Leptospirosis in French Polynesia: 11 years of surveillance data, 2007-2017

Autor: Didier Musso, S. Lastère, C. Benoit de Coignac, F. Chaix, J. Formont, M. Giard, N. Bouscaren, Y. Teissier
Přispěvatelé: Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche Biomédicale des Armées (IRBA)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)
Rok vydání: 2018
Předmět:
0301 basic medicine
medicine.medical_specialty
Epidemiology
030106 microbiology
Population
Disease
Microbiology
law.invention
lcsh:Infectious and parasitic diseases
03 medical and health sciences
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
law
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Environmental health
Medicine
lcsh:RC109-216
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
education
ComputingMilieux_MISCELLANEOUS
education.field_of_study
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
business.industry
Incidence (epidemiology)
Public health
Zoonosis
public health/epidemiology
medicine.disease
Leptospirosis
Intensive care unit
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
leptospirosis/epidemiology
3. Good health
zoonoses
030104 developmental biology
Infectious Diseases
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
incidence
Original Article
polynesia/epidemiology
business
Zdroj: New Microbes and New Infections
New Microbes and New Infections, Wiley Online Library 2019, 29, pp.100518. ⟨10.1016/j.nmni.2019.100518⟩
New Microbes and New Infections, Vol 29, Iss, Pp-(2019)
New Microbes and New Infections, 2019, 29, pp.100518. ⟨10.1016/j.nmni.2019.100518⟩
ISSN: 2052-2975
DOI: 10.1016/j.nmni.2019.100518⟩
Popis: Leptospirosis is a worldwide zoonosis with higher incidence in tropical areas and is a neglected disease in the Pacific region. French Polynesia (FP) is a French overseas territory located in the South Pacific. Data on the epidemiology in FP are scarce. In this study, we describe our understanding of leptospirosis epidemiology in FP and discuss the prospects concerning this disease and its surveillance to better address preventive actions. We report 11 years of surveillance data between 1 January 2007 and 31 December 2017. Over the study period, 1356 confirmed and probable leptospirosis cases were reported. The mean annual incidence rate was 46.0 (95% confidence interval, 43.6–48.5) cases per 100 000 inhabitants. We registered 864 (63.7%) hospitalizations; of these, at least 270 (19.9%) were in the intensive care unit, and 24 patients (1.8%) died. Even if the incidence of leptospirosis is lower in FP compared to most of other Pacific countries and territories, our data confirm that the disease is highly endemic in FP. Despite all the preventive measures taken, leptospirosis remains a major public health concern in FP, thus highlighting the need to maintain intensive leptospirosis surveillance, medical staff training and provision of information to the general population. Keywords: Epidemiology, incidence, leptospirosis/epidemiology, polynesia/epidemiology, public health/epidemiology, zoonoses
Databáze: OpenAIRE