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Brucellosis


Cause: Bacteria in the genus Brucella.

Illness and treatment: Symptoms include fever, profuse sweating, fatigue, loss of appetite, chills, weight loss, headache, and joint pain. Treatment is with antibiotics.

Sources: Infection results from contact through breaks in the skin with animal tissues (particularly placentas or aborted fetuses) and animal fluids, or by consuming unpasteurized dairy products from infected species (mainly cattle, goats, sheep and swine) in endemic countries. Airborne infection can occur in laboratories. Prior to 1996, strains of Brucella used in animal vaccine had a greater risk for causing disease in humans if unintentionally injected.

Prevention: Avoid unpasteurized dairy foods. Veterinarians, farmers and hunters should wear gloves when handling sick or dead animals or when assisting an animal giving birth. Laboratory workers should handle all specimens under appropriate biosafety conditions.

Recent Washington trends: Although brucellosis has been eradicated from cattle in the state since 1988, there are 0 to 3 reports of human brucellosis infections each year, primarily due to consumption of raw dairy products in foreign countries.

2008: One person was diagnosed with brucellosis after eating unpasteurized cheese in Mexico.

Purpose of Reporting and Surveillance

  • To assist in the diagnosis and treatment of cases

  • To identify potentially exposed health care and laboratory personnel and to provide counseling

  • To identify sources of transmission (e.g., an infected animal or a contaminated unpasteurized dairy product) and to prevent further transmission from such sources

  • To raise the index of suspicion of a possible bioterrorism event if no natural exposure source is identified

Legal Reporting Requirements

  • Health care providers: immediately notifiable to Local Health Jurisdiction
  • Hospitals: immediately notifiable to Local Health Jurisdiction
  • Laboratories:  notifiable to Local Health Jurisdiction within 2 work days; specimen submission required
  • Veterinarians: immediately notifiable to the Washington State Department of Agriculture or to the local health jurisdiction.

  • Local health jurisdictions:  notifiable to DOH Communicable Disease Epidemiology within 7 days of case investigation completion or summary information required within 21 days.  If bioterrorism is suspected, case must be immediately reported to DOH: 1-877-539-4344


Last update

November 2009

Brucellosis Resources

General Information

Fact Sheet
(Web format)
Brucellosis
Incidence Rates

(PDF format)

Reporting Forms

Brucellosis
Reporting Form

(PDF Format)

Public Health and Health Care

Surveillance and Reporting Guidelines
(PDF format)

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Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Consultation and technical assistance are available to local health jurisdictions in Washington State:
Phone (206) 418-5500

FAX (206) 418-5515

24-hour contact (inside Washington State only)  1-877-539-4344

Washington residents can contact their local health jurisdictions for assistance


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