Q fever epidemiology in Roumania.

A review on Q fever epidemiologic aspects in Roumania from the first case report in 1947 up to the actual cases is presented. It includes the dynamics of the number of cases, features of epidemics, results of surveys on slaughterhouse workers and laboratory-acquired cases, results of serologic surveys in domestic animals, and of wild life studies. Special attention is given to the sporadic character of the present cases in Roumania with emphasis on the seasonal repartition of cases, occupation of subjects, and urban versus rural proportion of cases. The necessity of elucidation of the mechanism of generation of actual cases is emphasized since no relation with the usual animal sources could be established.