Leptospirosis

Leptospirosis, a bacterial infection, has recently surged in Ernakulam District. Over the past three weeks, five fatalities have been reported alongside more than 65 suspected and confirmed cases. The outbreak coincides with the onset of the monsoon season. Health authorities are urging the public to take precautions against this zoonotic disease.
About Leptospirosis
Leptospirosis is caused by the bacteria Leptospira. It can infect humans through contact with contaminated water, soil, or animal urine. The disease is most prevalent in tropical regions with high rainfall. Symptoms can range from mild flu-like signs to severe complications.
Symptoms and Phases
Leptospirosis has two main phases – the leptospiremic phase and the immune phase. The initial phase presents flu-like symptoms such as fever, headache, and muscle pain, typically appearing within 2 to 14 days post-infection. The immune phase may lead to severe symptoms, including jaundice and internal bleeding, particularly in cases of Weil’s syndrome.
Transmission Routes
The bacteria are primarily transmitted through animal urine, particularly from rodents, cattle, and dogs. Humans can contract the infection through skin abrasions or mucous membranes when exposed to contaminated water or soil. Outbreaks often occur after heavy rainfall or flooding.
Risk Factors
Individuals at higher risk include those living in tropical climates, agricultural workers, and those involved in outdoor recreational activities. Areas prone to flooding are particularly susceptible to outbreaks, as contaminated water can spread the bacteria widely.
Precautionary Measures
Health authorities recommend avoiding muddy water if you have open wounds. Agricultural workers should wear protective footwear and gloves. Immediate medical attention is advised for anyone exhibiting symptoms after potential exposure.
Global Context
Leptospirosis affects over one million people globally each year, with approximately 60,000 fatalities. The disease is public health concern in various regions, including Oceania, the Caribbean, and parts of Africa and Asia.