Epidemiological determinants of leptospirosis in rural and urban districts of Maharashtra, India

Autor: Ravindra S Kembhavi, Gajanan D Velhal, Anuradha K Shah
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Family Medicine and Primary Care, Vol 10, Iss 9, Pp 3361-3367 (2021)
Druh dokumentu: article
ISSN: 2249-4863
DOI: 10.4103/jfmpc.jfmpc_674_21
Popis: Background: Leptospirosis is emerging as one of the growing public health problems in many parts of India. It can occur in both rural and urban areas with varied risk factors. This study was taken up in three districts of Maharashtra namely—Mumbai, Ratnagiri, and Sindhudurg to understand the determinants of leptospirosis in both the urban and rural areas and look for differences if any. Materials and Methods: This cross-sectional study was carried out during the year 2017. A pretested validated questionnaire was used to collect data. Field observations were made. Eighty-seven cases from Sindhudurg and 14 from Ratnagiri and 307 cases from Mumbai were included in the study. Results: A total of 408 cases were included in the study. A total of 63 (62.4%) were males and 38 (37.6%) were females. Most cases belonged to the 20–35 year age group (37%). In rural areas, 32.7% of them visited government facilities first, whereas, in the urban areas, it was 73.9% (P = 0.006). Headache, myalgia, and prostration were more common in cases from rural areas (P =
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