thanks(0)   Quote Mahshadin Quote  Post ReplyReply Direct Link To This Post Posted: December 15 2009 at 11:01am
    jeese Mary008
     
    You want to start a vaccine campaign for this after what we just went through with influenza vaccine.
     
    My God Mercola and Becks Heads would just explode, we cant have that :-)
    "In a time of universal deceit, telling the truth is a revolutionary act."   G Orwell
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    Mary008 View Drop Down
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    Post Options Post Options   Thanks (0) Thanks(0)   Quote Mary008 Quote  Post ReplyReply Direct Link To This Post Posted: December 15 2009 at 7:34pm
    .
     
    Sorry...
     
    Not understanding this...  a vaccine campaign?     where did you get that?   Hug
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