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Country 2010 2011 2012 2013 2014 Cases Rate National data Report type

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1 Table 1. Reported Q fever cases: number and rate per 100 000 population, EU/EEA, 2010–2014
Country 2010 2011 2012 2013 2014 Cases Rate National data Report type Reported cases Confirmed cases ASR Austria . Belgium 30 0.3 6 0.1 18 0.2 5 0.0 Y C 16 4 - Bulgaria 14 12 29 0.4 23 A 17 15 Croatia 43 1.0 21 0.5 Cyprus 0.6 3 1 Czech Republic Denmark Estonia Finland France 286 228 168 158 209 Germany 326 285 198 114 262 238 Greece 11 Hungary 68 0.7 36 135 1.4 59 Iceland Ireland 9 Italy Latvia 2 Liechtenstein Lithuania Luxembourg Malta Netherlands 504 3.0 80 63 20 26 Norway Poland Portugal 13 27 25 Romania 7 24 Slovakia Slovenia Spain 69 33 58 75 N 77 Sweden United Kingdom 46 60 EU/EEA 1380 757 692 651 822 782 Source: Country reports. Legend: Y = yes, N = no, C = case based, · = no report, ASR: age-standardised rate Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

2 Figure 1. Number of confirmed Q fever cases, EU/EEA, 2014
Source: Country reports from Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Estonia, Finland, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

3 Figure 2. Confirmed Q fever cases per 100 000 population, EU/EEA, 2014
Source: Country reports from Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Estonia, Finland, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Sweden and the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

4 Figure 2. Reported Q fever cases: rate by age and gender, EU/EEA, 2014
Source: Country reports from Belgium, Croatia, Cyprus, the Czech Republic, Estonia, Finland, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Sweden and the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

5 Figure 3. Seasonal distribution of reported Q fever cases, EU/EEA, 2014 compared with 2010−2013 (minimum–maximum) Source: Country reports from Belgium, Cyprus, the Czech Republic, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

6 Figure 4. Trend and number of reported Q fever cases, EU/EEA, 2010−2014
Source: Source: Country reports from Belgium, Cyprus, the Czech Republic, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

7 Table. Q fever, surveillance systems overview, 2014
Surveillance Data reported by Case definition used characteristics Country Data source L P H O Austria AT-Epidemiegesetz Cp Co C Y EU-2008 Belgium BE-REFLAB V A N Not specified/unknown Croatia HR-CNIPH EU-2012 Czech Republic CZ-EPIDAT Other Estonia EE-NAKIS Finland FI-NIDR France FR-MANDATORY_INFECTIOUS_DISEASES Germany Greece EL-NOTIFIABLE_DISEASES Hungary HU-EFRIR Iceland IS-SUBJECT_TO_REGISTRATION Ireland IE-CIDR Italy IT-NRS Latvia LV-BSN Lithuania LT-COMMUNICABLE_DISEASES Luxembourg LU-SYSTEM1 EU-2002 Malta MT-DISEASE_SURVEILLANCE Netherlands NL-OSIRIS Norway NO-MSIS_A Poland PL-NATIONAL_SURVEILLANCE Romania RO-RNSSy Slovakia SK-EPIS Slovenia SI-SURVIVAL Sweden SE-SMINET United Kingdom UK-DENGUE Surveillance characteristics: compulsory (Cp), comprehensive (co), voluntary (V), other (O), active (A), passive (P), case-based (C), aggregated (A) Data reported by: laboratories (L), physicians (P), hospitals (H), other (O) Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report Q fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, Reproduction is authorised, provided the source is acknowledged

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