Outbreak of human leptospirosis linked to contaminated water bodies in Northern Israel, June to August 2018

Author:

Dadon Yuval123,Haas Eric J.412,Kaliner Ehud5,Anis Emilia62,Singer Shepherd Roee62,Atiya-Nasagi Yafit7,Cohen-Dar Michal8,Avramovich Eva9,King Roni10,Sued Oded11,Goshen Tamir12,Amit Sharon13,Miskin Ian14,Gino Efrat15,Yishai Ruth5,Sheffer Rivka5,Grotto Itamar43,Moran-Gilad Jacob543

Affiliation:

1. These authors contributed equally to the study

2. The Division of Epidemiology, Public Health Services, Ministry of Health, Jerusalem, Israel

3. Ministry of Health Directorate, Jerusalem, Israel

4. School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

5. Public Health Services, Ministry of Health, Jerusalem, Israel

6. Braun School of Public Health and Community Medicine, Hebrew University and Hadassah, Jerusalem, Israel

7. Israel Institute for Biological Research, Ness Ziona, Israel

8. Northern District, Ministry of Health, Israel

9. Public Health Branch, IDF Medical Corps, Israel

10. Nature and Parks Authority, Jerusalem, Israel

11. Mekorot Central Laboratory, Eshkol Site, National Water Company, Israel

12. Israeli Veterinary Services, Ministry of Agriculture and Rural Development, Beit Dagan, Israel

13. Hadassah Medical Center, Jerusalem, Israel

14. Jerusalem District, Clalit Health Services, Jerusalem, Israel

15. Public Health Laboratory, Haifa District, Ministry of Health, Haifa, Israel

Abstract

We report preliminary findings of a large outbreak of human leptospirosis with 36 confirmed/probable and 583 suspected cases from June–August 2018, linked to contaminated water bodies in Northern Israel. There was a travel-associated case in Germany; additional cases are being investigated in other countries. The presumed chain of transmission, implicating wild boar and cattle, raises multiple challenges for risk assessment, risk management and risk communication currently being addressed by a public health response team.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference8 articles.

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