1887
Rapid communication Open Access
Like 0

Abstract

We report preliminary findings of a large outbreak of human leptospirosis with 36 confirmed/probable and 583 suspected cases from June–August 2018, linked to contaminated water bodies in Northern Israel. There was a travel-associated case in Germany; additional cases are being investigated in other countries. The presumed chain of transmission, implicating wild boar and cattle, raises multiple challenges for risk assessment, risk management and risk communication currently being addressed by a public health response team.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2018.23.38.1800486
2018-09-20
2024-03-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.38.1800486
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/23/38/eurosurv-23-38-2.html?itemId=/content/10.2807/1560-7917.ES.2018.23.38.1800486&mimeType=html&fmt=ahah

References

  1. Centers for Disease Control and Prevention (CDC). Leptospirosis 2013 case definition. Atlanta: CDC. [Accessed on 14 Sep 2018]. Available from: https://wwwn.cdc.gov/nndss/conditions/leptospirosis/case-definition/2013/
  2. Stoeckel DM, Harwood VJ. Performance, design, and analysis in microbial source tracking studies. Appl Environ Microbiol. 2007;73(8):2405-15.  https://doi.org/10.1128/AEM.02473-06  PMID: 17308193 
  3. ProMED-mail. Leptospirosis - Israel (03): (HZ) streams, German tourist, early patient. Archive Number 20180817.5970939. 16 August 2018. Available from: https://www.promedmail.org/post/20180817.5970939
  4. ProMED-mail. Leptospirosis - Israel (04): (HZ) recreation, streams, animal reservoir. Archive Number 20180818.5973544. 18 August2018. Available from:https://www.promedmail.org
  5. Bharti AR, Nally JE, Ricaldi JN, Matthias MA, Diaz MM, Lovett MA, et al. Peru-United States Leptospirosis Consortium. Leptospirosis: a zoonotic disease of global importance. Lancet Infect Dis. 2003;3(12):757-71.  https://doi.org/10.1016/S1473-3099(03)00830-2  PMID: 14652202 
  6. Levett PN. Leptospirosis. Clin Microbiol Rev. 2001;14(2):296-326.  https://doi.org/10.1128/CMR.14.2.296-326.2001  PMID: 11292640 
  7. State of Israel Ministry of Health (MOH). Notifiable Infectious Diseases in Israel: 60 years of surveillance 1951-2010. Israeli. Israel: MOH. [Accessed 14 Sept 2018] Available at: https://www.health.gov.il/PublicationsFiles/Disease1951_2010.pdf
  8. Hadad E, Pirogovsky A, Bartal C, Gilad J, Barnea A, Yitzhaki S, et al. An outbreak of leptospirosis among Israeli troops near the Jordan River. Am J Trop Med Hyg. 2006;74(1):127-31.  https://doi.org/10.4269/ajtmh.2006.74.127  PMID: 16407357 
/content/10.2807/1560-7917.ES.2018.23.38.1800486
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error