A Large Leptospirosis Outbreak following Successive Severe Floods in Fiji, 2012.

The American Journal of Tropical Medicine and Hygiene
Eri TogamiEric J Nilles

Abstract

Severe flooding has been linked to outbreaks of leptospirosis. Two sequential extreme flood events in Western Fiji caused the largest outbreak of leptospirosis recorded in the South Pacific, with 1,217 total suspected cases, of which 314 were probable and confirmed. Most (83%) cases occurred within 6 weeks of the flood events, displaying a biphasic epidemic curve associated with the floods. Given the temporal proximity of cases to flooding events, most of the transmission appeared to occur during or immediately after the floods; therefore, prevention of exposure to contaminated environments is a priority in the immediate flood and post-flood period. In addition, genotyping studies suggest that multiple animal reservoirs were implicated in the outbreak, reaffirming the importance of integrated human and animal health strategies for leptospirosis control.

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Citations

Jun 4, 2019·Japanese Journal of Infectious Diseases·Metawee ThongdeeWitthawat Wiriyarat
Jan 28, 2020·PloS One·Emilie BierqueCyrille Goarant
Jan 5, 2020·Tropical Animal Health and Production·Archibold G BakareJames Madzimure
Aug 14, 2019·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Katelyn M GosticJames O Lloyd-Smith
Jul 21, 2020·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Claudia Munoz-ZanziMaria Cristina Schneider
Jul 20, 2020·Current Microbiology·Emilie BierqueCyrille Goarant
Dec 1, 2020·PloS One·Elise Klement-FrutosCyrille Goarant
Jan 17, 2021·Scientific Reports·Sudarat ChadsuthiCharin Modchang
Mar 4, 2021·The New England Journal of Medicine·Nikolaus JilgJoseph Loscalzo
May 5, 2021·The Science of the Total Environment·Nai-Tzu ChenYue Leon Guo
Jul 1, 2021·Transactions of the Royal Society of Tropical Medicine and Hygiene·Anna Cecília Trolesi Reis Borges CostaElaine Maria Seles Dorneles

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