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Serologic Evidence of Leptospirosis in Humans, Union of the Comoros, 2011

机译:人体钩端螺旋体病的血清学证据,科摩罗联盟,2011年

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In temperate countries, human leptospirosis is a sporadic disease; incidence is much higher in the tropics because climate and environmental conditions are conducive to the survival of bacteria, resulting in increased exposure of humans to leptospirosis-causing pathogens (1). Among islands in the southwestern Indian Ocean, human leptospirosis is endemic to Mayotte, France, and La Réunion (2–4) and to the Seychelles, where the incidence of leptospirosis is one of the highest worldwide (5). Leptospirosis is poorly documented in other islands in the region, including Mauritius, Madagascar, and the Union of the Comoros (2,6–8). Whether the scant documentation indicates underdiagnosis or reflects local epidemiologic specificities is unknown. To improve knowledge of Leptospira infection in the region, we conducted a study in the Union of the Comoros to serologically assess the presence or absence of leptospirosis in humans. The Union of the Comoros consists of 3 islands: Grande-Comore, Mohéli, and Anjouan. Together with a fourth, southern island, Mayotte, these islands form the Comoros Archipelago.
机译:在温带国家,人类钩端螺旋体病是一种偶发性疾病。热带地区的发病率要高得多,因为气候和环境条件有利于细菌的生存,从而导致人类更容易接触引起钩端螺旋体病的病原体(1)。在印度洋西南部的岛屿中,人类钩端螺旋体病流行于法国的马约特岛和留尼汪岛(2-4)和塞舌尔,塞舌尔的钩端螺旋体病发病率是全球最高的之一(5)。钩端螺旋体病在该地区其他岛屿,包括毛里求斯,马达加斯加和科摩罗联盟,文献报道很少(2,6-8)。缺乏文献表明诊断不足或反映局部流行病学特异性尚不清楚。为了提高对该地区钩端螺旋体感染的认识,我们在科摩罗联盟进行了一项研究,从血清学角度评估了人类中是否存在钩端螺旋体病。科摩罗联盟由3个岛屿组成:格兰德-科莫尔,莫赫里和安茹安。这些岛屿与第四座南部岛屿马约特岛一起构成了科摩罗群岛。

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