Human Leptospirosis Trends, the Netherlands, 1925–2008

To increase knowledge of leptospirosis in the Netherlands and identify changing trends of this disease over time, we analyzed historical passive surveillance reports for an 84-year period (1925–2008). We found that 2,553 mainly severe leptospirosis cases were diagnosed (average annual incidence rate...

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Main Authors:	Goris, Marga G.A., Boer, Kimberly R., Duarte, Tamara A.T.E., Kliffen, Suzanne J., Hartskeerl, Rudy A.
Format:	Online
Language:	English
Published:	Centers for Disease Control and Prevention 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647640/

id	pubmed-3647640
recordtype	oai_dc
spelling	pubmed-36476402013-05-13 Human Leptospirosis Trends, the Netherlands, 1925–2008 Goris, Marga G.A. Boer, Kimberly R. Duarte, Tamara A.T.E. Kliffen, Suzanne J. Hartskeerl, Rudy A. Synopsis To increase knowledge of leptospirosis in the Netherlands and identify changing trends of this disease over time, we analyzed historical passive surveillance reports for an 84-year period (1925–2008). We found that 2,553 mainly severe leptospirosis cases were diagnosed (average annual incidence rate 0.25 cases/100,000 population). The overall case-fatality rate for patients with reported leptospirosis was 6.5% but decreased over the period, probably because of improved treatment. Ninety percent of reported leptospirosis cases were in male patients. Most autochthonous leptospirosis infections were associated with recreational exposures, but 15.5% of the cases were attributed to accidents that resulted in injury and to concomitant water contact. Since the end of the 1950s, the proportion of imported infections gradually increased, reaching 53.1% of the total during 2005–2008. Most (80.1%) imported infections were associated with sporting and adventurous vacation activities. Centers for Disease Control and Prevention 2013-03 /pmc/articles/PMC3647640/ /pubmed/23622144 http://dx.doi.org/10.3201/eid1903.111260 Text en
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Goris, Marga G.A. Boer, Kimberly R. Duarte, Tamara A.T.E. Kliffen, Suzanne J. Hartskeerl, Rudy A.
spellingShingle	Goris, Marga G.A. Boer, Kimberly R. Duarte, Tamara A.T.E. Kliffen, Suzanne J. Hartskeerl, Rudy A. Human Leptospirosis Trends, the Netherlands, 1925–2008
author_facet	Goris, Marga G.A. Boer, Kimberly R. Duarte, Tamara A.T.E. Kliffen, Suzanne J. Hartskeerl, Rudy A.
author_sort	Goris, Marga G.A.
title	Human Leptospirosis Trends, the Netherlands, 1925–2008
title_short	Human Leptospirosis Trends, the Netherlands, 1925–2008
title_full	Human Leptospirosis Trends, the Netherlands, 1925–2008
title_fullStr	Human Leptospirosis Trends, the Netherlands, 1925–2008
title_full_unstemmed	Human Leptospirosis Trends, the Netherlands, 1925–2008
title_sort	human leptospirosis trends, the netherlands, 1925–2008
description	To increase knowledge of leptospirosis in the Netherlands and identify changing trends of this disease over time, we analyzed historical passive surveillance reports for an 84-year period (1925–2008). We found that 2,553 mainly severe leptospirosis cases were diagnosed (average annual incidence rate 0.25 cases/100,000 population). The overall case-fatality rate for patients with reported leptospirosis was 6.5% but decreased over the period, probably because of improved treatment. Ninety percent of reported leptospirosis cases were in male patients. Most autochthonous leptospirosis infections were associated with recreational exposures, but 15.5% of the cases were attributed to accidents that resulted in injury and to concomitant water contact. Since the end of the 1950s, the proportion of imported infections gradually increased, reaching 53.1% of the total during 2005–2008. Most (80.1%) imported infections were associated with sporting and adventurous vacation activities.
publisher	Centers for Disease Control and Prevention
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647640/
_version_	1611976003182133248

Human Leptospirosis Trends, the Netherlands, 1925–2008

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