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Abstract

In the Netherlands, 97 human leptospirosis cases were notified in 2014. This represents a 4.6-fold increase in autochthonous cases (n = 60) compared with the annual average between 2010 and 2013. Most cases had symptom onset between June and November. This marked increase in humans coincided with an increase of leptospirosis in dogs. In 2014, 13 dogs with leptospirosis were reported, compared with two to six dogs annually from 2010 to 2013. The majority of the autochthonous cases (n = 20) were linked to recreational exposure, e.g. swimming or fishing, followed by occupational exposure (n = 15). About sixty per cent (n = 37) of the autochthonous cases were most likely attributable to surface water contact, and 13 cases to direct contact with animals, mainly rats. A possible explanation for this increase is the preceding mild winter of 2013–2014 followed by the warmest year in three centuries, possibly enabling rodents and spp. to survive better. A slight increase in imported leptospirosis was also observed in Dutch tourists (n = 33) most of whom acquired their infection in Thailand (n = 18). More awareness and early recognition of this mainly rodent-borne zoonosis by medical and veterinary specialists is warranted.

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/content/10.2807/1560-7917.ES.2016.21.17.30211
2016-04-28
2024-11-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.17.30211
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Marked increase in leptospirosis infections in humans and dogs in the Netherlands, 2014
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Roan+Pijnacker&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pijnacker Roan</a>, <a href="/search?value1=Marga+G.A.+Goris&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Goris Marga G.A.</a>, <a href="/search?value1=Margreet+J.M.+te+Wierik&option1=author&noRedirect=true" class="nonDisambigAuthorLink">te Wierik Margreet J.M.</a>, <a href="/search?value1=Els+M.+Broens&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Broens Els M.</a>, <a href="/search?value1=Joke+W.B.+van+der+Giessen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van der Giessen Joke W.B.</a>, <a href="/search?value1=Mauro+de+Rosa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de Rosa Mauro</a>, <a href="/search?value1=Jaap+A.+Wagenaar&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wagenaar Jaap A.</a>, <a href="/search?value1=Rudy+A.+Hartskeerl&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hartskeerl Rudy A.</a>, <a href="/search?value1=Daan+W.+Notermans&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Notermans Daan W.</a>, <a href="/search?value1=Kitty+Maassen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Maassen Kitty</a>, <a href="/search?value1=Barbara+Schimmer&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schimmer Barbara</a></span>. Marked increase in leptospirosis infections in humans and dogs in the Netherlands, 2014. <a href="/content/ecdc">Euro Surveill.</a> 2016;21(17):pii=30211. <a href="https://doi.org/10.2807/1560-7917.ES.2016.21.17.30211" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2016.21.17.30211</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 09 Mar 2015;&nbsp;&nbsp; <span class="generated">Accepted</span>: 10 Nov 2015 </span> </p>
/content/10.2807/1560-7917.ES.2016.21.17.30211
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