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==Overview==
Brucellosis is not very common in the United States, but brucellosis can be very common within countries that do not have good standardized and effective public health and domestic animal health programs. Areas currently listed as high risk are the Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa), South and Central America, Eastern Europe, Asia, Africa, the Caribbean, and the Middle East.<ref name="a">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/areas.html. Accessed on February 3, 2016</ref>
 
==Epidemiology and Demographics==
===Incidence===
*The incidence in different endemic countries varies between 0.01 and 200 per 100,000 individuals
*The low incidence reported in known brucellosis-endemic areas may reflect low levels of surveillance and reporting<ref name="pmid9204307">{{cite journal| author=Corbel MJ| title=Brucellosis: an overview. | journal=Emerg Infect Dis | year= 1997 | volume= 3 | issue= 2 | pages= 213-21 | pmid=9204307 | doi=10.3201/eid0302.970219 | pmc=PMC2627605 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9204307 }} </ref>
 
===Case Fatality Rate===
*The case fatality rate of brucellosis is less than 2% when untreated.<ref name="g">Brucelosis. Commonwealth of Massachusetts. http://www.mass.gov/eohhs/docs/dph/disease-reporting/guide/brucellosis.pdf. Accessed on February 3, 2016</ref>
 
===Age===
*Brucellosis most commonly affects individuals 20 and 45 years old.<ref name="abc">FAO/WHO/OIE Brucellosis in humans and animals. WHO (2006). http://www.who.int/csr/resources/publications/Brucellosis.pdf Accessed on February 3, 2016 </ref>
 
===Gender===
*Men are more commonly affected with brucellosis than women.<ref name="abc">FAO/WHO/OIE Brucellosis in humans and animals. WHO (2006). http://www.who.int/csr/resources/publications/Brucellosis.pdf Accessed on February 3, 2016 </ref>
 
===Race===
*There is no racial predilection to brucellosis
 
===Developed Countries===
*Dairy herds in the USA to be certified brucellosis-free are tested at least once a year with the Brucella milk ring test. Many countries such as the US have good surveillance programs.
*Australia, Canada, France, Belgium, Germany, and many other countries are considered to be brucellosis-free.<ref name="b">Brucellosis. Wikipedia. https://en.wikipedia.org/wiki/Brucellosis#In_popular_culture. Accessed on February 3, 2016</ref>


==Overview==
===Developing Countries===
Brucellosis is not very common in the United States, where 100 to 200 cases occur each year. But brucellosis can be very common in countries where animal disease control programs have not reduced the amount of disease among animals.
*Developing countries often do not have safeguards that can help prevent or monitor possible outbreaks, such as pasteurization laws, animal control/slaughter regulations, and brucellosis surveillance programs.<ref name="f">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/unpasteurized-dairy-products.html. Accessed on February 3, 2016</ref>


Although brucellosis can be found worldwide, it is more common in countries that do not have good standardized and effective public health and domestic animal health programs. Areas currently listed as high risk are the Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa), South and Central America, Eastern Europe, Asia, Africa, the Caribbean, and the Middle East. Unpasteurized cheeses, sometimes called "village cheeses," from these areas may represent a particular risk for tourists <ref>http://www.cdc.gov/brucellosis/</ref>.


==Reference==
==Reference==

Revision as of 14:00, 4 February 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza Lukac

Overview

Brucellosis is not very common in the United States, but brucellosis can be very common within countries that do not have good standardized and effective public health and domestic animal health programs. Areas currently listed as high risk are the Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa), South and Central America, Eastern Europe, Asia, Africa, the Caribbean, and the Middle East.[1]

Epidemiology and Demographics

Incidence

  • The incidence in different endemic countries varies between 0.01 and 200 per 100,000 individuals
  • The low incidence reported in known brucellosis-endemic areas may reflect low levels of surveillance and reporting[2]

Case Fatality Rate

  • The case fatality rate of brucellosis is less than 2% when untreated.[3]

Age

  • Brucellosis most commonly affects individuals 20 and 45 years old.[4]

Gender

  • Men are more commonly affected with brucellosis than women.[4]

Race

  • There is no racial predilection to brucellosis

Developed Countries

  • Dairy herds in the USA to be certified brucellosis-free are tested at least once a year with the Brucella milk ring test. Many countries such as the US have good surveillance programs.
  • Australia, Canada, France, Belgium, Germany, and many other countries are considered to be brucellosis-free.[5]

Developing Countries

  • Developing countries often do not have safeguards that can help prevent or monitor possible outbreaks, such as pasteurization laws, animal control/slaughter regulations, and brucellosis surveillance programs.[6]


Reference

  1. Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/areas.html. Accessed on February 3, 2016
  2. Corbel MJ (1997). "Brucellosis: an overview". Emerg Infect Dis. 3 (2): 213–21. doi:10.3201/eid0302.970219. PMC 2627605. PMID 9204307.
  3. Brucelosis. Commonwealth of Massachusetts. http://www.mass.gov/eohhs/docs/dph/disease-reporting/guide/brucellosis.pdf. Accessed on February 3, 2016
  4. 4.0 4.1 FAO/WHO/OIE Brucellosis in humans and animals. WHO (2006). http://www.who.int/csr/resources/publications/Brucellosis.pdf Accessed on February 3, 2016
  5. Brucellosis. Wikipedia. https://en.wikipedia.org/wiki/Brucellosis#In_popular_culture. Accessed on February 3, 2016
  6. Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/unpasteurized-dairy-products.html. Accessed on February 3, 2016

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