%0 Journal Article %T Suburban transmission of Q fever in French Guiana: evidence of a wild reservoir. %+ Institut Pasteur de la Guyane %+ Service de Santé ́des Armée %+ Direction des Services Vétérinaires [Gyuane] %+ Service Vétérinaire Départemental %+ Institut de Recherche pour le Développement (IRD) %+ Service de réanimation %A Gardon, Jacques %A Heraud, Jean-Michel %A Laventure, Stéphane %A Ladam, Aélis %A Capot, Philippe %A Fouquet, Eric %A Favre, Jacques %A Weber, Sacha %A Hommel, Didier %A Hulin, Alain %A Couratte, Yves %A Talarmin, Antoine %< avec comité de lecture %@ 0022-1899 %J Journal of Infectious Diseases %I Oxford University Press (OUP) %V 184 %N 3 %P 278-84 %8 2001-08-01 %D 2001 %R 10.1086/322034 %M 11443552 %Z Life Sciences [q-bio]/Microbiology and Parasitology/VirologyJournal articles %X The annual incidence of Q fever in French Guiana was found to have increased in 1996 and was 37/100,000 population over the last 4 years. Subsequent investigations in Cayenne and its suburbs indicated that a wild reservoir of the bacteria was responsible for the epidemiologic pattern. A case-control study showed that residence near a forest and occupations and activities that result in exposure to aerosols of dusts from the soil are risk factors for Q fever. By means of time-series analysis, a strong positive correlation between rainfall and the incidence of Q fever with a time lag of 1-3 months was found. The spatial distribution of the cases showed that transmission occurs widely throughout greater Cayenne, which is incompatible with a pinpoint source of contamination. Transmission from livestock and dissemination of the bacteria by the wind appeared to be unlikely, which strengthens the hypothesis that a wild reservoir is responsible for transmission. %G English %2 https://riip.hal.science/pasteur-00607923/document %2 https://riip.hal.science/pasteur-00607923/file/Gardon_et_al._JID_2001.pdf %L pasteur-00607923 %U https://riip.hal.science/pasteur-00607923 %~ IRD %~ RIIP %~ RIIP_GUYANE