Since 2007 the largest known outbreak of Q fever has been ongoing in the Netherlands, with more than 3500 human cases reported to date.  Whilst this outbreak appears to be related to factors unique to the Netherlands, clinicians in the UK should be alert to imported cases in travellers returning from affected areas. Recent cases have also been reported in personnel serving in Afghanistan. Q fever is endemic in the UK with approximately 50 – 100 acute cases per year. Therefore a history of travel to other countries is not necessary to make the diagnosis.

• Q fever disease and investigation (PDF, 204 KB)
  This document provides details about the clincal presentation of Q fever cases, with information about diagnosis, treatment and subsequent management.
  Added/updated: 29 June 2010
  
• Q fever Algorithm for diagnosis and management (PDF, 80 KB)
  This algorithm provides an outline to guide investigation and management of patients suspected to have Q fever.
  Added/updated: 29 June 2010