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        The prevalence of Q fever in the Eastern Mediterranean region: a systematic review and meta-analysis

        Ahmadinezhad Mozhgan,mounesan leila,Doostiirani Amin,Yousefi Behzadi Manijeh 한국역학회 2022 Epidemiology and Health Vol.44 No.-

        OBJECTIVES: Q fever is a main zoonotic disease around the world. This disease is common in the Eastern Mediterranean region, so we conducted for the first time a systematic review and meta-analysis between humans and animals and ticks in the Eastern Mediterranean region. METHODS: Major national and international databases were searched from 2000 up to 2021. We extracted the prevalence of Q fever in a blood sample in animal, milk sample in animal, tick, and human as the main outcome. We reported the prevalence of seropositivity and molecular positivity as point and 95% confidence intervals. RESULTS: In this review, 112 papers were identified. The overall seroprevalence Q fever was 22.4% (95% CI 19.8–25.1). The pooled prevalence of Q fever in tick was 17.5% (95% CI -1.3-36.4). The prevalence was 25.5%( 95% CI 16.1-34.9) in human. The prevalence of Q fever in animal blood samples such as goat, sheep, camel, cattle, dog, cat, buffalo, and horse were 28.1%, 25.1%, 25.0%, 20.1%, 8.4%, 9.8%, 6.3%, and 6.5%, respectively. Also, the prevalence of Q fever in milk samples of animals was higher in cattle 20.3% than sheep 20.0%, goat 16.4%, and camel 3.3%. CONCLUSIONS: C.burnetii infections are common in human and in a wide range of animal species but they are still not recognized in many countries in the Eastern Mediterranean region, thus presenting a significant threat to human and animal health in the region.

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