The Rural Voice, 1987-01, Page 26orris
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22 THE RURAL VOICE
Q FEVER: A GROWING MENACE
IN DAIRY HERDS
Working and living with domestic
animals entails certain risks to human
health. In the past, bovine tuberculo-
sis and bovine brucellosis were typical
examples of such risks, but thanks to
concerted efforts by public and animal
health regulatory agencies these com-
municable infections are mostly bad
memories. Our cattle herds were
cleared from the infections through
systematic sero -testing and the elim-
ination of affected animals.
Unfortunately, a new menace to
health has crept into Ontario's dairy
herds. It is coxiellosis (named after H.
Cox, one of the scientists who studied
the causative agant, Coxiella burnetii).
Coxiellosis is the source of human
Q fever. The human disease looks
and feels like a common flu, often
accompanied by a peculiar sensation of
tightness in the chest. It tends to
persist and can send vulnerable people,
especially the elderly, to hospital with
a bad case of pneumonia or damaged
liver. In the worst instance, luckily
quite rare, it can cause damage to the
heart valves, leaving the patient crip-
pled for life by cardiac insufficiency.
Almost always, people acquire Q
fever from animals infected by coxiel-
losis, of which the domestic ruminants
are the most dangerous. Coxiellosis is
rarely a disease in animals (abortion,
retention of afterbirth, and breeding
problems are occasionally encountered)
and causes few direct losses to the
farmer, a major reason why it has been
overlooked for so long.
It is in the developing fetus of the
pregnant cow, ewe, or goat that the
coxiellosis agent multiplies — at birth
or miscarriage, huge numbers are re-
leased into the environment with the
fetal waters and membranes. In the
dried state, Coxiella bumetii can sur-
vive the harshest conditions for long
periods, and is usually transmitted to
man or animals by the inhalation of
coxiella-bearing dust.
The agent can also invade a cow's
udder and pass into the milk. Even
though the udder is not visibly darn -
aged and the milk does not appear to
be modified, milk excretion of coxiel-
las can last for months. Contaminated
milk which has been spilled and has
dried is as dangerous as infected birth
waters. Boiling or pasteurizing milk
kills the coxiellas, and commercial
milk in stores is therefore safe for con-
sumers. But farmers, cattle handlers
and dealers, veterinarians, and others
who work with cows can fall prey to
Q fever.
We have known of Q fever in
Canada since 1954, when an epidemic
occurred among workers at an abattoir
in Princeville, Quebec. Studies in the
early 1960s revealed coxiella infection
in dairy cattle throughout Canada, ex-
cept in the Maritimes. But the level
of infection was so low that no precau-
tions appeared to be necessary. This
view was borne out by the fact that
very few cases of human Q fever were
brought to the attention of the medical
establishment.
In the late '70s and early '80s, how-
ever, human Q fever was diagnosed
with increasing frequency in Ontario,
and it is now also present in the
Maritimes. In the past few years, the
Public Health Laboratory in Toronto
has registered more than 30 Q fever
cases a year in the province, and ex-
perts estimate that for every reported
case nine or more will go unnoticed
because rarely does anybody think of Q
fever when a person gets a flu. Proper
treatment of Q fever requires a sus-
tained cure with antibiotics or relapses
may occur.
Since human Q fever is a reflection
of what happens in our livestock, cox-
iellosis must have spread on our farms
too. And a recent survey carried out at
the Ontario Veterinary College shows
that 67 per cent of dairy herds have
cows that react to a coxiella blood test
(called in short coxiella ELISA). In-
fected most is southwestern Ontario
(more than 80 per cent) and least
eastern Ontario (33 per cent).