Monday, June 19, 2017

I AM INDIA AND THE WORLD TOO:

                                        I AM INDIA AND THE WORLD TOO:

LEPTOSPIROSIS - PHILIPPINES (02): FATAL
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International Society for Infectious Diseases
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Date: Sat 17 Jun 2017
Source: Outbreak News Today [edited]
<
http://outbreaknewstoday.com/baguio-city-reports-leptospirosis-death-as-cases-increase-in-cordillera-41125/>


One person has died from the bacterial infection leptospirosis.

The Cordillera Administrative Region in northern Luzon, Philippines
has seen a 40 percent rise in the disease during the 1st 6 months of
2017 compared to the same period last year [2016], according to the
Department of Health, Cordillera Administrative Region (DOH-CAR).

DOH records show that Baguio City and Kalinga province had the largest
number of cases at 21.4%, followed by Benguet and Ifugao provinces
(14.3%), and Apayao (7.1%). Flash floods in some regions have been
linked to the increase.

Geeny Austria, Nurse V of DOH-CAR, advised: "Please keep out of
flooded areas, and wear proper protective gear when going out during
rainy season to avoid being infected with the disease."

Leptospirosis, caused by a corkscrew-shaped bacterium called
_Leptospira interrogans_, is often referred to as "rat fever" due to
the principal role rats play in spreading the disease (scientists
refer to this type of animal as a reservoir host). Other animals can
also be important reservoirs of the disease.

These animals can spread the disease in their urine, contaminating
water, soil, or food. People who live in close contact with domestic
animals or wildlife are at higher risk for getting the disease.

People become infected by coming into contact with contaminated urine,
water, food, or soil through breaks in the skin, eyes, mouth, or nose.
Outbreaks of leptospirosis are usually caused by exposure to
contaminated water, such as floodwaters. Person-to-person transmission
is rare.

Infected individuals initially experience fever, severe headache and
muscle aches, abdominal pain, and occasionally a skin rash. Patients
in the later stages of disease can suffer from jaundice, kidney
failure, bleeding from the mouth or nose, and bloody urine, and the
disease can be fatal, especially without proper treatment.

--
Communicated by:
PRO/MBDS
<
promed-mbds@promedmail.org>

["Leptospirosis is a bacterial disease that causes morbidity and
mortality around the world. Although it is endemic in many rural and
urban slum communities and can also cause sporadic epidemics, little
is actually known about the true disease burden, and, consequently,
the disease has been neglected."
<
http://www.who.int/zoonoses/diseases/lerg/en/>

"The main animal reservoirs are rodents, livestock and dogs. Disease
in humans can vary from mild flu-like illness to serious disease. Some
severe complications include kidney damage, liver failure, respiratory
distress, meningitis and death.

Although leptospirosis can occur worldwide, there are a number of risk
factors associated with the disease. It is most common in urban slum
areas, where there is inadequate sewage disposal and water treatment.
It can also be an occupational hazard for those working outdoors or
with animals and a recreational hazard for those participating in
water-related activities. Epidemics are typically seen during
flooding, and changing environmental trends with extreme weather
patterns may perpetuate these epidemics."

"Very little is currently known regarding the true incidence of
leptospirosis. It is estimated that 0.1 to one per 100 000 people
living in temperate climates are affected each year, with the number
increasing to 10 or more per 100 000 people living in tropical
climates. If there is an epidemic, the incidence can soar to 100 or
more per 100 000 people. The disease is underreported for many
reasons, including difficulty in distinguishing clinical signs from
those of other endemic diseases and a lack of appropriate diagnostic
laboratory services."
<
http://www.who.int/zoonoses/diseases/lerg/en/index2.html>

"Leptospirosis is treated with antibiotics, such as doxycycline or
penicillin, which should be given early in the course of the
disease."
<
https://www.cdc.gov/leptospirosis/treatment/index.html>

As the 2 main clinical features in severe cases are jaundice and
hemorrhagic manifestations, the disease is referred to in French as
"leptospirose ictero-hemorragique."

For a HealthMap of the Philippines, see:
<
http://healthmap.org/promed/p/158>. - Mod.ST]

[See Also:
Leptospirosis - Philippines: increase
http://promedmail.org/post/20170429.5002959]
.................................................st/msp/mpp
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