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RESEARCH ARTICLE

A review of the efficacy of human Q fever vaccine registered in Australia

Clayton K. Chiu A and David N. Durrheim B C
+ Author Affiliations
- Author Affiliations

A NSW Public Health Officer Training Program, NSW Department of Health

B Hunter New England Population Health, Hunter New England Area Health Service

C Corresponding author. Email: David.Durrheim@hnehealth.nsw.gov.au

NSW Public Health Bulletin 18(8) 133-136 https://doi.org/10.1071/NB07057
Published: 27 August 2007

Abstract

Background: Q fever remains an important occupational zoonosis in rural Australia. Although Q fever vaccine is recommended in high-risk occupational groups, its availability has been limited in recent years. Method: A literature review of the efficacy of the human Q fever vaccine registered in Australia was conducted. Results: Seven relevant vaccine efficacy studies were identified but no large double-blind, randomised, placebo-controlled studies have been conducted. Vaccine efficacy has ranged from 83–100% but limitations of study designs hamper a precise estimate of vaccine efficacy. Conclusion: Despite the shortcomings of efficacy studies, the Q fever vaccine available in Australia has considerable protective benefit in established high-risk environments, particularly of an occupational nature.


Acknowledgements

Data from the NSW Notifiable Diseases Database was accessed through the Health Outcomes Information and Statistics Toolkit (HOIST) system, a data access, analysis and reporting facility established and operated by the Centre for Epidemiology and Research, Population Health Division, NSW Department of Health


References


[1] Maurin M,  Raoult D. Q fever. Clin Microbiol Rev 1999; 12 518–53.
PubMed |

[2] Grieg JE,  Patel MS,  Clements MS,  Taylor NK. Control strategies for Q fever based on results of pre-vaccination screening in Victoria, 1998 to 2001. Aust N Z J Public Health 2005; 29 53–7.
PubMed |

[3] Ormsbee RA, Marmion BP. Prevention of Coxiella burnetii infection: vaccines and guidelines for those at risk. In: Marrie TJ, editor. Q fever: the disease. Volume 1. Chapter 12. Boca Raton, Florida: CRC Press, 1990.

[4] Shapiro RA,  Siskind V,  Schofield FD,  Stallman N,  Worswick DA,  Marmion BP. A randomized, controlled, double-blind, cross-over, clinical trial of Q fever vaccine in selected Queensland abattoirs. Epidemiol Infect 1990; 104 267–73.
PubMed |

[5] Gilroy N,  Formica N,  Beers M,  Egan A,  Conaty S,  Marmion B. Abattoir-associated Q fever: a Q fever outbreak during a Q fever vaccination program. Aust N Z J Public Health 2001; 25 362–7.
PubMed |

[6] Ackland JR,  Worswick DA,  Marmion BP. Vaccine prophylaxis of Q fever. A follow-up study of the efficacy of Q-Vax (CSL) 1985–1990. Med J Aust 1994; 160 704–8.
PubMed |

[7] Marmion BP,  Kyrkou M,  Worswick D,  Esterman A,  Ormsbee RA,  Wright J,  Cameron S,  Feery B,  Collins W. Vaccine prophylaxis of abattoir-associated Q fever. Lancet 1984; 342 1411–4.
Crossref | GoogleScholarGoogle Scholar |

[8] Marmion BP,  Ormsbee RA,  Kyrkou M,  Wright J,  Worswick DA,  Izzo AA,  Esterman A,  Feery B,  Shapiro RA. Vaccine prophylaxis of abattoir-associated Q fever: eight years’ experience in Australian abattoirs. Epidemiol Infect 1990; 104 275–87.
PubMed |

[9] Kermode M,  Yong K,  Hurley S,  Marmion B. An economic evaluation of increased uptake in Q fever vaccination among meat and agricultural industry workers following implementation of the National Q Fever Management Program. Aust N Z J Public Health 2003; 27 390–8.
PubMed |

[10] Garner MG,  Longbottom HM,  Cannon RM,  Plant AJ. A review of Q fever in Australia 1991–1994. Aust N Z J Public Health 1997; 21 722–30.
PubMed |