Q Fever is a disease that can be spread to humans mainly from cattle, sheep and goats. The germ is spread in the urine, faeces and milk, but birth fluids, the foetus and the placenta are the most dangerous sources. When infected fluids dry out, the germ can remain alive in the dust for years.
People can become infected by begin splashed with infected fluids, or by breathing in infected dust.
When infected some people experience no signs, while others just feel a little 'off colour' for a few days. Most people, however, feel like they have a bad case of the 'flu, with fever and sweating, nausea, vomiting and diarrhoea for 7 to 10 days. For most people, these signs pass and there are no more problems. If you already have heart problems, you may get infection of the heart valves and severe illness as a result.
It is very rare for anybody to die of Q Fever, although some people may get other problems months or years after the first signs of disease have passed. These take the form of extreme tiredness and weakness, even after minor exercise, muscle pains, headaches, fever, and depression. This form of the disease, Post Q Fever Fatigue Syndrome, often lasts for years, and may make work, and many other aspects of normal life, impossible.
While the early disease can be very unpleasant, preventing this long lasting disease is the main aim of Q Fever vaccination.
You are probably immune to Q Fever and cannot get the disease if you have ever had:
a vaccination against Q Fever, a test to say that you are immune, or the Q Fever disease diagnosed by a doctor. If you don't know if you have had the disease, or a vaccination against it then your employer will ask you to have a test to check if you are immune. If you aren't immune then you will probably need to have a vaccination to protect you from Q Fever in the future.
What is the Q Fever Register?
The Australian Q Fever Register is a database to store information about the Q Fever immune status of people who have agreed to be part of the register.
The purpose of the Register is to help people working in high risk industries avoid getting the disease. It does this by allowing employers to quickly find out if you are immune or not. If you are not immune, you can be vaccinated before you are exposed to the risk of infection.
If you have been vaccinated but have lost your details, or forgotten if you've been vaccinated, you will normally need to be re-tested to check if you are protected from the disease before you start work. Screening tests for Q Fever are expensive and can take one or two weeks.
The Register will help workers by storing their vaccination or test details and by making it easier if you change employers in the future. If you agree to be on the Register your details can be checked immediately, so that, if you are immune, you can start work immediately without any danger.
If you are not on the Register you will need to be tested, and then, if you are not already immune, your employer will arrange for you to be vaccinated.
If you are on the Register, it means that you can be safely employed in a new job (in a position where they may be exposed to Q Fever) much more easily and quickly. It saves the time, inconvenience and cost of unnecessary testing. It can also help doctors avoid the risks of unpleasant reactions that may occur when a person who is already immune is unnecessarily vaccinated.
The Register is designed to store information on anybody who is at risk of being exposed to Q Fever and who has agreed to be part of the Register.
Anybody who is tested or vaccinated, or people who contract the disease, can be entered on the Register, regardless of their occupation.
The Register has very strict privacy controls. After being added to the Register you can access the information on your own immune status using a secure password system. If you give your permission, the information may also be accessed by:
The information is stored in a secure computer database connected to the Internet. Employers and doctors who have registered as users can access the Register using a Web page. To get into the Register, they must use a password and uses the same sort of security system as used in Internet banking. Any information they send or receive from the Register is encrypted to make sure it is kept private.
They can only get your information if they know your Q Fever Register Number (a unique number for each person on the Register). The only way that can get that number is if you tell them.
Information is entered into the Register by registered users (employers or doctors) or their designated staff (eg an Occupational Health and Safety Nurse). Before any information about you is entered, you must read, understand and sign a Q Fever Personal Information and Consent Form. This form contains basic information to identify you, and shows that you have agreed to be entered on the Register.
If you don't want to be entered on the Register, you don't have to complete the form.
There are two types of information on the register: information which identifies you, and information about your immune status.
The identification information is:
The immune status information is:
The Register may, from time to time, receive requests to use the information for research into Q Fever. Any requests will be considered by the Q Fever Technical Management committee (made up of industry, union, occupation health and safety and medical representatives) and an appropriate Ethics committee. If the request is approved, the researcher may be given access to the information. Normally, no identifying information (name or address) will be released. However, if you have previously indicated that you are willing to be contacted for research purposes, the researcher may be given your name and address details.
Your personal information will not be released or sold for any commercial or marketing purpose, nor released to any government authorities.
Your own information can only be used by you, or (with your permission) your employer or doctor to find out your Q Fever immune status.
A summary of the information in the Register will be made available for statistical and surveillance purposes, but contains no information that allows individuals to be identified. This summary may contain, for example, the number of people diagnosed with Q Fever, the number vaccinated, the percent of positive test results and so on.
The information may be used for research purposes from time to time, but only under the controls described above.
When your details are entered into the Register or new information is added, a Q Fever Register Card will be mailed to you. This card contains your name, your current Q Fever immune status, and your Q Fever Register Number. This card should be kept and used to prove your immune status in the future.
You may be asked by your employers or doctors for your Q Fever Register Number. They will need your number to be able to check the Register to see if you are immune to Q Fever. Everybody on the Register is issued with a unique Q Fever Register Number which is printed on their Q Fever Card.
If you lose the card, or need the Register Number and don't have the card with you, telephone the Q Fever Register Help-Line (1300 QFEVER [1300 733837]). Register staff will ask you to identify yourself by asking your name, date of birth, and your secret question. Once identified, they will tell you your Q Fever Register Number.
Everybody on the Register has the right to know what information is kept, and to request that any errors be corrected. Whenever a Q Fever Card is issued, a covering letter with the full details of the information held by the Register is sent with it. This letter contains a form for correction of any incorrect details, which should be sent back to the Register.
A person can also call the Q Fever Register Help-Line (1300 QFEVER) identify themselves, and request their details or correct errors.
If a person loses their Q Fever Card, they can telephone the Register and ask for a new card to be issued. The Card is not required for an employer or doctor to access the information in the Register - they just need to know the Q Fever Register Number. A person can get this immediately by telephoning the Register Help-Line.
In addition to the protection offered by State and Commonwealth legislation, registered users of the Register (employers in particular) must sign an agreement stating that they will not discriminate against a person in any way, either on the basis of the information contained on the Register, because a person is not on the Register, or because a person fails to inform them of their Register Number.
The Register and data in it are owned by Meat and Livestock Australia Limited (MLA). It is operated by an independent Data Manager appointed by MLA, currently AusVet Animal Health Services.
Your information can only be put on the Register if you have given your permission and signed a consent form. You can check if your information is on the register by phoning the Register. See the contacts page.
Your Q Fever Register Number is needed if anybody is to find information about you from the Register. It is printed on your Q Fever Card. If you lose your card or forget your number, you can phone the Register to find out what your number is. See the contacts page.
To find a person's Q Fever status from the Register your organisation must first be Registered, and one or more staff members appointed as authorised users. They will be given a user name and password for use when accessing the Register on the Internet. To get a person's details, you will require the following information about that person:
You may only access a person's details with the permission of that person. You will need to ask the person what their Q Fever Register Number is before you access the information.