We celebrate with Gidding et al. the achievements of the short-lived national Q fever vaccination program in Australia. The data presented suggest a significant impact on Q fever in certain at-risk populations at the time of the program, particularly abattoir workers. Similar benefits may accrue in other countries with a Q fever burden, if a national program was conducted. It is clear that while advocating international application of Q fever vaccination in at-risk populations, there is a need for a sustainable systematic program in Australia that ensures that non-abattoir workers who remain at risk from this serious disease can access the protection offered by the available vaccine.