Anderson D C, Folland D S, Fox M D, Patton C M, Kaufmann A F
Am J Epidemiol. 1978 Jun;107(6):538-44. doi: 10.1093/oxfordjournals.aje.a112573.
In the period August 1-10, 1975, seven cases of leptospirosis occurred in residents of Stewart County, Tennessee. Based on serologic evidence, the infection was caused by leptospires of the Grippotyphosa serogroup. Epidemiologic study showed that the patients apparently acquired their infection while swimming in Cub Creek, a small local stream. Stagnation of the stream resulting from subnormal rainfall may have contributed to the timing of the outbreak. The source of leptospiral contamination for the stream could not be determined.
1975年8月1日至10日期间,田纳西州斯图尔特县的居民中有7例钩端螺旋体病病例。根据血清学证据,感染是由波摩那群钩端螺旋体引起的。流行病学研究表明,患者显然是在当地一条小溪——库布溪游泳时感染的。降雨不足导致溪水停滞,这可能是此次疫情爆发时间的一个促成因素。溪流中钩端螺旋体污染的源头无法确定。