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 2

A typical view of a rural village areas near Iquitos. Near Villa Buen Pastor, located 21 km along the major (unfinished) road that leads from Iquitos to Nauta, substantial secondary growth of forest is evident after removal of primary forest for human agricultural and living activities. One must walk approximately 1–2 km from the road to get to the village and a further 1–2 km from Villa Buen Pastor to Moralillo, another village studied in this report.

Figure 2. A typical view of a rural village areas near Iquitos. Near Villa Buen Pastor, located 21 km along the major (unfinished) road that leads from Iquitos to Nauta, substantial secondary growth of forest is evident after removal of primary forest for human agricultural and living activities. One must walk approximately 1–2 km from the road to get to the village and a further 1–2 km from Villa Buen Pastor to Moralillo, another village studied in this report.

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