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

被引：33

作者：

Togami, Eri ^{[1
,10
]}

Kama, Mike ^{[2
,11
]}

Goarant, Cyrille ^{[3
,12
]}

Craig, Scott B. ^{[4
,5
]}

Lau, Colleen ^{[6
]}

Ritter, Jana M. ^{[7
]}

Imrie, Allison ^{[8
]}

Ko, Albert I. ^{[1
]}

Nilles, Eric J. ^{[9
,13
,14
,15
]}

机构：

[1] Yale Sch Publ Hlth, Dept Epidemiol Microbial Dis, New Haven, CT 06510 USA

[2] Minist Hlth, Ctr Communicable Dis Control, Suva, Fiji

[3] Inst Pasteur New Caledonia, Leptospirosis Unit, Noumea, New Caledonia

[4] Queensland Univ Technol, Sch Biomed Sci, Brisbane, Qld, Australia

[5] WHO Leptospirosis Lab, Forens & Sci Serv, Brisbane, Qld, Australia

[6] Australia Natl Univ, Res Sch Populat Hlth, Canberra, ACT, Australia

[7] Ctr Dis Control & Prevent, Infect Dis Pathol Branch, Div High Consequence Pathogens & Pathol, Natl Ctr Emerging & Zoonot Infect Dis, Atlanta, GA USA

[8] Univ Western Australia, Fac Hlth & Med Sci, Sch Biomed Sci, Perth, WA, Australia

[9] World Hlth Org, Div Pacific Tech Support, Suva, Fiji

[10] Univ Calif Davis, Sch Vet Med, Hlth Inst 1, Davis, CA 95616 USA

[11] Fiji Ctr Communicable Dis Control, Dept Influenza, Suva, Fiji

[12] Inst Pasteur Nouvelle Caledonie, Reseau Int Inst Pasteur, Leptospirosis Res & Expertise Unit, Noumea, New Caledonia

[13] Harvard Univ, Harvard Humanitarian Initiat, Boston, MA 02115 USA

[14] Harvard Univ, Harvard Med Sch, Boston, MA 02115 USA

[15] Harvard Univ, Brigham & Womens Hosp, Boston, MA 02115 USA

来源：

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE | 2018年 / 99卷 / 04期

关键词：

D O I：

10.4269/ajtmh.18-0335

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：849 / 851

页数：3

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