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Volume 17, Number 2—February 2011
Research

Leptospirosis in Hawaii, USA, 1999–2008

Alan R. KatzComments to Author , Arlene E. Buchholz, Kialani Hinson, Sarah Y. Park, and Paul V. Effler
Author affiliations: Author affiliations: University of Hawaii, Honolulu, Hawaii, USA (A.R. Katz, K. Hinson); Hawaii State Department of Health, Honolulu (A.E. Buchholz, S.Y. Park, P.V. Effler)

Main Article

Table 1

Sex, age, and island of exposure for 198 case-patients with laboratory-confirmed leptospirosis, Hawaii, USA, 1999–2008

Variable No. (%) case-patients Estimated mean annual incidence rate*
Sex
M 181 (91) 2.97
F
 17 (9)
 0.28
Age group, y
0–9 1 (1) 0.06
10–19 24 (12) 1.46
20–29 48 (24) 2.87
30–39 31 (16) 1.69
40–49 38 (19) 2.05
50–59 36 (18) 2.55
60–69 15 (8) 1.68
70–79
 5 (3)
 0.64
Island
Hawaii 98 (49) 6.59
Kauai 47 (24) 8.06
Oahu 44 (23) 0.50
Maui 4 (2) 0.34
Molokai 1 (1) 1.38
Unknown 4 (2)

*No. cases/100,000 population. Rate = no. case-patients observed over 10 years for the specified category divided by 10 divided by specified subgroup population estimate from 2000 US Census data (9).

Main Article

References
  1. World Health Organization. Human leptospirosis: guidance for diagnosis, surveillance and control. Geneva: The Organization; 2003.
  2. Centers for Disease Control and Prevention. Infectious disease information: emerging infectious diseases [cited 2010 Jul 16]. http://www.cdc.gov/ncidod/diseases/eid/disease_sites.htm
  3. Pappas  G, Papadimitriou  P, Siozopoulou  V, Christou  L, Akritidis  N. The globalization of leptospirosis: worldwide incidence trends. Int J Infect Dis. 2008;12:351–7. DOIPubMedGoogle Scholar
  4. Centers for Disease Control and Prevention. Summary of notifiable diseases, United States, 1995. MMWR Morb Mortal Wkly Rep. 1995;44:1–87.PubMedGoogle Scholar
  5. Katz  AR, Ansdell  VE, Effler  PV, Middleton  CR, Sasaki  DM. Leptospirosis in Hawaii, 1974–1998: epidemiologic analysis of 353 laboratory-confirmed cases. Am J Trop Med Hyg. 2002;66:61–70.PubMedGoogle Scholar
  6. Levett  PN. Leptospira. In: Murray PR, Baron EJ, Jorgensen JH, Landry ML, Pfaller ML, editors. Manual of clinical microbiology, 9th ed. Washington: American Society for Microbiology; 2007. p. 963–70.
  7. Faine  S. Leptospirosis. In: Collier L, Balows A, Sussman M, editors. Bacterial infections. Topley & Wilson’s microbiology and microbial infections, 9th ed. London: Arnold; 1998. p. 849–69.
  8. Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance. MMWR Recomm Rep. 1997;46(RR-10):49.
  9. US Census Bureau, US Department of Commerce, Economics and Statistical Administration. 2000 Census of population and housing unit counts, Hawaii. Report no. PHC 3–13. Washington: The Bureau; 2003.
  10. Gaynor  K, Katz  AR, Park  SY, Nakata  M, Clark  TA, Effler  PV. Leptospirosis on Oahu: an outbreak associated with flooding of a university campus. Am J Trop Med Hyg. 2007;76:882–5.PubMedGoogle Scholar
  11. Galloway  RL, Buchholz  AE, Whelen  AC, van Zaanen  W, Hartskeerl  RA. Characterization of Leptospira isolates from patients in Hawaii using molecular and serological techniques. Presented at International Leptospirosis Society 2009 Scientific Meeting; 2009 Sep 21–24; Cochin, India. Poster P-3.
  12. National Oceanic and Atmospheric Association, Western Regional Climate Center. Climate of Hawaii [cited 2010 Jul 16]. http://www.wrcc.dri.edu/narratives/HAWAII.htm
  13. Lilly  N. Bioversity International News. The many faces of taro: the revival of Hawaii’s favourite crop. 2008 Jun 26 [cited 2010 Jul 16]. http://www.bioversityinternational.org/news_and_events/news/news/article/the-many-faces-of-taro-the-revival-of-hawaiis-favourite-crop.html
  14. US Department of Agriculture, National Agricultural Statistics Service. Economics, statistics, and market information system. Crop production annual summary [cited 2010 Jul 16]. http://usda.mannlib.cornell.edu/MannUsda/viewDocumentInfo.do?documentID=1047
  15. Giambelluca  TW, Diaz  HF, Luke  MS. Secular temperature changes in Hawaii. Geophys Res Lett. 2008;35:L12702. DOIGoogle Scholar
  16. Chu  P-S, Chen  H. Interannual and interdecadal rainfall variations in the Hawaiian Islands. J Clim. 2005;18:4796–813. DOIGoogle Scholar
  17. Fletcher  C. Hawaii’s changing climate. University of Hawaii Sea Grant College Program, Center for Island Climate Adaptation and Policy [cited 2010 Jul 16]. http://nsgl.gso.uri.edu/hawau/hawaug10001.pdf
  18. Patz  JA, Olson  SH, Uejio  CK, Gibbs  HK. Disease emergence from global climate and land use change. Med Clin North Am. 2008;92:1473–91. DOIPubMedGoogle Scholar
  19. Gubler  DJ, Reiter  P, Ebi  KL, Yap  W, Nasci  R, Patz  JA. Climate variability and change in the United States: potential impacts on vector- and rodent-borne diseases. Environ Health Perspect. 2001;109:223–33. DOIPubMedGoogle Scholar
  20. Codeço  CT, Lele  S, Pascual  M, Bouma  M, Ko  AI. A stochastic model for ecological systems with strong nonlinear response to environmental drivers: application to two water-borne diseases. J R Soc Interface. 2008;5:247–52. DOIPubMedGoogle Scholar
  21. Glynn  K, Hartskeerl  R, Ko  A, Meslin  F. Leptospirosis. In: Heymann DL, editor. Control of communicable diseases manual, 19th ed. Washington: American Public Health Association; 2008. p. 351–7.
  22. Herrmann-Storck  C, Saint Louis  M, Foucand  T, Lamaury  I, Deloumeaux  J, Baranton  G, Severe leptospirosis in hospitalized patients, Guadeloupe. Emerg Infect Dis. 2010;16:331–4.PubMedGoogle Scholar
  23. Ciceroni  L, Stepan  E, Pinto  A, Pizzocaro  P, Dettori  G, Franzin  L, Epidemiological trend of human leptospirosis in Italy between 1994 and 1996. Eur J Epidemiol. 2000;16:79–86. DOIPubMedGoogle Scholar
  24. Berlioz-Arthaud  A, Kiedrzynski  T, Singh  N, Yvon  JF, Roualen  G, Coudert  C, Multicentre survey of incidence and public health impact of leptospirosis in the western Pacific. Trans R Soc Trop Med Hyg. 2007;101:714–21. DOIPubMedGoogle Scholar
  25. Daher  EF, Lima  RS, Silva Júnior  GB, Silva  EC, Karbage  NN, Kataoka  RS, Clinical presentation of leptospirosis: a retrospective study of 201 patients in a metropolitan city of Brazil. Braz J Infect Dis. 2010;14:3–10. DOIPubMedGoogle Scholar
  26. Vijayachari  P, Sugunan  AP, Sharma  S, Roy  S, Natarajaseenivasan  K, Sehgal  SC. Leptospirosis in the Andaman Islands, India. Trans R Soc Trop Med Hyg. 2008;102:117–22. DOIPubMedGoogle Scholar
  27. Abgueguen  P, Delbos  V, Blanvillain  J, Chennebault  JM, Cottin  J, Fanello  S, Clinical aspects and prognostic factors of leptospirosis in adults. Retrospective study in France. J Infect. 2008;57:171–8. DOIPubMedGoogle Scholar
  28. Everard  CO, Edwards  CN, Everard  JD, Carrington  DG. A twelve-year study of leptospirosis on Barbados. Eur J Epidemiol. 1995;11:311–20. DOIPubMedGoogle Scholar
  29. Spichler  AS, Vilaça  PJ, Athanazio  DA, Albuquerque  JO, Buzzar  M, Castro  B, Predictors of lethality in severe leptospirosis in urban Brazil. Am J Trop Med Hyg. 2008;79:911–4.PubMedGoogle Scholar
  30. Faine  S, Adler  B, Bolin  C, Perolat  P. Leptospira and leptospirosis, 2nd ed. Melbourne (Australia): MediSci; 1999.
  31. Adler  B, de la Peña Moctezuma  A. Leptospira and leptospirosis. Vet Microbiol. 2010;140:287–96. DOIPubMedGoogle Scholar
  32. Jansen  A, Luge  E, Guerra  B, Wittschen  P, Gruber  AD, Loddenkemper  C, Leptospirosis in urban wild boars, Berlin, Germany. Emerg Infect Dis. 2007;13:739–42.PubMedGoogle Scholar
  33. Jansen  A, Nöckler  K, Schönberg  A, Luge  E, Ehlert  D, Schneider  T. Wild boars as possible source of hemorrhagic leptospirosis in Berlin, Germany. Eur J Clin Microbiol Infect Dis. 2006;25:544–6. DOIPubMedGoogle Scholar
  34. US Department of Agriculture, Animal and Plant Health Inspection Services, Wildlife Services. Environmental assessment: feral swine damage management in Hawaii County. January 2008 [cited 2010 Jul 16]. http://www.aphis.usda.gov/regulations/pdfs/nepa/HI%20Feral%20Swine%20EA.pdf
  35. State of Hawaii Department of Land and Natural Resources. Report to the twenty-fourth legislature regular session of 2007: plan to reduce the statewide feral pig population. November 2006 [cited 2010 Jul 16]. http://state.hi.us/dlnr/reports/FW07-Feral_Pig_Report%20_HCR_98_SD1-06_.pdf
  36. Victoriano  AF, Smythe  LD, Gloriani-Barzaga  N, Cavinta  LL, Kasai  T, Limpakarnjanarat  K, Leptospirosis in the Asia Pacific region. BMC Infect Dis. 2009;9:147. DOIPubMedGoogle Scholar
  37. Sasaki  DM, Pang  L, Minette  HP, Wakida  CK, Fujimoto  WJ, Manea  SJ, Active surveillance and risk factors for leptospirosis in Hawaii. Am J Trop Med Hyg. 1993;48:35–43.PubMedGoogle Scholar
  38. Ellis  T, Imrie  A, Katz  AR, Effler  PV. Underrecognition of leptospirosis during a dengue fever outbreak in Hawaii, 2001–2002. Vector Borne Zoonotic Dis. 2008;8:541–7. DOIPubMedGoogle Scholar

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Page created: July 13, 2011
Page updated: July 13, 2011
Page reviewed: July 13, 2011
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