Seroprevalence Of Leptospirosis Research Articles

Seroprevalence of leptospirosis among stray dogs in Bosnia and Herzegovina

Leptospirosis is a (re) emerging zoonosis that occurs worldwide. This study aimed to assess seroprevalence of leptospirosis and to identify the most common reactive serovars and risk factors for seropositivity in apparently healthy stray dogs of unknown vaccination status in the Sarajevo region of Bosnia and Herzegovina. Positive microscopic agglutination test titres (≥ 1:25) were detected in 3.87% (156/4028) of samples and most of the sera reacted against one serovar (85.9%). Dogs were most commonly reactive to Canicola (40.4%) and Hardjo (33.3%), followed by Pomona (15.4%) Tarassovi (14.7%), Icterohaemorrhagiae (8.3%), Grippotyphosa (5.8%), Bratislava (1.3%) and Saxkoebing (0.6%). Dogs older than one year had higher odds of seropositivity compared to younger dogs. The seropositivity was higher in spring and autumn than in summer. These results advocate for the need of a control strategy for this zoonosis in the country, which should include sero-surveillance, monitoring, and the inclusion of additional serovars in the testing.

Feline leptospirosis prevalence worldwide: A systematic review and meta-analysis of diagnostic approaches.

Leptospirosis in felids (domestic and wild cats) presents an ongoing challenge in our understanding. Numerous studies have reported the detection of Leptospira spp. in these feline populations, highlighting their potential as zoonotic carriers. This systematic review and meta-analysis aimed to provide insight into the global prevalence of leptospirosis in domestic and wild cats. We conducted extensive searches across five databases (PubMed, Scopus, Web of Science, Science Direct, and Google Scholar) following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols guidelines. Random-effect meta-analyses were performed using R software version 4.3.0 to estimate pooled prevalence rates. Subgroup meta-analyses were conducted based on continents, diagnostic methods, sample types, and wildcat genera. A total of 71 articles on leptospirosis in domestic cats and 23 articles on leptospirosis in wild cats met the eligibility criteria. Our findings indicated a significantly higher pooled seroprevalence of leptospirosis in domestic cats compared with infection prevalence (9.95% [95% confidence interval (CI), 7.60%-12.54%] vs. 4.62% [95% CI, 2.10%-7.83%], p = 0.01). In contrast, no significant difference was observed in pooled seroprevalence and infection prevalence among wild cats (13.38% [95% CI, 6.25%-21.93%] vs. 2.9% [95% CI, 0.00%-18.91%], p = 0.21). A subgroup meta-analysis of domestic cats revealed significant differences in seroprevalence across continents, sample types, and diagnostic methods. On the contrary, wild cats had no significant differences in any of the subgroups. Leptospira spp. have evidently been exposed to both domestic and wild cats, highlighting their potential roles as reservoir hosts for leptospirosis. These findings highlight the importance of considering felids as a possible public health threat.

Seroprevalence of Leptospirosis in Cattle in Smallholder Livestock Production Systems in Bungoma County, Kenya

Leptospirosis is an important re-emerging bacterial zoonosis of public health importance in Kenya. It is transmitted through contact with contaminated soil, water, or urine of infected animals. The disease is associated with high economic losses which include high cost of diagnosis and treatment, disruption of international trade in animals and animal products and loss of milk production following mastitis among others. In this study, the sero-prevalence of bovine leptospirosis in Kimilili and Mt Elgon Sub-Counties of Bungoma County in Kenya was estimated. A cross-sectional study was conducted between April to July, 2017 where blood serum samples from 200 head of cattle from five wards and one slaughter house using systematic random sampling technique. The samples were then subjected to the Enzyme Linked Immunorsorbent Assay (ELISA) test. The findings show an overall sero-prevalence for leptospirosis in cattle in the study area to be 16%. The sero-prevalence of leptospirosis in the study area by wards is as follows; 10.7% in Kibingei, 12.5% in Kimilili, 17.6 in Maeni, 16.7% in Kamukuywa and 15.6% in Kaptama. The study also reveals that the sero-prevalence was relatively higher in Kimilili Slaughterhouse which recorded 21.0%. The study therefore demonstrates that there is a high sero-prevalence of leptospirosis in cattle in Kimilili and Mt Elgon Sub-Counties, Bungoma County. This study therefore provides critical public health information which is necessary in guiding leptospirosis prevention and control in Bungoma County. It is therefore recommended that strategies for surveillance and laboratory diagnosis of leptospirosis should be initiated in Bungoma County. This will help in providing better estimates of leptospirosis burden in the county.

Leptospirosis seroprevalence and risk factors among slaughterhouse workers in Burkina Faso

ObjectivesThe objectives of this study were to determine the seroprevalence and risk factors of leptospirosis among slaughterhouse workers in Burkina Faso. MethodsWe performed a cross-sectional survey of slaughterhouse workers from Ouagadougou and Bobo Dioulasso between March and April 2021. Blood was collected by venipuncture and serum samples were tested using enzyme-linked immunosorbent assay and microscopic agglutination test. Questionnaires were used to collect information from these workers on sociodemographic characteristics, work activities, knowledge of zoonosis, and risky behaviors. ResultsOf the 172 subjects investigated, 28 (16.28%) were found seropositive for leptospirosis using enzyme-linked immunosorbent assay or microscopic agglutination test. The main Leptospira infecting serogroup were Mini, Autumnalis, Canicola, Copenhageni, L. mayottensis (ND), Icterohaemorrhagiae, Pyrogenes/Tarassovi (cross reaction), Panama, and Ballum. Risk factors according to multivariate analysis, included residence (P = 0.02), working at the bleeding station (P = 0.03), contact with feces and urine (P = 0.04), and the practice of agriculture outside the slaughterhouse (P = 0.05). ConclusionThese findings indicate that a significant proportion of slaughterhouse workers are being exposed to pathogenic Leptospira. Public-health interventions against leptospirosis will need to target this occupational group. Proper personal protective equipment and information about the disease should be disseminated among slaughterhouses.

Leptospirosis in humans and selected animals in Sub-Saharan Africa, 2014–2022: a systematic review and meta-analysis

BackgroundLeptospirosis is an emerging neglected tropical zoonotic disease of public health importance causing substantial morbidities and mortalities among humans. The infection is maintained within the population through interactions between humans, animals, and the environment. Understanding the burden of disease in both humans and animals is necessary for effective prevention and control in Sub-Saharan Africa (SSA). Therefore, we aimed to determine the seroprevalence of leptospirosis in humans, selected domestic animals, and rodents in SSA.MethodsA comprehensive search was done in six databases: Scopus, PubMed, Google Scholar, CINAHL, Web of Science, and African Journals Online databases for articles published between 01 January 2014 and 30 August 2022. Thirty-seven articles distributed across 14 out of 46 countries in SSA were included. The random effects meta-analysis model was used to pool the extracted seroprevalence data.ResultsThe overall pooled seroprevalence of leptospirosis among humans was 12.7% (95% CI: 7.5,20.8), 15.1% (95% CI: 9.4,23.5), and 4.5% (95% CI: 0.4, 35.6) based on results obtained using ELISA, MAT, and PCR diagnostic methods respectively. The pooled seroprevalence estimates among cattle were 29.2%, 30.1%, and 9.7% based on ELISA, MAT, and PCR respectively. Further, the pooled seroprevalence in goats was 30.0% for studies that used MAT, and among rodents, the pooled seroprevalence estimates were 21.0% for MAT and 9.6% for PCR diagnostic criteria. The seroprevalence of leptospirosis varied extensively between studies, across SSA regions and study setting (rural or urban).ConclusionLeptospirosis is widespread in SSA in both humans and animals based on the current results of the pooled seroprevalence in the limited studies available. The burden is high in animals and humans and underestimated due to limited studies and challenges with limited diagnostic capacity in most healthcare settings in SSA. Hence, we recommend that leptospirosis should be listed as a disease of concern and be included on the list of routine diagnostics among patients presenting with febrile illness in healthcare settings. Further, we recommend the enhancement of surveillance of leptospirosis in all countries in SSA and the development of strategies with a One Health perspective to effectively prevent and control leptospirosis.

Seroprevalence of leptospirosis among captive Asian elephants in Kerala, India - a short communication

Leptospirosis is an infectious disease of zoonotic significance, caused by distinct members of the genus Leptospira, with a broad spectrum of hosts, including domestic and wild animals. The present paper reports the seroprevalence of leptospirosis among captive Asian elephants in Kerala. Whole blood samples were collected from fifty, apparently healthy captive elephants from different districts of Kerala state. The serum was separated from the whole blood and subjected to the Microscopic Agglutination Test (MAT) for detection of antibodies to different serovars of Leptospira. The test was carried out using actively grown cultures of twelve common leptospiral serovars. Out of the total of fifty serum samples screened by MAT, 19 samples (38 per cent) showed a positive reaction with antibody titres in a 1:200 dilution. The prevalent serovars were Pomona, Icterohaemorrhagiae, Hebdomadis, Grippotyphosa and Canicola, and the highest prevalence was noticed for the serovar Pomona. The positive results indicated the presence of infection or the previous exposure of captive elephants to leptospiral antigens. The high rate of prevalence of leptospiral antibodies in captive elephants warrants the monitoring of these animals for clinical disease and adopting the necessary control strategies for preventing this re-emerging zoonotic disease.

Seroprevalence of leptospirosis among blood donors in an endemic area

Thailand is known to be endemic for leptospirosis. This bacterium may pose a potential risk to transfusion safety. This study was a cross-sectional study examining the seroprevalence of leptospirosis among Thai blood donors. A total of 1053 serum specimens collected from blood donors residing in 5 regions of Thailand during March to September 2020 were included in this study. All samples were tested for the presence of antibodies to 22 leptospiral serovars using the microscopic agglutination test (MAT) and anti-Leptospira IgG antibodies using commercially available enzyme immunoassay. We found no evidence of recent exposure to Leptospira spp. in sera of healthy Thai blood donors by MAT, including those in higher-risk areas. However, in this same group, we did find small numbers of past exposure (1.7%) to Leptospira spp. by IgG ELISA. According to the findings of this study, there is currently no evidence for implementing new blood banking procedures to identify possible carriers in Thailand, however these should be continually monitored and revised according to the infectious disease burden in each country. It should be noted that there was a difference in the occupation rate between the general population reported in Thailand and blood donors in this study; it may not reflect the actual situation in the country.

Seropositivity of Leptospira in rodents, shrews, and domestic animals in Unguja, Tanzania

Background: Leptospirosis is one of the most commonly neglected zoonoses in developing nations including Tanzania. This study aims to find out the seroprevalence of leptospirosis in rodents, shrews, and domestic animals in different regions in Unguja Island, Tanzania. Methods: A cross-sectional study was carried out from January to April 2022. The blood samples were collected from rodents and shrews (n=248), cattle (n=247), goats (n=130), sheep (n=32), and dogs (n=80). The blood samples were allowed to clot in a slanted position and serum samples were harvested. A microscopic agglutination test (MAT) was performed on the sera to check for leptospiral antibodies using five Leptospira serovars as antigens (Sokoine, Lora, Pomona, Grippotyphosa and Hebdomadis). Results: The overall seropositivity of leptospiral antibodies was 9.68% in rodents and shrews, 14.57% in cattle, 10.01% in goats, 31.25% in sheep, and 26.25% in dogs. The seropositivity of Leptospira varied significantly with animal species (OR=1.9, 95 % CI:1.1-3.3, p=0.03). The most frequently detected serovar was Sokoine (27.89%), followed by Pomona (19.47%), Lora (18.26%), Grippotyphosa (17.98%), and Hebdomadis (8.16%), respectively. Conclusion: Our study suggests that further research should be conducted to find out factors of high seropositivity of leptospiral in Unguja. Vaccination of domestic animals with vaccines against local Leptospira strains should be encouraged, and rodent control and public awareness should be emphasized.

Seroprevalence and risk factors for brucellosis and leptospirosis in swine from rural communities of Argentina

Objectives. To determine the seroprevalence of brucellosis and leptospirosis in pigs reared on small-scale farms in rural areas of the district of Tandil, Buenos Aires Province, Argentina; to analyse the associated risk factors; to describe the prevalent Leptospira spp. serogroups; and to determine the spatial distribution of both diseases. Materials and methods. A total of 340 serum samples were obtained. Buffer Plate Agglutination Test, Rose Bengal Test, and Fluorescence Polarisation Assay were used to detect antibodies against Brucella spp. Microscopic Agglutination Test was applied for serological diagnosis of leptospirosis. Statistical methods were used to evaluate the factors associated with the infections. Results. Seroprevalence of 0% and 22.6% was observed for brucellosis and leptospirosis, respectively. The most prevalent Leptospira serogroups identified were Canicola, Ballum, Icterohaemorrhagiae and Pomona. The main risk factors associated with leptospirosis infection were farms with a higher number of pigs and the presence of horses and wild boars near or within the farms. The use of milling by-products of cereal grains as animal feed and the presence of weaning cages were also associated. A relevant spatial cluster of seropositivity to Leptospira spp. was identified in a low-altitude area. Conclusions. Our results suggest that brucellosis is probably controlled, but Leptospira spp. are present in the farming systems under study. Knowledge of brucellosis and leptospirosis seroprevalence, spatial distribution and associated risk factors can be useful for the prevention and control of endemic zoonotic diseases in the region.

Seroepidemiology of Leptospira serovar Hardjo and associated risk factors in smallholder dairy cattle in Tanzania.

Smallholder dairy farming is crucial for the Tanzanian dairy sector which generates income and employment for thousands of families. This is more evident in the northern and southern highland zones where dairy cattle and milk production are core economic activities. Here we estimated the seroprevalence of Leptospira serovar Hardjo and quantified potential risk factors associated with its exposure in smallholder dairy cattle in Tanzania. From July 2019 to October 2020, a cross-sectional survey was carried out in a subset of 2071 smallholder dairy cattle. Information about animal husbandry and health management was collected from farmers, and blood was taken from this subset of cattle. Seroprevalence was estimated and mapped to visualize potential spatial hotspots. The association between a set of animal husbandry, health management and climate variables and ELISA binary results was explored using a mixed effects logistic regression model. An overall seroprevalence of 13.0% (95% CI 11.6-14.5%) for Leptospira serovar Hardjo was found in the study animals. There was marked regional variations with the highest seroprevalence in Iringa 30.2% (95% CI 25.1-35.7%) and Tanga 18.9% (95% CI 15.7-22.6) with odds ratios of OR = 8.13 (95% CI 4.23-15.63) and OR = 4.39 (95% CI 2.31-8.37), respectively. Multivariate analysis revealed the individual animal factors that were a significant risk for Leptospira seropositivity in smallholder dairy cattle were: animals over 5 years of age (OR = 1.41, 95% CI 1.05-1.9); and indigenous breed (OR = 2.78, 95% CI 1.47-5.26) compared to crossbred animals SHZ-X-Friesian (OR = 1.48, 95% CI 0.99-2.21) and SHZ-X-Jersey (OR = 0.85, 95% CI 0.43-1.63). Farm management factors significantly associated with Leptospira seropositivity included: hiring or keeping a bull for raising purposes (OR = 1.91, 95% CI 1.34-2.71); distance between farms of more than 100 meters (OR = 1.75, 95% CI 1.16-2.64); cattle kept extensively (OR = 2.31, 95% CI 1.36-3.91); farms without cat for rodent control (OR = 1.87, 95% CI 1.16-3.02); farmers with livestock training (OR = 1.62, 95% CI 1.15-2.27). Temperature (OR = 1.63, 95% CI 1.18-2.26), and the interaction of higher temperature and precipitation (OR = 1.5, 95%CI 1.12-2.01) were also significant risk factors. This study indicated seroprevalence of Leptospira serovar Hardjo, as well as the risk factors driving dairy cattle leptospirosis exposure in Tanzania. The study showed an overall high leptospirosis seroprevalence with regional variations, where Iringa and Tanga represented the highest seroprevalence and risk. The study highlighted the urgent need to understand the human exposures and risks from this important zoonosis to develop control measures and awareness of the problem and quantify the economic and production impacts through abortion and milk loss. In addition, given that the available data was limited to Leptospira serovar Hardjo, the study recommends more studies to identify serologically the most common serovars in cattle for targeted vaccination and risk reduction.

Seroprevalence of leptospirosis among hospitalized febrile patients in Unguja Island

Background: Leptospirosis is one of the neglected causes of febrile illness and death in developing countries, including Tanzania. The study aims to determine the seroprevalence of leptospirosis among hospitalized febrile patients in Unguja Island. Methods: A cross-sectional study was carried out in the three selected hospitals in Unguja Island between January and March 2022. A total of 402 participants with febrile illness were enrolled in the study, and blood samples were collected for sera preparation. Microscopic agglutination test (MAT) was used to detect antibodies against five Leptospira serovars, including Sokoine, Lora, Pomona, Grippotyphosa, and Hebdomadis. All sera samples reacted with MAT titers≥1:160 were counted as positive, MAT titers ranging from 1:20 to 1:80 were counted as exposed to Leptospira bacteria while the absence of agglutination was regarded as negative. The data was analyzed using SPSS version 26, 2019. Descriptive and logistic regression was performed, and p≤0.05 was considered statistically significant. Results: The mean age of study participants was 29.62 ±16.34, with a range of 0 days to 80 years. Most of them were females (64.2%) and unemployed (67.9%). The overall seroprevalence of leptospirosis was 7.7% (95% CI: 5.3-10.8). Females were 1.016 times higher likelihood to have leptospirosis (AOR = 1.016, 95% CI: 0.47-2.185, p = 0.968). Participants aged 18-35 were 2.093 times more likely to be infected with leptospirosis (AOR= 2.093, 95% CI: 0.835-5.250, p = 0.115). Participants who were unemployed (AOR = 1.169, 95% CI: 0.522-2.615, p = 0.704) revealed a significantly higher likelihood of being infected with leptospirosis. The predominant Leptospira serovars circulating among febrile patients were Sokoine 44 (10.9%), Lora 25 (6.2%), Grippotyphosa 20 (5.0%), Pomona 10 (2.5%), and Hebdomadis 9 (2.2%). Conclusion: Leptospirosis is a public health threat among febrile patients in Unguja Island; therefore, it’s important to be considered in the differential diagnosis of non-malaria febrile patients for early prevention and control strategies.

Epidemiology of Leptospirosis: The First Literature Review of the Neglected Disease in the Middle East.

Leptospirosis is a major zoonotic disease that has emerged worldwide, and numerous studies performed in affected countries have provided epidemiological knowledge of the disease. However, currently, there is inadequate knowledge of leptospirosis in the Middle East. Therefore, we grouped publications from various Middle Eastern countries to acquire a general knowledge of the epidemiological situation of leptospirosis and provide an initial description of the leptospiral relative risk and circulating serogroups. We conducted a detailed literature search of existing studies describing Leptospira prevalence and seroprevalence in Middle Eastern countries. The search was performed using online PubMed and ScienceDirect databases. One hundred and one articles were included in this review. Some countries, including Iran, Turkey, and Egypt, reported more publications compared to others, such as Lebanon, Kuwait, and Saudi Arabia. Frequently, the seroprevalence of leptospirosis varied considerably between and within countries. The prevalence of leptospirosis was comparable in most Middle Eastern countries; however, it varied between some countries. The methods of detection also varied among studies, with the microscopic agglutination test used most commonly. Some hosts were more recurrent compared with others. This review summarizes the epidemiological situation of Leptospira infection in the Middle East, reporting predominant serogroups—Sejroe, Grippotyphosa, Icterohaemorrhagiae, Autumnalis, and Pomona—that were identified in the most commonly tested hosts. Our findings emphasize the need to develop a deeper understanding of the epidemiology of Leptospira spp. and prioritize the disease as a public health problem in this region. To achieve this goal, increased awareness is critical, and more publications related to the topic and following a standardized approach are needed.

Seroprevalence of Bovine Leptospirosis using Indirect ELISA

Background: Leptospirosis is a zoonotic bacterial disease causing abortion, stillbirths and loss of milk production in livestock resulting in huge economic losses. Leptospirosis in cattle has been under-reported and under-diagnosed in India due to non-specific symptoms, complex laboratory tests, fastidious nature of bacterium and lack of proper diagnostic facilities. Scanty data pertaining to epidemiological status of leptospirosis is available in land locked states of India including Madhya Pradesh, thus to fulfil the gap, the current work was conducted to investigate seroprevalence of leptospirosis in cattle. Methods: In the present study, cattle with a history of repeat breeding, abortion, haemogalactia and mastitis, were screened from various organized and unorganized farms of Jabalpur. A total of 300 blood samples were collected from suspected cattle and serum was separated. Enzyme linked Immune-sorbent assay was done as per the guidelines. Result: The seroprevalence of leptospirosis among suspected cases was 48.67 per cent, it was significantly higher in organized sector in cattle with the history of abortion followed by repeat breeding. High seropositivity was reported in older cattle.

Seroprevalence and Molecular Characterization of Leptospira spp. in Rats Captured near Pig Farms in Colombia.

Gram-negative spirochete Leptospira spp. causes leptospirosis. Leptospirosis is still a neglected disease, even though it can cause potentially fatal infections in a variety of species including humans. The purpose of this study was to determine the seroprevalence of leptospirosis in pig farm captured rodents and characterize the isolated samples. Rats were captured, sampled, and euthanized in the vicinity of pig farms to obtain serum for microagglutination tests (MAT) and kidney tissues for PCR amplification of the 16S rRNA and LipL32 genes. A fraction of the 16S rRNA PCR product was sequenced and phylogenetically analyzed. The results showed a Leptospira seroprevalence of 13.8% (77/555) among the 555 captured rats. PCR positivity for Leptospira spp. reached 31.2% (156/500), and the positivity for pathogenic Leptospira spp. was 4% (22/500). Phylogenetic analysis matched eight samples with L. interrogans serovar icterohaemorrhagiae and two with L. interrogans serovar pyrogenes. Two sequences were located within the pathogenic Leptospira clade but did not match with any specific strain. The seroprevalence found in the rats around swine farms indicates a potential risk of transmission to the pigs. The identification of pathogenic Leptospira outlines the importance of more research as well as updating the current strategies for the diagnosis, control, and prevention of porcine leptospirosis in Colombia.

Seroprevalence of leptospirosis among presumptive malaria patients in a secondary health facility in Oyo state, Southwest Nigeria

Background: Leptospirosis is a neglected tropical zoonoses that presents with fever and can be misdiagnosed, with fatal outcomes. Its incidence has been on the increase in recent times with 1 million cases and over 60,000 deaths reported annually worldwide. We determined the seroprevalence of leptospirosis and associated risk factors among presumptive malaria patients in a secondary health facility in Ibadan. Methods: We used Leptospira Rapid Diagnostic Test kit to estimate the seroprevalence of leptospirosis among 143 patients who presented at the study center between 27th April and 15th May 2019 whom a physician had seen and presumed they had malaria. We used one drop of blood for the test from blood collected by trained laboratory technicians for malaria diagnosis. Data on patients’ demographics and risk factors were collected using an interviewer-administered questionnaire. We calculated frequencies, means and proportion and also calculated odds ratios at 95% confidence interval (α=0.05). Result: The median age of the participants was 34 years (range: 6 months-80 years). Eighty-nine (62.2%) of them were females. Of the 143 tested, 12 (8.4%) were positive for <i>Leptospira</i> IgM/IgG antibodies. Eleven (7.7%) patients were positive for malaria. One (0.7%) was positive for both malaria and leptospirosis. Owning a backyard garden was significantly associated with leptospirosis (OR: 3.7, CI: 1.01-12.92).

Risk factors associated with Leptospira sp. seroprevalence in goats in Northeast of Brazil

Goat farming is of great importance for agriculture in Northeast of Brazil, which owns more than 90 % of the national herd, however, most studies on leptospirosis in goats in this region are local surveys with unplanned sampling. Thus, the objective of this study was to determine the factors associated with the seroprevalence of leptospirosis in goats in Northeast region of Brazil. Blood samples were collected from 4121 goats from 222 herds, belonging to the states of Ceará, Paraíba, Piauí , Rio Grande do Norte and Sergipe. Serological diagnosis was carried out using the microscopic agglutination test (MAT). In 82.9 % (95 % CI = 77.3–87.2 %) of the herds there was at least one animal seropositive for at least one of the serogroups of Leptospira sp., and 18.73 % (95 % CI = 17.5–19.9 %) of the animals were seropositive. Antibody titers ranged from 100 to 800 and the most frequent serogroups were Autumnalis (23.06 %) and Australis (20.98 %). According to the robust Poisson regression analysis, four factors were associated with seroprevalence: animal sex (female) (P = 0.040), educational level of the farmer (elementary school) (P < 0.001), contacting institution for technical support (P = 0.040) and presence of irrigation area (P = 0.002). There was a high frequency of Leptospira sp. in goats in the states of Northeast region of Brazil, and it’s suggested the need for better technological and preventive assistance of herds.

Seroprevalence of Leptospirosis in Suspected High-Risk Sudanese Patients; A Pilot Exploratory Study

The extent of leptospirosis is unknown in Sudan, and it might be mistaken for other more common febrile infectious diseases. Leptospirosis might also be associated with renal diseases that are common in Sudan. We intended to explore the existence of human leptospirosis in suspected high-risk patients in Khartoum, Sudan, via sero-screening random febrile patients and those undergoing renal dialysis. This pilot exploratory study was conducted over six months, from April to September 2013. Four hospitals were selected conveniently following a non-random sampling approach. One hundred nineteen febrile patients (with or without definitive diagnosis) and patients under renal dialysis were included, and their serum specimens and clinical and demographic data were collected. Sera were screened qualitatively for the existence of anti-leptospiral IgM antibodies using a rapid lateral flow immune-sorbent assay. Ethical clearance and official permissions were obtained. Of the 119 patients, 57 (47.9%) had end-stage renal disease. They were under dialysis at Renal Dialysis Unit in Asbab Charity Hospital in Bahri, 47 (39.5%) were febrile with unknown origin attending the Tropical Medicine Hospital in Omdurman, and 15 (12.6%) were febrile and were diagnosed as having malaria or typhoid and attended Yastabshiron Medical Centre and Bashauer Teaching Hospital. The prevalence of anti-leptospiral IgM antibodies among all 119 screened patients was 7%. The prevalence among the 57 with the end-stage renal disease was 9%, and among the 47 with a fever of unknown origin was 6%. The prevalence among the 15 with a fever of known origin (diagnosed as malaria or typhoid) was 0%. Almost all positive patients had recurring episodes of fever, were in close contact with livestock, were farmers, and had an untreated natural source for drinking water. Human leptospirosis does exist in this targeted population. It is probably a common febrile condition and can be easily considered one of the major causes of chronic kidney disease affecting people in Sudan. A national sero-screening for leptospirosis among those living in high-risk geographical areas and those at occupational risk is highly recommended.

Serological Investigation and Epidemiological Analysis of Bovine Leptospirosis in Egypt.

Bovine leptospirosis is a bacterial zoonotic disease of worldwide distribution. Little information is available regarding the occurrence of the disease in the Nile Delta provinces, Egypt. The present study investigated the seroprevalence of leptospirosis among cattle from Dakahlia province, Northern Egypt, and identified the individual variables factors associated with infection. To this end, a total of 600 serum samples from cattle of small stakeholders with various clinical manifestations possibly associated with leptospirosis were collected from different localities across Dakahlia province, Egypt. Sera were examined serologically via ELISA to investigate the occurrence of the disease among animals. Chi-square test and multivariable logistic regression analyses were applied to determine the association between hypothesized risk factors and the disease. Interestingly, our findings showed that 39.33% of the examined sera were positive for Leptospira antibodies, with significant differences among different localities. In addition, statistical analysis showed significant differences among age groups. Notably, the highest prevalence rate (22%) was observed in those aged between 3 and 5 years (p < 0.0001), whereas the lowest prevalence (2.66%) was reported in cattle <1 year old (p < 0.0001). Moreover, females had a significantly higher prevalence rate (35.33%) than males (4%) (p < 0.0001). Furthermore, our results showed significant differences in the occurrence of infection and reported clinical signs (p < 0.0001). Multivariable logistic regression identified repeated breeder and drop milk yield as the best predictors for prediction of ELISA results and linear discriminant analysis (LDA) model showed that overall classification accuracy of ELISA result using clinical signs and demographic data as predictors was 70.7%. The current study concluded a relative high prevalence of leptospirosis among cows bred in movable herds and households in the studied area and that age, repeated breeder and drop milk yield can be considered major risk factors associated with infection.

Zoonoses and gold mining: A cross-sectional study to assess yellow fever immunization, Q fever, leptospirosis and leishmaniasis among the population working on illegal mining camps in French Guiana.

BackgroundMost emerging pathogens are zoonoses and have a wildlife origin. Anthropization and disruption of ecosystems favor the crossing of inter-species barriers. We hypothesize that the marginalized population of undocumented goldminers in the Amazon is at risk of acquiring zoonoses.MethodA multicentric cross-sectional study included consenting gold-mining adult workers in 2019. A clinical examination recorded dermatological signs of leishmaniosis and past history of yellow fever vaccination. Biological tests were performed for yellow fever, Q fever and leptospirosis serologies. Additional blood samples from a previous study in 2015 were also tested for leptospirosis.ResultsIn 2019, 380 individuals were included in the study, along with 407 samples from the 2015 biological collection. The seroprevalence of leptospirosis was 31.0% [95%CI = 26.4–35.5] in 2015 and 28.1% [23.5–32.7] in 2019. The seroprevalence of Q fever was 2.9% [1.2–4.6]. The majority of participants reported being vaccinated against yellow fever (93.6%) and 97.9% had seroneutralizing antibodies. The prevalence of suspected active mucocutaneous leishmaniasis was 2.4% [0.8–3.9].DiscussionThese unique data shed new light on the transmission cycles of zoonoses still poorly understood in the region. They support the existence of a wild cycle of leptospirosis but not of Q fever. Leishmaniasis prevalence was high because of life conditions and tree felling. High yellow fever vaccine coverage was reassuring in this endemic area. In the era of global health, special attention must be paid to these vulnerable populations in direct contact with the tropical ecosystem and away from the health care system.

High-level seroprevalence against Leptospira interrogans serovars among wild foxes, jackals and stray dogs in the North Khorasan Province, Iran.

BackgroundLeptospirosis is an important, neglected zoonotic disease that affects people and animals in humid (sub)tropical regions. Wild canines carry the pathogen and may contaminate natural resources which may then act as a source of human infection.ObjectivesThe study was designed to understand the seroprevalence of leptospirosis among domestic and wild canines in Bojnurd County, Northeast Iran.MethodsA total of 77 serum samples, comprising 29 sera from asymptomatic wild canines [foxes (n = 25) and jackals (n = 4)] and 48 sera from asymptomatic stray dogs, was investigated. Serovars were identified and antibody titres were measured by standard microscopic agglutination test (MAT) using serial serum dilutions.ResultsAmong all serum samples, 44.1% reacted positively to a Leptospira interrogans serovars. The average percentage of positive reactions was higher in stray dogs than in wild canines although this did not reach statistical significance (55.2% and 37.5%, p = 0.159). Positive reactions with L. i. Pomona, L. i. Australis and L. i. Tarasovi was detected only among jackals and foxes. Among the stray dogs, the highest number of positive sera were for L. i. Grippotyphosa (61.1%) and L. i. Canicola (50%). The highest titre detected was for L. i. canicola (1:1600) in two stray dogs and against L. i. Icterohaemorrhagiae and L. i. Pomona (1:800) in a single jackal.ConclusionsThe study revealed that leptospirosis is endemic among various canine species in the North Khorasan Province of Iran. Detailed monitoring of canines is necessary for better understanding the epidemiology of infection in our and other Iranian regions.