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Abstract

In the Netherlands, 97 human leptospirosis cases were notified in 2014. This represents a 4.6-fold increase in autochthonous cases (n = 60) compared with the annual average between 2010 and 2013. Most cases had symptom onset between June and November. This marked increase in humans coincided with an increase of leptospirosis in dogs. In 2014, 13 dogs with leptospirosis were reported, compared with two to six dogs annually from 2010 to 2013. The majority of the autochthonous cases (n = 20) were linked to recreational exposure, e.g. swimming or fishing, followed by occupational exposure (n = 15). About sixty per cent (n = 37) of the autochthonous cases were most likely attributable to surface water contact, and 13 cases to direct contact with animals, mainly rats. A possible explanation for this increase is the preceding mild winter of 2013–2014 followed by the warmest year in three centuries, possibly enabling rodents and spp. to survive better. A slight increase in imported leptospirosis was also observed in Dutch tourists (n = 33) most of whom acquired their infection in Thailand (n = 18). More awareness and early recognition of this mainly rodent-borne zoonosis by medical and veterinary specialists is warranted.

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/content/10.2807/1560-7917.ES.2016.21.17.30211
2016-04-28
2017-11-20
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.17.30211
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References

  1. World Health Organization (WHO). Human leptospirosis: guidance for diagnoses, surveillance and control. Geneva: WHO; 2003. Available from: http://www.who.int/csr/don/en/WHO_CDS_CSR_EPH_2002.23.pdf
  2. Levett PN. Leptospirosis. Clin Microbiol Rev. 2001;14(2):296-326.  https://doi.org/10.1128/CMR.14.2.296-326.2001  PMID: 11292640 
  3. National Coordinating Body for Infectious Diseases (LCI). LCI-richtlijn Leptospirose [Guideline for Leptospirosis]. Bilthoven: RIVM; 2011. Dutch. Available from: http://www.rivm.nl/Documenten_en_publicaties/Professioneel_Praktisch/Richtlijnen/Infectieziekten/LCI_richtlijnen/LCI_richtlijn_Leptospirose
  4. Sykes JE, Hartmann K, Lunn KF, Moore GE, Stoddard RA, Goldstein RE. 2010 ACVIM small animal consensus statement on leptospirosis: diagnosis, epidemiology, treatment, and prevention. J Vet Intern Med. 2011;25(1):1-13.  https://doi.org/10.1111/j.1939-1676.2010.0654.x  PMID: 21155890 
  5. Van Vliet JA. Geschiedenis van de meldingsplicht. [History of notification]. Tijdschrift voor Infectieziekten.2009;4(3):10.
  6. Goris MG, Boer KR, Duarte TA, Kliffen SJ, Hartskeerl RA. Human leptospirosis trends, the Netherlands, 1925-2008. Emerg Infect Dis. 2013;19(3):371-8.  https://doi.org/10.3201/eid1903.111260  PMID: 23622144 
  7. GD Animal Health. LCI richtlijn leptospirose. [Monitoring animal health: headlights report third quarter]. 2014. Deventer: GD; 2014. Dutch. Available from: http://www.gddiergezondheid.nl/~/media/Files/Monitoringsflyers/Rund/Monitoring%20diergezondheid%20rund%20Hoofdpunten%20Rapportage%20Derde%20kwartaal%202014.ashx
  8. Olszyna DP, Jaspars R, Speelman P, van Elzakker E, Korver H, Hartskeerl RA. [Leptospirosis in the Netherlands, 1991-1995]. Ned Tijdschr Geneeskd. 1998;142(22):1270-3. PMID: 9749300 
  9. Houwers DJ, Wagenaar JA, Hartskeerl RA, Hautvast JLA, Stinis HPJ, Ruijs WLM, et al. [Leptospirosis (Weil disease) in a dog: a risk for people?]. Tijdschr Diergeneeskd. 2009;134(9):392-4. PMID: 19480146 
  10. Veterinarian Incident and Crisiscentre of the Food and Consumer Product Safety Authority (NVWA). Draaiboek afhandelen verdenking leptospirose [Script handling suspected leptospirosis]. Wageningen: NVWA; 2014. Dutch.
  11. Hartman EG, van Houten M, van der Donk JA, Frik JF. Determination of specific anti-leptospiral immunoglobulins M and G in sera of experimentally infected dogs by solid-phase enzyme-linked immunosorbent assay. Vet Immunol Immunopathol. 1984;7(1):43-51.  https://doi.org/10.1016/0165-2427(84)90026-6  PMID: 6485247 
  12. European Centre for Disease Prevention and Control (ECDC). Annual epidemiological report on food-and waterborne diseases and zoonoses. Stockholm: ECDC; 2014. Available from: http://www.ecdc.europa.eu/en/publications/Publications/food-waterborne-diseases-annual-epidemiological-report-2014.pdf
  13. Dupouey J, Faucher B, Edouard S, Richet H, Kodjo A, Drancourt M, et al. Human leptospirosis: an emerging risk in Europe? Comp Immunol Microbiol Infect Dis. 2014;37(2):77-83.  https://doi.org/10.1016/j.cimid.2013.12.002  PMID: 24388481 
  14. Jansen A, Schöneberg I, Frank C, Alpers K, Schneider T, Stark K. Leptospirosis in Germany, 1962-2003. Emerg Infect Dis. 2005;11(7):1048-54.  https://doi.org/10.3201/eid1107.041172  PMID: 16022779 
  15. van Alphen LB, Lemcke Kunoe A, Ceper T, Kahler J, Kjelsø C, Ethelberg S, et al. Trends in human leptospirosis in Denmark, 1980 to 2012. Euro Surveill. 2015;20(4):21019. PMID: 25655055 
  16. van Oldenborgh GJ, Haarsma R, de Vries H, Allen MR. Cold extremes in North America vs. mild weather in Europe: the winter 2013/2014 in the context of a warming world. B Am Meteorol Soc. 2014;(96)707-714:141230104505002.
  17. Photiadou C, Van der Schrier G, Oldenborgh GJ, Verver G, Tank AK, Plieger M, et al. 2014 warmest years on record in Europe. EURO4M; 2014. Available from: http://cib.knmi.nl/mediawiki/index.php/2014_warmest_year_on_record_in_Europe
  18. Johnson RC, Harris VG. Differentiation of pathogenic and saprophytic letospires. I. Growth at low temperatures. J Bacteriol. 1967;94(1):27-31. PMID: 6027998 
  19. Dufour B, Moutou F, Hattenberger AM, Rodhain F. Global change: impact, management, risk approach and health measures--the case of Europe. Rev Sci Tech. 2008;27(2):529-50.  https://doi.org/10.20506/rst.27.2.1817  PMID: 18819676 
  20. World Health Organization (WHO). S Faine, ed. Guidelines for the control of leptospirosis. Geneva: WHO; 1982. Available from: http://apps.who.int/iris/bitstream/10665/37219/1/WHO_OFFSET_67_(p1-p98).pdf
  21. Jansen A, Luge E, Guerra B, Wittschen P, Gruber AD, Loddenkemper C, et al. Leptospirosis in urban wild boars, Berlin, Germany. Emerg Infect Dis. 2007;13(5):739-42.  https://doi.org/10.3201/eid1305.061302  PMID: 17553254 
  22. BundesInstitut für Risikobewertung (BfR). Robert Koch-Institut. Leptospirose - eine seltene, aber immer häufiger auftretende Erkrankung [Leptospirosis - a rare but increasingly prevalent disease]. Berlin: BfR; 2014. German. Available from: http://www.bfr.bund.de/cm/343/leptospirose-eine-seltene-aber-immer-haeufiger-auftretende-erkrankung.pdf
  23. World Health Organization (WHO). Report of the second meeting of the Leptospirosis Burden Epidemiology Reference Group. Geneva: WHO; 2011. Available from: http://apps.who.int/iris/bitstream/10665/44588/1/9789241501521_eng.pdf
  24. Hartskeerl RA, Collares-Pereira M, Ellis WA. Emergence, control and re-emerging leptospirosis: dynamics of infection in the changing world. Clin Microbiol Infect. 2011;17(4):494-501.  https://doi.org/10.1111/j.1469-0691.2011.03474.x  PMID: 21414083 
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