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What is Q fever?

Q fever is a highly contagious zoonosis, that also has a negative impact on the health and reproductive performance of ruminants.  Signs in cattle may include abortion, premature, still born or weak calves and infertility.

 

There is a varying prevalence reported in the UK and Ireland1,2,3,4 which includes 80% prevalence of positive Bulk Milk (BM) ELISA across 225 GB dairy herds and 70% BM PCR positive in South West England.

 

However, as the disease is mostly insidious and the diagnosis can be quite challenging, only a small percentage of farmers know that Q fever is present on their farms.

 

Learn more about this disease on our Q fever website.

How a farm becomes infected

Q fever is caused by the bacterium Coxiella Burnetti, which is highly infectious and highly contagious. The bacteria, due to its small size, can travel up to 11 miles with the wind, transmitting the disease from an infected farm to a healthy one.  

Additionally, a farm can become infected through the introduction of an animal already infected with C. burnetii. This infected animal, through shedding of the bacteria in vaginal discharge, parturition fluids and faeces, will contaminate the environment and then, via airborne spread, transmit the disease to healthy animals.

When to suspect Q Fever?

The main Q Fever symptoms in ruminants are reproductive problems, including abortions (including early embryo loss or reabsorptions), stillbirths, and infertility. A recent and unexplained degradation of the reproductive performances of the herd that manifest with an elevated number of retained placenta, metritis difficult to treat and poor fertility certainly warrants a Q fever diagnostic investigation. In goats and sheep, acute Q fever will often manifest as the main causes of abortion storms.  

How can I confirm that a herd is infected?

A diagnosis of Q Fever can be a challenge for several reasons including:

  • Infected animals can be asymptomatic but still be shedding the bacteria
  • Animals can shed from differing routes and the amount of shedding can vary significantly over time
  • In cattle the presentation is often subclinical and can be confused/diluted by other factors

In an effort to simplify the diagnosis of this disease, Ceva’s ruminant team has developed a new PCR diagnostic tool for Q fever, the Q Test.  This is validated for use on bulk tank milk and is available through vets from Ceva.  

Serology ELISAs are available to measure antibody levels, which can be useful as an indicator of exposure to the bacteria in unvaccinated animals.

To find out about Ceva supported Q fever diagnostics please contact us.

Prevention is key

Q Fever vaccination is important for protecting herds, by decreasing shedding in infected herds to reduce the clinical impact of the disease, reduce zoonotic risk and break the cycle of the bacteria.

 

Coxevac has proven efficacy in reducing shedding of the bacteria by ruminants. By controlling the disease in animals, the vaccine also reduces the risk of transmission to humans.  

Q fever heat map

Incidence of Q fever in UK dairy herd as diagnosed by Q Test (PCR)

  • Total number of Q tests reported to 10 Sept 25: 900
  • National average 46% positive
  • Recording of data commenced 2020

View the map

Clinical Case Notes

Vet Bekky Hobbs

Herd details – Case 4

  • Flying herd of 80 cows, mixed breeds, no youngstock kept on farm and no farm bred replacements kept

Clinical signs

  • Poor fertility and abortions, sick cows (respiratory and gut signs/scouring), cow deaths with no other apparent cause

Herd details – Case 5

  • 120 pedigree Holsteins, semi closed herd

Clinical signs

  • Fertility problems and sick cows

Includes Bekky’s personal experience of Q fever. 

Watch now

Vet Mike Kirby

Herd details

  • 220 milking mainly Ayrshire X, Friesian X and Norwegian Red X cows.  Calving August to October, averaging 8551 litres in a 305 day lactation.  Space-sharing cubicles with sand bedding, milked twice a day in a herringbone-style parlour

Clinical signs

  • Increased number of 42 day returns compared to previous years, then a few reabsorption cases after ultrasound PD plus, circa 30 to 40 days
Watch now

Vet Tom Laycock

Herd details

  • 250 milking all year round, pedigree Holstein Friesians, averaging 9000L in a 305 day lactation, milked through a 24:24 herringbone parlour, housed in deep sand beds
  • Vaccinating for BVD, leptospirosis and IBR

Clinical signs

  • Abortions up to 8 months of gestation, reabsorptions post PD at 30-44 days, some reabsorbing foetuses at PD.  Inter-service interval at 25-32 days was 47% (compared to the total 18-24 day service interval)
Watch now

References

1 Velasova M. et al. 2017. Herd-level prevalence of selected endemic infectious diseases of dairy cows in Great Britain. J. Dairy Sci. 100:9215–9233 2 Valergakis G. et al. 2012. Coxiella burnetii in bulk tank m ...

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