It was first identified in Australia in 1935 after an outbreak of disease in abattoir workers.
The bacteria can survive for extended periods of time in the environment, for example up to 5 months in soil1 and up to 2 years at minus 20oC. The bacteria are also resistant to many commonly used disinfectants.
Alongside environmental persistence the bacteria can be spread up to 11 miles on the wind.
Risk factors for infection are mainly related to the density of ruminants. An outbreak seen in the Netherlands (2007 – 2010) was linked to a 75-fold increase in goat numbers seen in the preceding 25 years. The bacteria thrive in dry environments and rain has a negative impact on the distribution1.
Infection is generally through inhalation of the bacteria which is shed in large numbers most commonly at parturition (placenta and birth fluids) but also shed in faeces, milk and vaginal mucous. Infected animals can shed up to 109 bacteria per gram of placenta2 and inhalation of as little as 10 bacteria can result in disease3.
Coxiella burnetii has been identified worldwide with the exception of New Zealand4. Public health agencies across the globe monitor the cases in humans.
There is a varying prevalence reported in the UK and Ireland5,6,7,8 which include