Human Leptospirosis Trends, the Netherlands, 1925–2008

Adult Male diagnosis Infectious and parasitic diseases RC109-216 History, 21st Century human leptospirosis 03 medical and health sciences 0302 clinical medicine Leptospira spp. Humans Leptospirosis Sex Distribution bacteria Netherlands Incidence R History, 20th Century travelers disease 3. Good health Synopsis Medicine epidemiology Female
DOI: 10.3201/eid1903.111260 Publication Date: 2013-01-29T18:11:34Z
ABSTRACT
To increase knowledge of leptospirosis in the Netherlands and identify changing trends this disease over time, we analyzed historical passive surveillance reports for an 84-year period (1925-2008). We found that 2,553 mainly severe cases were diagnosed (average annual incidence rate 0.25 cases/100,000 population). The overall case-fatality patients with reported was 6.5% but decreased period, probably because improved treatment. Ninety percent male patients. Most autochthonous infections associated recreational exposures, 15.5% attributed to accidents resulted injury concomitant water contact. Since end 1950s, proportion imported gradually increased, reaching 53.1% total during 2005-2008. (80.1%) sporting adventurous vacation activities.
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