id author title date pages extension mime words sentences flesch summary cache txt cord-355309-nr8fwc8q Porten, Klaudia A super-spreading ewe infects hundreds with Q fever at a farmers' market in Germany 2006-10-06 .txt text/plain 5338 270 58 To investigate risk factors for infection we conducted a case control study (cases were Q fever patients, controls were randomly selected Soest citizens) and a cohort study among vendors at the market. To determine the outbreak size we therefore asked local public health departments in Germany to ascertain a possible link to the farmers' market in Soest for all patients notified with Q-fever. To obtain an independent, second estimate of the proportion of hospitalizations among symptomatic patients beyond that reported through the statutory surveillance system we calculated the proportion of hospitalized patients among those persons fulfilling the clinical case definition (as used in the vendors' study (s.b.)) identified through random sampling of the Soest population (within CCS2 (s.b.)) as well as in two cohorts (vendors' study and the 9 sailor friends (see below)). ./cache/cord-355309-nr8fwc8q.txt ./txt/cord-355309-nr8fwc8q.txt