“…Serological evidence in humans, domestic ruminants, exposed workers (veterinarians, farmers, and slaughterhouse workers), pets, wildlife, and zoo animals has been described in Italy, as well as molecular evidence in humans, several mammals, birds, ticks (some of which can transmit the infection to humans), in the environment (urban river water), milk, and milk products [35][36][37][38][39][40][41][42]. Given the relevant presence of Q fever in the Italian eco-systems, disease control strategies would be critical to prevent or better manage potential outbreaks.…”