Protecting the community against Q fever: The Gippsland Q fever project

Abstract Issue Gippsland, a rural region in south-eastern Victoria, Australia, is home to significant dairy farming and meat production. In 2024, following multiple outbreaks and a sharp rise in notifications, Gippsland accounted for 45% of all Q fever cases in Victoria despite comprising only 4% of the population. In response, Gippsland Region Public Health Unit (GRPHU) launched a community engagement and media campaign to increase Q Fever awareness and explore solutions to improve vaccine uptake, leveraged by a partnership with peak industry body, GippsDairy Description of the problem A steering committee comprising membership from GRPHU, GippsDairy, WorkSafe, Agriculture Victoria and FarmSafe Australia was convened. Three key interventions were identified for the project: subsidising testing and vaccination, improving vaccine access; and increasing awareness among healthcare and agriculture sectors. A serosurvey to assess prior Q Fever exposure was also identified as a key activity to support future advocacy efforts for greater vaccine investment. The project was supported by a successful grant from the Victorian Livestock Biosecurity Fund. Results Three primary health care clinics were engaged to provide subsidised Q fever testing and vaccination for 200 dairy farm workers in 2025. Although a nationwide vaccination shortage delayed implementation, testing and vaccination are underway. Additionally, 20 health care practitioners were selected via an expression of interest process to complete Q Fever training, via an online module and practical component. Lessons Sustainable investment in screening and vaccination services is essential to reduce cost and access barriers. Exploring policy options to strengthen preventive measures for high-risk occupations and address the rising incidence of Q Fever nationally is required. Ongoing engagement with local agribusinesses is also critical to bolster awareness and reduce Gippsland's disproportionate burden of Q fever. Key messages • Q fever is a preventable disease with potentially devastating impacts. • A multilateral approach with industry peak bodies, regulators and policy makers can bolster prevention and improve outcomes.