Spread of leptospirosis in non-endemic territory


DOI: https://dx.doi.org/10.18565/epidem.2024.14.4.77-83

Breneva N.V., Budaeva S.E., Ostapenko N.A., Belyaeva L.I., Faizullina N.M., Kozlova I.I., Nechaeva E.E., Kudryavtseva I.V., Solovieva M.G., Balakhonov S.V.

1) Irkutsk Anti-Plague Research Institute of Siberia and the Far East, Irkutsk, Russia; 2) Center for Hygiene and Epidemiology in the Khanty-Mansiysk Autonomous Okrug - Yugra, Khanty-Mansiysk, Russia; 3) Office of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being in the Khanty-Mansi Autonomous Okrug – Yugra, Khanty-Mansiysk, Russia
Objective. Determination of the causes and conditions for the spread of leptospirosis and the emergence of human diseases in 2022–2023 in the non-endemic Khanty-Mansi Autonomous Okrug (Yugra).
Materials and methods. A retrospective analysis of the incidence of leptospirosis in humans and animals, a comprehensive survey of the population (n = 66), argicultural and domestic animals (n = 50), small mammals and birds (n = 1292) was conducted, operational information on patients with leptospirosis and contacts at risk of infection was obtained.
Results. Over the past 10 years, the Yugra Veterinary Service reported five farms with unfavorable conditions for leptospirosis in cattle. Isolated cases of human disease were registered in 1995 and 2008-2010. After a long period of epidemiological well-being, an imported case of leptospirosis was detected in 2021. Since 2019, there has been a significant increase in the epizootic activity of natural foci of leptospirosis in Yugra; in the summer-autumn season of 2022, the infection rate of carriers according to PCR results was 13.2 ± 3.3%. Specific antibodies were detected in 86.5 ± 5.6% of cases in deer, which, during nomadic grazing, could be infected in several natural foci at once. Circulation of leptospira of the Australis, Autumnalis, Bataviae, Canicola, Grippotyphosa, Hebdomadis, Icterohaemorrhagiae, Sejroe, Tarassovi serogroups was detected.
Conclusion. The season of detection of sick people (Novemb–March) indicates infection in anthropurgic foci. The results of the studies indicate a wide distribution of leptospirosis among deer. The seroscape of specific anti-leptospirosis antibodies in animals in anthropurgic and natural foci confirms possible cross-infection.

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About the Autors


Natalya V. Brenyova, Cand. Med. Sci., Leading Researcher, Epidemiology Department, Irkutsk Anti-Plague Research Institute, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Irkutsk, Russia; nbreneva@list.ru; https://orcid.org/0000-0002-9207-7536
Sofia E. Budaeva, Junior Researcher, Department of Epidemiology, Irkutsk Anti-Plague Research Institute, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Irkutsk, Russia; inst.4ever.youu@yandex.ru; https://orcid.org/0000-0003-3588-8145
Nadezhda A. Ostapenko, Head, Department of Epidemiological Surveillance, Center for Hygiene and Epidemiology in the Khanty-Mansiysk Autonomous Okrug-Yugra, Khanty-Mansiysk, Russia; Ostapenko-na86@yandex.ru; https://orcid.org/0000-0002-5643-6765
Lyudmila I. Belyaeva, Head, Department of Epidemiological Surveillance, Branch of the Center for Hygiene and Epidemiology in Khanty-Mansiysk Autonomous Okrug-Yugra in Surgut, Surgut District and Kogalym, Surgut, Russia; sur_belyaevali@xmao.su; https://orcid.org/0009-0000-8781-9032
Nazira M. Fayzullina, Head, Department of Surveillance over Natural Focal and Especially Dangerous Diseases, Center for Hygiene and Epidemiology in Khanty-Mansiysk Autonomous Okrug-Yugra, Khanty-Mansiysk, Russia; otchethmao@xmao.su; https://orcid.org/0009-0009-0574-7799
Irina I. Kozlova, Chief Physician, Center for Hygiene and Epidemiology in Khanty-Mansiysk Autonomous Okrug–Yugra, Khanty-Mansiysk, Russia; iriv_ko@mail.ru; https://orcid.org/0000-0002-3345-1786
Elena E. Nechayeva, Head, Department of Epidemiological Surveillance and Sanitary Protection of the Territory, Office of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being in Khanty-Mansiysk Autonomous Okrug–Yugra, Khanty-Mansiysk, Russia; nechaeva_ee@86. rospotrebnadzor.ru; https://orcid.org/0009-0000-2307-451
Inna V. Kudryavtseva, Deputy Head, Office of the Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being for Khanty-Mansiysk Autonomous Okrug–Yugra Khanty-Mansiysk, Russia; kudryavtseva_iv@86.rospotrebnadzoг.ru; https://orcid.org/0009-0002-1600-1254
Maya G.Solovyova, Head, Office of the Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being for Khanty-Mansiysk Autonomous Okrug–Yugra Khanty-Mansiysk, Russia; solovieva_mg@86.rospotrebnadzor.ru; https://orcid.ogg/0009-0000-4848-3417
Professor Sergey V. Balakhonov, MD, Director, Irkutsk Research Anti-Plague Institute, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Irkutsk, Russia; adm@chumin.irkutsk.ru; https://orcid.org/0000-0003-4201-5828


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