Farmers and people who work with livestock are being urged to vaccinate against Q fever, with 51 confirmed cases reported in the Western NSW Local Health District.
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WNSWLHD manager communicable diseases and immunisation Susan Turcato said anyone who might be at risk to consult a GP who can screen for Q fever and vaccinate them, if needed.
"We want people to proactively talk to their doctor about Q fever," she said.
Q fever is a bacterial infection carried by animals - such as cows, sheep and goats - and can lead to chronic lethargy that may last for several months.
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Ms Turcato said a single dose vaccine is recommended for people who work in high-risk occupations, as well as for people aged 15 years and over who could be exposed to Q fever.
People become infected when they breathe in dust particles contaminated by infected animal secretions, which can lead to high fevers and chills, sweating, severe headaches, muscle and joint pains and extreme fatigue.
The risk of ongoing health issues, such as chronic fatigue, can really hit individuals and families hard and affect their ability to work.
Children who help with farm animals may also be at risk, but the vaccine is not recommended for children younger than 15 years.
Ms Turcato said many of the behaviours adopted during COVID-19 can help keep people safe.
"Vigilant hand washing, protective masks, protective clothing and removing clothes worn for chores outside before entering the family home are behaviours to be reinforced because they can protect those who cannot be vaccinated," she said.
The NSW Government is investing around $1 million between 2018 and 2022 to help protect farmers and other people in rural areas who work with animals from Q fever.
NSW Health is currently delivering an education campaign targeting people in occupations and locations at higher risk of Q fever.
For more information on Q fever, go to the NSW Health website.