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Leptospirosis following heavy rains in 2017 in Mumbai: Report of large-scale community chemoprophylaxis.
Natl Med J India. 2018 Jan-Feb; 31(1):19-21.NM

Abstract

Background

Globally, cities get flooded due to heavy rains. As the incidence of leptospirosis increases after such flooding in Mumbai, community chemoprophylaxis to selected individuals was a consensus recommendation by experts.

Methods

We surveyed a total of 1 499 293 houses in severely affected areas of Mumbai (where there was waterlogging or high incidence of leptospirosis in the past) as well as in all slum areas. A total of 6 714 210 people (>50% of the population) were screened. A total of 156 934 adults, 4465 children, 359 pregnant women and 4957 high-risk adults were given prophylaxis with doxycycline or azithromycin by paramedical staff (n = 9526) under the supervision of medical staff. Social media and newspaper advertisements were used to create public awareness.

Results

Compared with previous floods, there were reduced number of cases of leptospirosis due to community chemoprophylaxis (432 confirmed cases in 2005 v. 128 [59 confirmed] in 2017).

Conclusions

Selective, time-bound chemoprophylaxis following floods is likely to reduce the incidence of leptospirosis, as well as associated morbidity and mortality.

Authors+Show Affiliations

Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India.Public Health Department, Municipal Corporation of Greater Mumbai, Mumbai, Maharashtra, India.Public Health Department, Municipal Corporation of Greater Mumbai, Mumbai, Maharashtra, India.Public Health Department, Municipal Corporation of Greater Mumbai, Mumbai, Maharashtra, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30348917

Citation

Supe, Avinash, et al. "Leptospirosis Following Heavy Rains in 2017 in Mumbai: Report of Large-scale Community Chemoprophylaxis." The National Medical Journal of India, vol. 31, no. 1, 2018, pp. 19-21.
Supe A, Khetarpal M, Naik S, et al. Leptospirosis following heavy rains in 2017 in Mumbai: Report of large-scale community chemoprophylaxis. Natl Med J India. 2018;31(1):19-21.
Supe, A., Khetarpal, M., Naik, S., & Keskar, P. (2018). Leptospirosis following heavy rains in 2017 in Mumbai: Report of large-scale community chemoprophylaxis. The National Medical Journal of India, 31(1), 19-21. https://doi.org/10.4103/0970-258X.243407
Supe A, et al. Leptospirosis Following Heavy Rains in 2017 in Mumbai: Report of Large-scale Community Chemoprophylaxis. Natl Med J India. 2018 Jan-Feb;31(1):19-21. PubMed PMID: 30348917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leptospirosis following heavy rains in 2017 in Mumbai: Report of large-scale community chemoprophylaxis. AU - Supe,Avinash, AU - Khetarpal,Mini, AU - Naik,Shantaram, AU - Keskar,Padmaja, PY - 2018/10/24/entrez PY - 2018/10/24/pubmed PY - 2019/10/1/medline SP - 19 EP - 21 JF - The National medical journal of India JO - Natl Med J India VL - 31 IS - 1 N2 - Background: Globally, cities get flooded due to heavy rains. As the incidence of leptospirosis increases after such flooding in Mumbai, community chemoprophylaxis to selected individuals was a consensus recommendation by experts. Methods: We surveyed a total of 1 499 293 houses in severely affected areas of Mumbai (where there was waterlogging or high incidence of leptospirosis in the past) as well as in all slum areas. A total of 6 714 210 people (>50% of the population) were screened. A total of 156 934 adults, 4465 children, 359 pregnant women and 4957 high-risk adults were given prophylaxis with doxycycline or azithromycin by paramedical staff (n = 9526) under the supervision of medical staff. Social media and newspaper advertisements were used to create public awareness. Results: Compared with previous floods, there were reduced number of cases of leptospirosis due to community chemoprophylaxis (432 confirmed cases in 2005 v. 128 [59 confirmed] in 2017). Conclusions: Selective, time-bound chemoprophylaxis following floods is likely to reduce the incidence of leptospirosis, as well as associated morbidity and mortality. SN - 0970-258X UR - https://www.unboundmedicine.com/medline/citation/30348917/Leptospirosis_following_heavy_rains_in_2017_in_Mumbai:_Report_of_large_scale_community_chemoprophylaxis_ L2 - http://www.nmji.in/article.asp?issn=0970-258X;year=2018;volume=31;issue=1;spage=19;epage=21;aulast=Supe DB - PRIME DP - Unbound Medicine ER -