Emerging Infectious Disease ISSN: 1080-6059

Environmental Exposure and Leptospirosis, Peru

Michael A.S. Johnson*†, Hannah Smith†, Priya Joseph†, Robert H. Gilman*†, Christian T. Bautista*‡, Kalina J. Campos*§, Michelle Cespedes†, Peter Klatsky†, Carlos Vidal¶, Hilja Terry†, Maritza M. Calderon*§, Carlos Coral†, Lilia Cabrera†, Paminder S. Parmar†, and Joseph M. Vinetz#

Author affiliations: *Asociación Benéfica Prisma, Lima, Peru; †Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; ‡U.S. Naval Medical Center Research Detachment, Lima, Peru; §Universidad Peruana Cayetano Heredia, Lima, Peru; ¶Ministry of Health, Iquitos, Peru; #University of California San Diego School of Medicine, La Jolla, California, USA

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Figure 1

Typical views of the residential areas of Belen, Iquitos, Peru. A. Houses near the river edge are built on stilts. B. Conditions abound for the proliferation of peridomestic rats in the same places where people live and play. This view is adjacent to the major market area of Belen, where Rattus spp. are commonly observed, even during the day in the middle of commercial activities.

Figure 1. Typical views of the residential areas of Belen, Iquitos, Peru. A. Houses near the river edge are built on stilts. B. Conditions abound for the proliferation of peridomestic rats in the same places where people live and play. This view is adjacent to the major market area of Belen, where Rattus spp. are commonly observed, even during the day in the middle of commercial activities.

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