Open AccessLeptospirosis on Kauai: investigation of a common source waterborne outbreak.
Author(s) -
Alan R. Katz,
Sally Jo Manea,
David M. Sasaki
Publication year - 1991
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.81.10.1310
Subject(s) - leptospirosis , outbreak , waterborne diseases , direct agglutination test , veterinary medicine , environmental health , water source , medicine , epidemiology , virology , pathology , environmental science , immunology , serology , water resource management , antibody
During the summer of 1987, a common source waterborne outbreak of leptospirosis occurred on the island of Kauai in the state of Hawaii. Eight leptospirosis cases were identified using the microscopic agglutination test. Methodologic weaknesses in this technique were responsible for the initial missed diagnosis on six of the eight cases. All cases had repeated exposure to the Waimea River. A wide array of animal reservoirs and optimal water conditions may have been factors in this outbreak.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom