Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/5811
Title: Surveillance for leptospirosis in the Americas, 1996–2005: a review of data from ministries of health
Authors: Costa, Federico
Martinez-Silveira, Martha Silvia
Hagan, José Edward
Hartskeerl, Rudy A
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Affilliation: Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Yale University. School of Public Health. New Haven, Connecticut, United States of America
World Health Organization. Royal Tropical Institute. Amsterdam, Holanda
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Yale University. School of Public Health. New Haven, Connecticut, United States of America
Abstract: To characterize current leptospirosis reporting practices in the Americas.Methods. Information was collected from the official websites of national ministries ofhealth from the Americas region and two international organizations; personal communications;and three international morbidity databases. For all sources other than the morbiditydatabases, the review was limited to official reports citing clinically suspected and laboratoryconfirmed leptospirosis cases or deaths during the period 1996–2005.Results. A total of 73 out of 1 644 reports met the selection criteria and were included inthe analysis. Published leptospirosis data were available from half of the countries/sovereignterritories (24 out of 48), and 18 of them had mandatory notification policies for leptospirosis.The sum of the median number of leptospirosis cases notified annually by the 24 countries/territories was 4 713.5, but just three countries (Brazil, Costa Rica, and Cuba) accounted for83.1% (3 920 cases) of the notifications. Eight (16.7%) countries reported deaths due to leptospirosis.The sum of the median number of deaths reported annually for the eight countrieswas 380, but 349 (91.8%) were reported by Brazil.Conclusions. Notification practices in the Americas for leptospirosis are limited. Therefore,the numbers of cases and deaths reported are not representative for the region. The lack ofleptospirosis data for many countries/territories may reflect weaknesses in certain aspects ofnational surveillance systems, including mandatory reporting policies, clinical laboratory infrastructurefor performing case confirmation, and capacity to collect reported cases. Improvedsurveillance of leptospirosis cases and deaths in the Americas is needed to allow monitoring ofregional epidemiological patterns and to estimate the burden of this important disease.(AU)
Keywords: Leptospirosis
Epidemiologic surveillance
Disease notification
Review
Americas
Issue Date: 2012
Citation: COSTA, F. et al. Surveillance for leptospirosis in the Americas, 1996–2005: a review of data from ministries of health. Revista Panamerica de Salud Pública, v. 32, n. 3, 169-177, sept. 2012.
ISSN: 1020-4989
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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