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Leptospirosis in Hawaii, USA, 1999-2008.
Emerg Infect Dis. 2011 Feb; 17(2):221-6.EI

Abstract

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.

Authors+Show Affiliations

Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii, Biomedical Sciences Building, Rm D104M, 1960 East-West Rd, Honolulu, HI 96822, USA. katz@hawaii.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21291592

Citation

Katz, Alan R., et al. "Leptospirosis in Hawaii, USA, 1999-2008." Emerging Infectious Diseases, vol. 17, no. 2, 2011, pp. 221-6.
Katz AR, Buchholz AE, Hinson K, et al. Leptospirosis in Hawaii, USA, 1999-2008. Emerg Infect Dis. 2011;17(2):221-6.
Katz, A. R., Buchholz, A. E., Hinson, K., Park, S. Y., & Effler, P. V. (2011). Leptospirosis in Hawaii, USA, 1999-2008. Emerging Infectious Diseases, 17(2), 221-6. https://doi.org/10.3201/eid1702.101109
Katz AR, et al. Leptospirosis in Hawaii, USA, 1999-2008. Emerg Infect Dis. 2011;17(2):221-6. PubMed PMID: 21291592.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leptospirosis in Hawaii, USA, 1999-2008. AU - Katz,Alan R, AU - Buchholz,Arlene E, AU - Hinson,Kialani, AU - Park,Sarah Y, AU - Effler,Paul V, PY - 2011/2/5/entrez PY - 2011/2/5/pubmed PY - 2011/5/20/medline SP - 221 EP - 6 JF - Emerging infectious diseases JO - Emerg Infect Dis VL - 17 IS - 2 N2 - 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. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/21291592/Leptospirosis_in_Hawaii_USA_1999_2008_ L2 - https://dx.doi.org/10.3201/eid1702.101109 DB - PRIME DP - Unbound Medicine ER -