Q fever vaccination in Queensland abattoirs.

Outbreaks of Q fever continue to be recorded in abattoirs despite a protective vaccine being available. All accredited abattoirs in Queensland were surveyed to ascertain the number that conducted Q fever vaccination programs. Only ten of the 30 abattoirs had vaccination programs. Vaccination programs were present at all abattoirs with more than 360 employees. Thirty-seven per cent of abattoir employees worked at abattoirs that did not have vaccination programs. Research is required into the attitudes and barriers to vaccination at smaller abattoirs so that vaccination coverage can be increased. Economic data, including litigation costs, should be considered in a cost-effectiveness study so that smaller abattoirs appreciate the benefits of implementing vaccination programs. The protocols for vaccination of new employees should be analysed for their capacity to provide appropriate worker coverage. Abattoir workers are a readily identifiable at-risk group who should be fully protected from this occupational disease. It is the responsibility of industry and health authorities to ensure all workers are appropriately protected.