C burnetii has a worldwide distribution from its reservoirs (including mammals, birds, and ticks), and the development of Q fever is strongly related to exposure to farm animals and particularly parturient animals (including cats and rabbits) because the organism is reactivated in pregnant animals. In one reported case, an obstetrician developed symptoms of Q fever 1 week after delivering a child to a woman who had Q fever.
Although specific antimicrobial therapy is indicated, most patients improve spontaneously. However, when Q fever is diagnosed, the administration of antibiotics is appropriate to prevent progression to chronic disease, which is far more resistant to treatment. Patients should avoid ingestion of unpasteurized dairy products as well.
Australia is the only country to have a registered Q-fever vaccine 0.3 Vaccinations started on 1991 for a few abattoirs, from 2002, it included farmers 1.11 The vaccination uptake increased with the increase of awareness of occupational risk and planning for risk mitigation at the work place notwithstanding the fact that in 2007 .