Zúñiga CIR, Baeza B, Bernal Á, Muñoz W, Domínguez M

Language: Spanish
References: 12
Page: 33-37
PDF size: 212.64 Kb.

ABSTRACT

Background. In October 29, 2007 the state of Tabasco wasflooded. An Operative Command of Health was settled to take the sanitary stocks in the City of Villahermosa and neighboring municipalities. Starting November 1st, the hospital epidemic surveillance began in the capital of the state.
Objective. Cases of leptospirosis, secondary to the flood, were detected by clinical and laboratory. A differential diagnosis with other feverish sufferings by means of the hospital epidemic surveillance was made. The existence of an outbreak of Leptospira, later to the flood, was confirmed.
Methods. A database of patients that came to the emergency room was created, including those with diagnoses of probable dengue fever, hemorrhagic dengue fever and leptospirosis. Those patients with clinical diagnostic of leptospirosis, diagnosis was corroborated later on by the State Laboratory of Public Health. With the information we proceeded to carry out geographical localitation.
Conclusion. In this natural disaster 12 cases of leptospirosis were confirmed, all of them epidemically related with moderate to severe contact with flood water. It is important to carry out later hospital epidemic surveillance to any disaster. Detection of cases could be obtained and sanitary actions can avoid a high morbidity and mortality.

REFERENCES

1. Faine S, Adler B, Bolin C, Perolat P. Leptospira and Leptospirosis. 2a Ed. Melbourne, MediSci 2000: 101, 138-140.

2. 2 . Norma Oficial Mexicana NOM-029-SSA2-1999, para la vigilancia epidemiológica, prevención y control de la Leptospirosis en el humano.

3. Bharti AR, Nally JE, Ricaldi JN, Matthias MA, et al. “Leptospirosis: a zoonotic disease of global importance”. The Lancet 2003; 3: 757-769.

4. Laguna V A. “Leptospirosis”. Oficina General de Epidemiología/Instituto Nacional de Salud. Módulos Técnicos. Serie Documentos Monográficos Núm. 2. Lima, 2000: 44-46. arita M, Fujitani S, Haake A, Paterson DL. “Leptospirosis

5. after recreational exposure to water in the Yaeyama islands, Japan”. Am J Trop Med Hyg 2005; 73(4): 652-656. Park SY, Effler PV, Nakata M, Sasaki D. “Brief report:

6. Leptospirosis after flooding of a University Campus-Hawaii, 2004.” MMWR Centers for Disease Control and Prevention (CDC) 2006; 55(5): 125-127.

7. Colín JR, Pérez JC, Caballero A, García J, et al. “Seroprevalencia a leptospiras en grupos de riesgo de Guadalajara, Jalisco”. Enfermedades Infecciosas y Microbiología 2004; 24(2). On line.

8. Carrada G, Calderón EG, Martínez CM. “Leptospirosis: pleomorfismo clínico en el síndrome febril”. Salud en Tabasco 2002; 8(3): 128-132.

9. Coutiño EM. “Agua, como un riesgo para la salud”. Revista Médica de la Universidad Veracruzana 2008; 8(1). On line.

10. Human Leptospirosis: Guidance for diagnosis, surveillance and control. WHO Library Cataloguing-in-Publication Data. World Health Organization 2003.

11. Tompkins DC, Luft BJ. “Lyme disease and other spirochetal zoonoses: Leptospirosis”. ACP Medicine Online 2002.

12. Vinetz, J M. “Leptospirosis”. Current Opinion Infectious Disease, 1997: 10: 357-361.