COMMUNITY OUTBREAK OF PSITTACOSIS IN A RURAL AUSTRALIAN TOWN

Background Health authorities in Victoria, Australia were notified of three men from a rural town with atypical pneumonia, admitted to hospi tal over 8 days. Initial serological testing suggested Chlamydia psitt aci as the cause. We did a case-control study to find risk factors for psittacosis. Methods We searched for cases of pneumonia or severe flu -like illness through family physicians and the regional hospital. We selected three controls per case from the region's electoral roll. We collected blood for serological tests and administered questionnaires to all cases and controls. Findings We found 16 cases of psittacosis a nd one died. Most cases were clustered within a small geographical are a, with a median age of 58 years (range 23-76), 15 (94%) of whom were male. Keeping, handling, or feeding domestic or wild birds was not ass ociated with illness. Cases spent a median of 17.5 h per week in their garden, compared with a median of 5.2 h for controls (p=0.04) and wer e more likely to have mowed lawns during the 3 weeks before onset of i llness than controls (odds ratio 4.81 [95% CI 1.08-33.37]). Interpreta tion We showed that psittacosis outbreaks are not limited to direct co ntact with birds and pose new challenges for disease control. Modifica tions may be needed to work outdoors to decrease the risk psittacosis.