The epidemiology, characteristics and outbreaks of human leptospirosis and the association with animals in Taiwan, 2007–2014: A nationwide database study

Background Leptospirosis (LS) is a neglected tropical zoonosis of global importance. A nationwide investigation of characteristics, epidemiology, risk factors and outbreak is crucial for awareness of this disease. Methods A nationwide database of reported LS cases from October 2007 to December 2014...

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Published in:Zoonoses and public health 2020-03, Vol.67 (2), p.156-166
Main Authors: Tsai, Chia‐Ta, Lin, Jiun‐Nong, Lee, Chen‐Hsiang, Sun, Wu, Chang, Yi‐Chin, Chen, Yen‐Hsu, Lai, Chung‐Hsu
Format: Article
Language:English
Subjects:
Adult
Aged
Animal husbandry
Animals
database analysis
Databases, Factual
Disease
Disease control
Disease Outbreaks
Distribution
Epidemics
Epidemiology
Exposure
Female
flood
Flooding
Gender
Geographic information systems
Geographical information systems
Hogs
Humans
Information systems
Leptospirosis
Leptospirosis - complications
Leptospirosis - epidemiology
Leptospirosis - microbiology
Leptospirosis - veterinary
Livestock
Male
Middle Aged
Murine typhus
Orientia tsutsugamushi
outbreak
Outbreaks
pigs
Q fever
Q Fever - complications
Q Fever - epidemiology
rats
Regions
Remote sensing
rickettsioses
Risk analysis
Risk Factors
Scrub typhus
Scrub Typhus - complications
Scrub Typhus - epidemiology
Swine
Taiwan
Taiwan - epidemiology
Tropical climate
Typhus
Typhus, Endemic Flea-Borne - complications
Typhus, Endemic Flea-Borne - epidemiology
Veterinarians
Veterinary medicine
Zoonoses
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Summary:Background Leptospirosis (LS) is a neglected tropical zoonosis of global importance. A nationwide investigation of characteristics, epidemiology, risk factors and outbreak is crucial for awareness of this disease. Methods A nationwide database of reported LS cases from October 2007 to December 2014 obtained from the Centers for Disease Control, Taiwan, was analysed. Geographic information system software was used to map the distribution of confirmed LS cases and pigs. Cross‐matching with the databases of Q fever, scrub typhus and murine typhus was conducted to identify possible coinfections. Results A total of 10,917 reported cases of LS were recorded in the database, which included 665 (6.1%) confirmed LS and 10,252 (93.9%) non‐confirmed LS cases. The major residences of confirmed LS were the Kaohsiung‐Pingtung (248, 37.3%) and Taipei (174, 26.2%) regions. The average annual incidence was 0.4/100,000 people. Compared with non‐confirmed LS cases, confirmed LS cases had significantly higher percentages of male gender (83.6% vs. 67.9%, p 
ISSN:1863-1959
1863-2378
DOI:10.1111/zph.12667