Tags

Type your tag names separated by a space and hit enter

Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratory-confirmed cases.
Am J Trop Med Hyg. 2002 Jan; 66(1):61-70.AJ

Abstract

The epidemiologic characterization of leptospirosis in the United States has been limited by difficulties associated with both case detection and confirmation. In addition, leptospirosis was eliminated from the list of National Notifiable Diseases in 1995. From 1974 until the cessation of national surveillance, Hawaii consistently had the highest reported annual incidence rate in the United States. From 1974 through 1998, 752 leptospirosis cases were reported in the State of Hawaii. Of these, 353 had exposures within the state and were laboratory confirmed. The mean annual incidence rate was 1.29 per 100,000. Cases were predominately male. Rates were highest in rural areas. Occupational exposures diminished over time while recreational exposures increased. This series represents the first large U.S. leptospirosis surveillance report since 1979. With leptospirosis recently being identified as a re-emerging zoonosis, continued national surveillance and case reporting should be reconsidered.

Authors+Show Affiliations

Department of Public Health Sciences and Epidemiology, John A. Burns School of Medicine, University of Hawaii, Honolulu 96822, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12135270

Citation

Katz, Alan R., et al. "Leptospirosis in Hawaii, 1974-1998: Epidemiologic Analysis of 353 Laboratory-confirmed Cases." The American Journal of Tropical Medicine and Hygiene, vol. 66, no. 1, 2002, pp. 61-70.
Katz AR, Ansdell VE, Effler PV, et al. Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratory-confirmed cases. Am J Trop Med Hyg. 2002;66(1):61-70.
Katz, A. R., Ansdell, V. E., Effler, P. V., Middleton, C. R., & Sasaki, D. M. (2002). Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratory-confirmed cases. The American Journal of Tropical Medicine and Hygiene, 66(1), 61-70.
Katz AR, et al. Leptospirosis in Hawaii, 1974-1998: Epidemiologic Analysis of 353 Laboratory-confirmed Cases. Am J Trop Med Hyg. 2002;66(1):61-70. PubMed PMID: 12135270.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratory-confirmed cases. AU - Katz,Alan R, AU - Ansdell,Vernon E, AU - Effler,Paul V, AU - Middleton,Charles R, AU - Sasaki,David M, PY - 2002/7/24/pubmed PY - 2002/8/7/medline PY - 2002/7/24/entrez SP - 61 EP - 70 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 66 IS - 1 N2 - The epidemiologic characterization of leptospirosis in the United States has been limited by difficulties associated with both case detection and confirmation. In addition, leptospirosis was eliminated from the list of National Notifiable Diseases in 1995. From 1974 until the cessation of national surveillance, Hawaii consistently had the highest reported annual incidence rate in the United States. From 1974 through 1998, 752 leptospirosis cases were reported in the State of Hawaii. Of these, 353 had exposures within the state and were laboratory confirmed. The mean annual incidence rate was 1.29 per 100,000. Cases were predominately male. Rates were highest in rural areas. Occupational exposures diminished over time while recreational exposures increased. This series represents the first large U.S. leptospirosis surveillance report since 1979. With leptospirosis recently being identified as a re-emerging zoonosis, continued national surveillance and case reporting should be reconsidered. SN - 0002-9637 UR - https://www.unboundmedicine.com/medline/citation/12135270/Leptospirosis_in_Hawaii_1974_1998:_epidemiologic_analysis_of_353_laboratory_confirmed_cases_ L2 - https://ajtmh.org/doi/10.4269/ajtmh.2002.66.61 DB - PRIME DP - Unbound Medicine ER -