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first reported multistate human q fever outbreak in the united states, 2011.in april, 2011, the q fever bacterium coxiella burnetii was identified at a washington farm where an abortion storm took place among goats. soon after, q fever cases were reported among visitors to the farm from washington and montana. a cross-sectional investigation was conducted among humans and goats associated with the index farm or with 16 other farms that purchased goats from the index farm or housed goats at the index farm for breeding purposes. questionnaire data were analyzed, along wit ...201424350648
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