Monday, April 27, 2009

Facts about Leptospirosis

The Native American lifestyle exposed them to ...
The Native American lifestyle exposed them to the leptospiral life cycle. (Photo credit: Wikipedia)
What is leptospirosis?

Leptospirosis is a bacterial disease that affects humans and animals. It is caused by bacteria of the genus Leptospira. In humans it causes a wide range of symptoms, and some infected persons may have no symptoms at all. Symptoms of leptospirosis include high fever, severe headache, chills, muscle aches, and vomiting, and may include jaundice (yellow skin and eyes), red eyes, abdominal pain, diarrhea, or a rash. If the disease is not treated, the patient could develop kidney damage, meningitis (inflammation of the membrane around the brain and spinal cord), liver failure, and respiratory distress. In rare cases death occurs.

Many of these symptoms can be mistaken for other diseases. Leptospirosis is confirmed by laboratory testing of a blood or urine sample.


How do people get leptospirosis?

Outbreaks of leptospirosis are usually caused by exposure to water contaminated with the urine of infected animals. Many different kinds of animals carry the bacterium; they may become sick but sometimes have no symptoms. Leptospira organisms have been found in cattle, pigs, horses, dogs, rodents, and wild animals. Humans become infected through contact with water, food, or soil containing urine from these infected animals. This may happen by swallowing contaminated food or water or through skin contact, especially with mucosal surfaces, such as the eyes or nose, or with broken skin. The disease is not known to be spread from person to person.


How long is it between the time of exposure and when people become sick?

The time between a person's exposure to a contaminated source and becoming sick is 2 days to 4 weeks. Illness usually begins abruptly with fever and other symptoms. Leptospirosis may occur in two phases; after the first phase, with fever, chills, headache, muscle aches, vomiting, or diarrhea, the patient may recover for a time but become ill again. If a second phase occurs, it is more severe; the person may have kidney or liver failure or meningitis. This phase is also called Weil's disease.

The illness lasts from a few days to 3 weeks or longer. Without treatment, recovery may take several months.


Where is leptospirosis found?

Leptospirosis occurs worldwide but is most common in temperate or tropical climates. It is an occupational hazard for many people who work outdoors or with animals, for example, farmers, sewer workers, veterinarians, fish workers, dairy farmers, or military personnel. It is a recreational hazard for campers or those who participate in outdoor sports in contaminated areas and has been associated with swimming, wading, and whitewater rafting in contaminated lakes and rivers. The incidence is also increasing among urban children.


How is leptospirosis treated?

Leptospirosis is treated with antibiotics, such as doxycycline or penicillin, which should be given early in the course of the disease. Intravenous antibiotics may be required for persons with more severe symptoms. Persons with symptoms suggestive of leptospirosis should contact a health care provider.


Can leptospirosis be prevented?

The risk of acquiring leptospirosis can be greatly reduced by not swimming or wading in water that might be contaminated with animal urine.
Protective clothing or footwear should be worn by those exposed to contaminated water or soil because of their job or recreational activities.


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This is lifted from CDCP site. A printable PDF format from the same site can be found here.

The e-mail version telling of how somebody died due to leptospirosis is below; this is what prompted me to hunt for this article. And basing on the way the e-mail is made, it is easily determined to be simply fabricated, and would fall under the category of a 'hoax mail'. It even goes to the point of identifying the canned drink brand, then later on says that it affects 'all soda cans'... Nonetheless, what it is saying about leptospirosis is true. Be informed. Be warned. Be spared.

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A woman went boating one Sunday taking with her some cans of Coke which she put into the refrigerator of the boat. On Monday she was taken to the hospital and placed in the Intensive Care Unit. She died on Wednesday.

The autopsy concluded she died of leptospirosis. This was traced to the can of Coke she drank from, not using a glass. Tests showed that the can was infected by dried rat urine and hence the disease leptospirosis.

Rat urine contains toxic and deathly substances. It is highly recommended to thoroughly wash the upper part of all soda cans before drinking out of them. The cans are typically stocked in warehouses and transported straight to the shops without being cleaned.

A study at NYCU showed that the tops of all soda cans are more contaminated than public toilets (i.e., full of germs and bacteria). So wash them with water before putting them to the mouth to avoid any kind of fatal accident.

Better still don't drink, bad for health.


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