The incidence of severe leptospirosis in Trinidad
Abstract:
Between February 1977 and September 1982, sera from febrile patients from all areas of Trinidad were examined for leptospiral agglutinins; 158 of 1714 patients (9%) were confirmed as current cases of leptospirosis (annual average 26 or 2.6 per 100,000 population). Of the remaining 1556 patients only 711 provided paired sera; 167 of these (23%) showed evidence of previous leptospiral infection. Of the 845 single samples, 125 were positive. The true incidence of the disease is probably much higher than reported here. Males comprised 74% of the current cases; their highest rate of infection was in the 30-39 year age group, the incidence in late teenage approaching this rate. For females, incidence increased with age up to late middle-age. The presumptive infecting serogroups most commonly recorded among the 158 current cases were Icterohaemorrhagiae (37%), Canicola (16%) and Autumnalis (11%). 13 of the cases died (case fatality rate, 8.2%).
Insights
Leptospirosis is a significant public health concern in Trinidad, with 9% of febrile patients infected. The study highlights a higher true incidence and identifies key risk factors and serogroups.
Area of Science:
- Infectious Diseases
- Epidemiology
- Microbiology
Background:
- Leptospirosis is a zoonotic disease caused by pathogenic Leptospira bacteria.
- It is a significant public health problem globally, particularly in tropical and subtropical regions.
- Understanding the epidemiology of leptospirosis is crucial for effective prevention and control.
Purpose of the Study:
- To determine the incidence and serogroup prevalence of leptospirosis in Trinidad.
- To identify demographic risk factors associated with leptospirosis infection.
- To assess the case fatality rate of leptospirosis in the studied population.
Main Methods:
- Sera from febrile patients in Trinidad were tested for leptospiral agglutinins between 1977 and 1982.
- Confirmed cases of current and previous leptospirosis were identified using serological testing.
- Demographic data and infecting serogroups were analyzed for confirmed cases.
Main Results:
- A total of 158 current cases of leptospirosis were confirmed out of 1714 patients (9% incidence).
- Males, particularly those aged 30-39, and females with increasing age showed higher infection rates.
- The most common infecting serogroups were Icterohaemorrhagiae (37%), Canicola (16%), and Autumnalis (11%).
- The case fatality rate was 8.2% (13 deaths).
Conclusions:
- Leptospirosis is endemic in Trinidad, with a higher true incidence than reported.
- Male gender and specific age groups are at higher risk.
- Prompt diagnosis and treatment are essential to reduce mortality from leptospirosis.
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