Evidence map›Paper›PMID 37440349›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2023

A Q fever outbreak among visitors to a natural cave, Bizkaia, Spain, December 2020 to October 2021.

Ana Hurtado, Ion I Zendoia, Eva Alonso, Xabier Beraza, Joseba Bidaurrazaga, Blanca Ocabo, Iñaki Arrazola, Aitor Cevidanes, Jesús F Barandika, Ana L García-Pérez

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Frontiers in public health · 2026
    Article
  6. Environmental risk factors of human Q fever in Spain.One health (Amsterdam, Netherlands) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The European Union One Health 2023 Zoonoses report.EFSA journal. European Food Safety Authority · 2024
    Article
  13. Seroepidemiology ofAnimals : an open access journal from MDPI · 2024
    Article
  14. First Insight into the Prevalence ofInfectious disease reports · 2024
    Article
  15. Epidemiology of Q fever in humans in four selected regions, Spain, 2016 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  16. Review
  17. Efficacy and Safety of an Inactivated Phase IAnimals : an open access journal from MDPI · 2024
    Review
  18. Applied and environmental microbiology · 2024
    Article
  19. The European Union One Health 2022 Zoonoses Report.EFSA journal. European Food Safety Authority · 2023
    Article
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

10 authors at 2 institutions in 1 country.

Ana HurtadoAnimal Health Department, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Bizkaia, Spain.
Ion I ZendoiaAnimal Health Department, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Bizkaia, Spain.
Eva AlonsoDepartamento de Salud del Gobierno Vasco, Subdirección de Salud Pública de Bizkaia, Servicio de Epidemiologia, Bilbao, Bizkaia, Spain.
Xabier BerazaDepartamento de Salud del Gobierno Vasco, Subdirección de Salud Pública de Bizkaia, Servicio de Epidemiologia, Bilbao, Bizkaia, Spain.
Joseba BidaurrazagaDepartamento de Salud del Gobierno Vasco, Subdirección de Salud Pública de Bizkaia, Servicio de Epidemiologia, Bilbao, Bizkaia, Spain.
Blanca OcaboServicio de Ganadería, Departamento de Agricultura, Diputación Foral de Bizkaia, Bilbao, Bizkaia, Spain.
Iñaki ArrazolaServicio de Ganadería, Departamento de Agricultura, Diputación Foral de Bizkaia, Bilbao, Bizkaia, Spain.
Aitor CevidanesAnimal Health Department, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Bizkaia, Spain.
Jesús F BarandikaAnimal Health Department, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Bizkaia, Spain.
Ana L García-PérezAnimal Health Department, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Bizkaia, Spain.
Euskadiko Parke Teknologikoa · ESBasque Government · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a large Q fever outbreak reported in Spain, including 108 cases, 53 with pneumonia and 27 requiring hospitalisations. The first cases were detected in February 2021 among rock climbers visiting a cave in Bizkaia, and the last case was detected in October 2021. Most cases were notified after the Easter holiday (April-May 2021). More males (63.9%) than females (36.1%) were infected (median ages: 42 (1-68) and 39 years (6-61), respectively). We detected

Indexed as

Coxiella burnetiiGoat DiseasesQ FeverSheep DiseasesAerosolsAnimalsChlorocebus aethiopsDisease OutbreaksDustFemaleGoatsMaleSheepSpainVero CellsAerosolsDustCoxiella burnetiigenotypingnatural cavesoutbreakQ feversmall ruminantsviability

Identifiers

PMID37440349
PMCPMC10347893
OpenAlexW4384277278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.