Leptospirosis in Fiji: A Review of the Situation in 2012

1,561 views
1,259 views

Published on

GRF 2nd One Health Summit 2013: Presentation by REID, Dr. Simon Andrew, The University of Queensland

Published in: Travel, Business
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,561
On SlideShare
0
From Embeds
0
Number of Embeds
92
Actions
Shares
0
Downloads
19
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Leptospirosis in Fiji: A Review of the Situation in 2012

  1. 1. LEPTOSPIROSIS IN FIJI: A REVIEW OF THE SITUATION IN 2012 Associate Professor Simon Reid School of Population Health University of Queensland Brisbane, Australia CRICOS Provider No 00025B
  2. 2. Acknowledgements Fiji Centre for CD Control • Dr Vereniki Raiwalui • Dr Mike Kama • Aggie Dawainavesi UQ • Dr Vanessa Racloz WHO (South Pacific) • Dr Eric Nilles CRICOS Provider No 00025B
  3. 3. CRICOS Provider No 00025B
  4. 4. INCIDENCE OF LEPTOSPIROSIS ELISA • 2011: 12 per 100,000 • 2012: 62.5 – 100 per 100,000 CRICOS Provider No 00025B
  5. 5. Fiji 2012 • 525 confirmed cases • 52 deaths • Up to ~300 more cases if PCR had been used
  6. 6. Floods Ba Lautoka Nadi Rewa Suva CRICOS Provider No 00025B
  7. 7. ETHNICITY 400 350 Cases per 100,000 300 iTaukei Indian 250 200 150 100 50 0 Ba CRICOS Provider No 00025B Lautoka Macuata Nadi Nadroga Subdivision Ra Rewa Suva
  8. 8. Age distribution CRICOS Provider No 00025B
  9. 9. RESERVOIRS? CRICOS Provider No 00025B
  10. 10. Serovars • Predominant serovars in human cases (historical): – – – – australis copenhageni canicola cynoptera • Limited data on range of serovars in domestic and feral animals in Fiji • 1981: antibodies detected (CFT) in: – Cattle (27.5%), sheep (17.1%), goats (10.3%), pigs (10.0%) – Dogs (57%), rats (55.8%), mongoose (53.1%), mice (40%) CRICOS Provider No 00025B
  11. 11. Naduri and Burebasaga (2002) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% Mongoose = ~70% Hardjo 0.0% SPC ANIMAL HEALTH & PRODUCTION SERVICE (http://www.spc.int/lrd/)
  12. 12. Prevalence of Leptospira Antibodies by Serovar in Cattle from Naduri Village (n = 130) 50% Prevalence 40% 30% 20% 10% 0% CRICOS Provider No 00025B Serovar
  13. 13. Overlap with humans Human 70% 60% 50% 40% 30% 20% 10% 0% CRICOS Provider No 00025B Dog
  14. 14. One Health Issues/opportunities • Major gaps in epidemiological information • Case investigations are lead by environmental health officers but need to include AH and PH personnel • Importance of sampling ALL mammals (including humans) at the site of transmission • Need to work out how to get rats and mongoose • MoH has initiated a national strategy CRICOS Provider No 00025B

×