Leptospirosis in Hawaii, USA, 1999-2008.

Leptospirosis in Hawaii, USA, 1999-2008.
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DOI:
10.3201/eid1702.101109
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发表时间:
2011-02
影响因子:
11.8
通讯作者:
Effler PV
Effler PV
中科院分区:
医学2区
文献类型:
--
作者:
Katz AR;Buchholz AE;Hinson K;Park SY;Effler PV

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虽然在美国很少被诊断出来,但钩端螺旋体病是一种在发展中国家值得注意的重新出现的传染病。直到1995年,当这种疾病从美国国家法定报告疾病名单中删除时,夏威夷报告的年发病率一直领先于全国。在夏威夷,钩端螺旋体病仍然是一种必须报告的疾病。为了确定自2002年美国最新报告以来夏威夷钩端螺旋体病的状况,我们回顾了夏威夷州卫生部从病例调查报告中获得的1999-2008年数据。在345份与国内暴露有关的病例报告中,198份(57%)经实验室确认。我们的研究结果表明,从夏季到冬季的季节性疾病发生的变化,在感染性血清群从黄疸型到澳大利亚。此外,在过去20年中,娱乐性照射趋于稳定,而职业性照射则有所增加。需要进行持续监测,以澄清和跟踪这种广泛的人畜共患病的动态流行病学。
Although infrequently diagnosed in the United States, leptospirosis is a notable reemerging infectious disease throughout developing countries. Until 1995, when the disease was eliminated from the US list of nationally notifiable diseases, Hawaii led the nation in reported annual incidence rates. Leptospirosis remains a notifiable disease in Hawaii. To ascertain the status of leptospirosis in Hawaii since the most recent US report in 2002, we reviewed 1999–2008 data obtained from case investigation reports by the Hawaii State Department of Health. Of the 345 case reports related to in-state exposures, 198 (57%) were laboratory confirmed. Our findings indicate a change in seasonal disease occurrence from summer to winter and in the infective serogroup from Icterohemorrhagiae to Australis. Also, during the past 20 years, recreational exposures have plateaued, while occupational exposures have increased. Ongoing surveillance is needed to clarify and track the dynamic epidemiology of this widespread zoonosis.
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