考艾岛钩端螺旋体病：一起水源性共同暴露疫情的调查
Leptospirosis on Kauai: investigation of a common source waterborne outbreak.
作者信息
Katz A R, Manea S J, Sasaki D M
机构信息
University of Hawaii, School of Public Health, Honolulu 96822.
出版信息
Am J Public Health. 1991 Oct;81(10):1310-2. doi: 10.2105/ajph.81.10.1310.
Abstract
During the summer of 1987, a common source waterborne outbreak of leptospirosis occurred on the island of Kauai in the state of Hawaii. Eight leptospirosis cases were identified using the microscopic agglutination test. Methodologic weaknesses in this technique were responsible for the initial missed diagnosis on six of the eight cases. All cases had repeated exposure to the Waimea River. A wide array of animal reservoirs and optimal water conditions may have been factors in this outbreak.
摘要
1987年夏天，夏威夷州考艾岛发生了一起水源性钩端螺旋体病的共同来源暴发。通过显微镜凝集试验确诊了8例钩端螺旋体病病例。该技术在方法学上的缺陷导致最初8例病例中有6例漏诊。所有病例均反复接触怀梅阿河。多种动物宿主和适宜的水环境可能是此次暴发的因素。
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