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Global Morbidity and Mortality of Leptospirosis: A Systematic Review
Authors:Federico Costa  José E Hagan  Juan Calcagno  Michael Kane  Paul Torgerson  Martha S Martinez-Silveira  Claudia Stein  Bernadette Abela-Ridder  Albert I Ko
Abstract:BackgroundLeptospirosis, a spirochaetal zoonosis, occurs in diverse epidemiological settings and affects vulnerable populations, such as rural subsistence farmers and urban slum dwellers. Although leptospirosis is a life-threatening disease and recognized as an important cause of pulmonary haemorrhage syndrome, the lack of global estimates for morbidity and mortality has contributed to its neglected disease status.Conclusions/SignificanceLeptospirosis is among the leading zoonotic causes of morbidity worldwide and accounts for numbers of deaths, which approach or exceed those for other causes of haemorrhagic fever. Highest morbidity and mortality were estimated to occur in resource-poor countries, which include regions where the burden of leptospirosis has been underappreciated.
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