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Jaarrapportage surveillance respiratoire infectieziekten 2010 : Projectgroep respiratoire infecties(Rijksinstituut voor Volksgezondheid en Milieu RIVMNIVELBronopsporings eenheid Legionella pneunomie (CIb/BEL)Streeklaboratorium HaarlemErasmus MCafdeling virologieRotterdamKNCV TuberculosefondsDen Haag, 2011-10-18)Respiratory infections and community acquired pneumonia are an important reason for general practitioner consultation, hospital and intensive care unit admission, and death. This report gives the results of surveillance of a number of respiratory infectious diseases in the Netherlands for the year 2010. The year 2010 was uneventful with respect to the respiratory infectious diseases compared with 2009 when the world faced an influenza pandemic, which coincided in the Netherlands with an exceptionally large Q-fever outbreak. The end of the influenza pandemic was officially declared in 2010. The first influenza season after the pandemic was relatively mild with a peak in incidence of influenza-like illness in the first weeks of 2011. The number of notifications for acute Q-fever went down sharply in 2010. However, the Q-fever problem is not over as an increasing number of chronic Q-fever cases is expected in the coming years. Chronic Q-fever is a relatively rare but serious long-term effect of acute Q-fever infection. The increase in number of new tuberculosis cases that was observed in 2009 was not sustained in 2010. The number of cases with legionellapneumonia in 2010 was the highest ever notified in the Netherlands. There was an increase of domestic legionellapneumonia in the summer of which the causes are yet unknown but are further investigated.