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View article: 148 Mobility of essential workers, immobility of care provision: a mixed-method study of Covid-19 meat factory outbreaks among migrant workers in a Dutch border region
148 Mobility of essential workers, immobility of care provision: a mixed-method study of Covid-19 meat factory outbreaks among migrant workers in a Dutch border region Open
OP 12: Health Services 4, B210 (FCSH), September 3, 2025, 17:00 - 18:00 Aim Meat packaging and processing facilities in the EU were among the most affected by Covid-19 with migrant workers constituting a significant number of positive case…
View article: Four million COVID-19 cases in four European cross-border regions reveal minimal cross-border transmission effect on domestic burden: space-time cluster analysis
Four million COVID-19 cases in four European cross-border regions reveal minimal cross-border transmission effect on domestic burden: space-time cluster analysis Open
Introduction Restrictions of cross-border mobility were used during the COVID-19 pandemic to slow down transmission between countries. Such restrictions came with significant societal costs, and their effect on in-country burdens of COVID-…
View article: Implementation and effectiveness of non-pharmaceutical interventions, including mask mandates and ventilation, on SARS-CoV-2 transmission (alpha variant) in primary schools in the Netherlands
Implementation and effectiveness of non-pharmaceutical interventions, including mask mandates and ventilation, on SARS-CoV-2 transmission (alpha variant) in primary schools in the Netherlands Open
There has been a lot of discussion about the role of schools in the transmission of severe acute respiratory coronavirus 2 (SARS-CoV-2) during the coronavirus 2019 (COVID-19) pandemic, where many countries responded with school closures in…
View article: SARS-CoV-2 transmission dynamics in bars, restaurants, and nightclubs
SARS-CoV-2 transmission dynamics in bars, restaurants, and nightclubs Open
Background In an attempt to control the spread of SARS-CoV-2, many governments decided to close public venues including bars, restaurants, and nightclubs during the pandemic, making it difficult to study how transmission occurs in these en…
View article: Investigating SARS-CoV-2 breakthrough infections per variant and vaccine type
Investigating SARS-CoV-2 breakthrough infections per variant and vaccine type Open
Breakthrough SARS-CoV-2 infections have been reported in fully vaccinated individuals, in spite of the high efficacy of the currently available vaccines, proven in trials and real-world studies. Several variants of concern (VOC) have been …
View article: Increased transmissibility of SARS-CoV-2 alpha variant (B.1.1.7) in children: three large primary school outbreaks revealed by whole genome sequencing in the Netherlands
Increased transmissibility of SARS-CoV-2 alpha variant (B.1.1.7) in children: three large primary school outbreaks revealed by whole genome sequencing in the Netherlands Open
Background Variant of concern (VOC) SARS-CoV-2 alpha variant (B.1.1.7) was the dominant strain in the Netherlands between March 2021–June 2021. We describe three primary school outbreaks due to the alpha variant using whole genome sequenci…
View article: Additional file 1 of Increased transmissibility of SARS-CoV-2 alpha variant (B.1.1.7) in children: three large primary school outbreaks revealed by whole genome sequencing in the Netherlands
Additional file 1 of Increased transmissibility of SARS-CoV-2 alpha variant (B.1.1.7) in children: three large primary school outbreaks revealed by whole genome sequencing in the Netherlands Open
Additional file 1. An overview of cases, their respective classes, day of symptom onset and genotypes.
View article: Increased Transmissibility of SARS-CoV-2 Alpha Variant (B.1.1.7) in Children: Three Large Primary School Outbreaks Revealed by Whole Genome Sequencing in the Netherlands
Increased Transmissibility of SARS-CoV-2 Alpha Variant (B.1.1.7) in Children: Three Large Primary School Outbreaks Revealed by Whole Genome Sequencing in the Netherlands Open
BackgroundVariant of concern (VOC) SARS-CoV-2 alpha variant (B.1.1.7) was the dominant strain in the Netherlands between March 2021 – June 2021. We describe three primary school outbreaks due to the alpha variant using whole genome sequenc…
View article: Investigating SARS-CoV-2 breakthrough infections per variant and vaccine type
Investigating SARS-CoV-2 breakthrough infections per variant and vaccine type Open
Breakthrough SARS-CoV-2 infections have been reported in fully vaccinated individuals, in spite of the high efficacy of the currently available vaccines, proven in trials and real-world studies. Several variants of concern (VOC) have been …
View article: Linked Nosocomial COVID-19 Outbreak in Three Facilities for People with Intellectual and Developmental Disabilities Due to SARS-CoV-2 Variant B.1.1.519 with Spike Mutation T478K in the Netherlands
Linked Nosocomial COVID-19 Outbreak in Three Facilities for People with Intellectual and Developmental Disabilities Due to SARS-CoV-2 Variant B.1.1.519 with Spike Mutation T478K in the Netherlands Open
Background Individuals with intellectual and developmental disabilities (IDD) living in congregated settings have increased risk of COVID-19 infection and mortality. Little is known about variant B.1.1.519 with spike mutation T478K, domina…
View article: COVID-19: first long-term care facility outbreak in the Netherlands following cross-border introduction from Germany, March 2020
COVID-19: first long-term care facility outbreak in the Netherlands following cross-border introduction from Germany, March 2020 Open
Background: The Dutch province of Limburg borders the German district of Heinsberg, which had a large cluster of COVID-19 cases linked to local carnival activities in February, before any cases were reported in the Netherlands. However, He…
View article: Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care
Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care Open
Background From early 2009, the Dutch region of South Limburg experienced a massive outbreak of Q fever, overlapping with the influenza A(H1N1)pdm09 pandemic during the second half of the year and affecting approximately 2.9% of a 300,000 …
View article: Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care
Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care Open
Background: From early 2009, the Dutch region of South Limburg experienced a massive outbreak of Q fever, overlapping with the influenza A(H1N1)pdm09 pandemic during the second half of the year and affecting approximately 2.9% of a 300,000…
View article: Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care
Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care Open
Background: From early 2009, the Dutch region of South Limburg experienced a massive outbreak of Q fever, overlapping with the influenza A(H1N1)pdm09 pandemic during the second half of the year and affecting approximately 2.9% of a 300,000…
View article: Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care
Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care Open
Background From early 2009, South Limburg, Netherlands, experienced a massive outbreak of Q fever, overlapping with the influenza A(H1N1)pdm09 pandemic during the second half of the year and affecting approximately 2.9% of the regional pop…
View article: Q fever: Evidence of a massive yet undetected cross‐border outbreak, with ongoing risk of extra mortality, in a Dutch–German border region
Q fever: Evidence of a massive yet undetected cross‐border outbreak, with ongoing risk of extra mortality, in a Dutch–German border region Open
Our findings were suggestive of widespread cross-border transmission, with thousands of undetected infections, arguing for intensified cross-border collaboration and surveillance and screening of individuals susceptible to chronic Q fever …
View article: Waning population immunity prior to a large Q fever epidemic in the south of The Netherlands
Waning population immunity prior to a large Q fever epidemic in the south of The Netherlands Open
SUMMARY Historical survey data suggest that the seroprevalence of antibodies against Coxiella burnetii in the general population of The Netherlands decreased from more than 40% in 1983 to 2·4% in 2007, just before the start of the large 20…