Evidence map›Paper›PMID 25888858›Full record

ArticleInternational journal of health geographics2015

Improved correlation of human Q fever incidence to modelled C. burnetii concentrations by means of an atmospheric dispersion model.

Jeroen P G van Leuken, Jan van de Kassteele, Ferd J Sauter, Wim van der Hoek, Dick Heederik, Arie H Havelaar, Arno N Swart

Abstract read
In one paragraph

Article in International journal of health geographics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Environmental risk factors of human Q fever in Spain.One health (Amsterdam, Netherlands) · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Multi-Scale Airborne Infectious Disease Transmission.Applied and environmental microbiology · 2021
    Review
  8. Farming, Q fever and public health: agricultural practices and beyond.Archives of public health = Archives belges de sante publique · 2018
    Review
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  10. Article
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  12. Article
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jeroen P G van LeukenInstitute for Risk Assessment Sciences (IRAS), Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80163, 3508, TD, Utrecht, The Netherlands. jeroen.van.leuken@rivm.nl.
Jan van de KassteeleCentre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands. jan.van.de.kassteele@rivm.nl.
Ferd J SauterEnvironmental Safety (M&V), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands. ferd.sauter@rivm.nl.
Wim van der HoekCentre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands. wim.van.der.hoek@rivm.nl.
Dick HeederikInstitute for Risk Assessment Sciences (IRAS), Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80163, 3508, TD, Utrecht, The Netherlands. d.heederik@uu.nl.
Arie H HavelaarInstitute for Risk Assessment Sciences (IRAS), Faculty of Veterinary Medicine, Utrecht University, P.O. Box 80163, 3508, TD, Utrecht, The Netherlands. ariehavelaar@icloud.com.
Arno N SwartCentre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands. arno.swart@rivm.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtmospheric dispersion models (ADMs) may help to assess human exposure to airborne pathogens. However, there is as yet limited quantified evidence that modelled concentrations are indeed associated to observed human incidence.

methodsWe correlated human Q fever (caused by the bacterium Coxiella burnetii) incidence data in the Netherlands to modelled concentrations from three spatial exposure models: 1) a NULL model with a uniform concentration distribution, 2) a DISTANCE model with concentrations proportional to the distance between the source and residential addresses of patients, and 3) concentrations modelled by an ADM using three simple emission profiles. We used a generalized linear model to correlate the observed incidences to modelled concentrations and validated it using cross-validation.

resultsADM concentrations generally correlated the best to the incidence data. The DISTANCE model always performed significantly better than the NULL model. ADM concentrations based on wind speeds exceeding threshold values of 0 and 2 m/s performed better than those based on 4 or 6 m/s. This might indicate additional exposure to bacteria originating from a contaminated environment.

conclusionsBy adding meteorological information the correlation between modelled concentration and observed incidence improved, despite using three simple emission profiles. Although additional information is needed - especially regarding emission data - these results provide a basis for the use of ADMs to predict and to visualize the spread of airborne pathogens during livestock, industry and even bio-terroristic related outbreaks or releases to a surrounding human population.

Indexed as

Models, TheoreticalAtmosphereCoxiella burnetiiHumansIncidenceNetherlandsPopulation DensityQ Fever

Identifiers

PMID25888858
PMCPMC4440286

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.