Leptospirosis on Oahu: An outbreak associated with flooding of a University Campus
Leptospirosis on Oahu: An outbreak associated with flooding of a University Campus
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DOI：
10.4269/ajtmh.2007.76.882
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发表时间：
2007-05-01
影响因子：
3.3
通讯作者：
Effler, Paul V.
中科院分区：
文献类型：
--
作者：
Gaynor, Kate;Katz, Alan R.;Effler, Paul V.
2004年10月31日，一条小溪泛滥，淹没了夏威夷大学校园。2004年11月19日，夏威夷州卫生部（HDOH）报告了一例可能与洪水有关的钩端螺旋体病病例（患者1）。通过互联网问卷建立发热性疾病监测。在参与清洪工作的团体中积极寻找个案。卫生署免费提供钩端螺旋体病检测。患者1经显微镜凝集试验证实为钩端螺旋体病。共有271人参与了互联网调查，其中90人（33%）报告在接触洪水后30天内出现发热性疾病。48名应答者（18%）接受了钩端螺旋体病检测。新增1例急性钩端螺旋体病病例。患者2与患者1在流行病学上有关联。在洪水事件发生后，卫生保健提供者应保持对钩端螺旋体病的高度怀疑，地方公共卫生官员应在受洪水影响的人群中提高钩端螺旋体病的认识。
On October 31, 2004, a stream overflowed, flooding the University of Hawaii (UH) campus. On November 19, 2004, a possible flood-related leptospirosis case (Patient 1) was reported to the Hawaii State Department of Health (HDOH). Surveillance for febrile illness was established through an Internet questionnaire. Active case finding was conducted among groups involved in the flood clean-up. Free leptospirosis testing was offered by HDOH. Patient 1's illness was confirmed as leptospirosis by microscopic agglutination testing. A total of 271 persons responded to the Internet survey, of whom 90 (33%) reported a febrile illness within 30 days of contact with flood water. Forty-eight respondents (18%) were tested for leptospirosis. One additional acute leptospirosis case was identified. Patient 2 was epidemiologically linked to Patient 1. Health care providers should maintain a high level of suspicion for leptospirosis after flooding events, and local public health officials should promote leptospirosis awareness among flood-affected populations.