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COVID-19: Perspective
- Neglecting the neglected during the COVID-19 pandemic: the case of leptospirosis in Sri Lanka
- Janith Warnasekara, Suneth Agampodi
- Epidemiol Health. 2022;44:e2022015. Published online January 10, 2022
- DOI: https://doi.org/10.4178/epih.e2022015
- 11,926 View
- 500 Download
- 6 Web of Science
- 6 Crossref
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Abstract
Summary
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AbstractThe coronavirus disease 2019 (COVID-19) pandemic has disrupted global health systems and affected the transmission dynamics as well as the surveillance of other infectious diseases. This study described the probable effect of the COVID-19 pandemic on the surveillance and control of leptospirosis in Sri Lanka. With 8,579 reported cases and more than 800 estimated deaths, the Sri Lankan public health surveillance system documented the largest outbreak of leptospirosis in Sri Lankan history in 2020. This was the worst infectious disease outbreak Sri Lanka experienced in 2020, but it was neglected, primarily due to the COVID-19 pandemic.
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SummaryKey Message
The largest reported outbreak of leptospirosis in Sri Lankan history was not given proper attention; probably due to COVID pandemic.Citations
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- Evaluating the long-term impact of COVID-19-associated public health interventions on zoonotic and vector-borne diseases in China: an interrupted time series analysis
Yongbin Wang, Siyu Qing, Xianxiang Lan, Lun Li, Peiping Zhou, Yue Xi, Ziyue Liang, Chenguang Zhang, Chunjie Xu
Journal of Translational Medicine.2024;[Epub] CrossRef - Molecular Diagnosis as an Alternative for Public Health Surveillance of Leptospirosis in Colombia
Margarita Arboleda, Mariana Mejía-Torres, Maritza Posada, Nicaela Restrepo, Paola Ríos-Tapias, Luis Alberto Rivera-Pedroza, David Calle, Miryan M. Sánchez-Jiménez, Katerine Marín, Piedad Agudelo-Flórez
Microorganisms.2023; 11(11): 2759. CrossRef - Coinfection of leptospirosis and coronavirus disease 2019: A retrospective case series from a coastal region in South India
Nitin Gupta, William Wilson, Prithvishree Ravindra, Roshini Raghu, Kavitha Saravu
Journal of Medical Virology.2022; 94(9): 4508. CrossRef - A global one health perspective on leptospirosis in humans and animals
Jane E. Sykes, David A. Haake, Chandika D. Gamage, W. Zach Mills, Jarlath E. Nally
Journal of the American Veterinary Medical Association.2022; 260(13): 1589. CrossRef - Ocular leptospirosis: lack of awareness among ophthalmologists and challenges in diagnosis
Rathinam R. Sivakumar
Current Opinion in Ophthalmology.2022; 33(6): 532. CrossRef - SARIMA and ARDL models for predicting leptospirosis in Anuradhapura district Sri Lanka
Janith Warnasekara, Suneth Agampodi, Abeynayake NR, Manjula Manoji Weerasekera
PLOS ONE.2022; 17(10): e0275447. CrossRef
- An Epidemiologic Study on the Leptospiral Infection in the Period of an Anticipated Epidemic
- Bo Youl Choi, Dae Eun Chung, Soo Jin Lee, Hung-Bae Park, Jeoung Bae Park, Kyung Hee Lee, Jeong Soon Kim
- Korean J Epidemiol. 1992;14(1):91-101. Published online June 30, 1992
- 5,063 View
- 9 Download
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Abstract
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AbstractA large epidemic of leptospirosis was anticipated in September 1990 because flood has resulted the heavy rain for 4 consecutive days from the 8th of September, 1990, in the Yang-pyeung Gun (Country), a farm area of Central Korea. Actually, patients were already appearing sporadically soon after the flood. Soldiers of ROK Army units stationed in this area were under the higher risk since many of them participated in field works (such as tieing rice plant fallen by the flood) as a part of Civil Aid Plan. The objectives of this study were 1) to detect infected ones at early stage 2) to estimate the attack rates of infection and apparent infection through serologic examinations, 3) to estimate pathogenecity and case-fatality rate and 4) to compare the rates of infection by the type of work and the use of protective devices. All of those with febrile episode were interviewed and the leptospiral antibody was examined during the one month period after the field work. Serologic examinations (including the interview) were done twice with 1 week interval (first on 8th to 10th of October, about 4 weeks following the days of field work) for 446 soldiers belong to three companies stationed in the country area. The serologic test (Microscopic agglutination test) were performed with 4 strains. Icterohemorrhagiae lai and Canicola canicola Hond Utrecht IV as standard strains, and 6P-049-1 and YP-35-1 as strains isolated in Korea in 1986, in accordance with WHO guideline. The results are as follows. 1. Among 57 febrile, suspected cases, 37 had serological tests twice and, 20 of them (54.1%) were serologically confirmed to be infected whereas among other 20 subjects who had single serological test, only 2 persons (10.0%) were serologically positive. 2. The dates of onset of fever in confirmed cases were clustered in 10 to 20 days from late September to early October, which coincided well with the duration of exposure (Sep. 13-18). 3. The attack rate of infection and apparent infection were estimated to be 11.2% (95% C. I. ; 8.3-14.1%), 1.8% (95% C. I. ; 0.7-3.1%). Pathogenecity and case-fatality rate were estimated to be 16.0% (95% C. I. ; 6.0-26.0%) and 0%, respectively. 4. The attack rate of infection of persons who worked in rice paddy for 3-6 days, for 1-2 days and participated in other field work were 3.5, 2.7 and 2.1 time high respectively as high as that of persons who did not join in field work (p<0.05). 5. The effectiveness of protective devices shown in this study was rater poor; perhaps the preparation of the protective devices was not sufficient because the mobilization of army is usually a sudden order. For more satisfactory prevention in the future, a complete clothing (including glove and boots) and chemoprophyaxis (with doxycycline) are recommended.
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