{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T02:51:35Z","timestamp":1792896695227,"version":"4.5.0"},"reference-count":31,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,19]]},"abstract":"<p><bold>Objectives.<\/bold><italic>To demonstrate the importance of country surveillance systems for leptospirosis and their use for preliminary epidemiological analysis, as well as to generate research questions for future, morecomprehensive studies on the disease<\/italic>.<\/p><p><bold>Methods.<\/bold><italic>In 2015, for the first time, the Pan American Health Organization (PAHO) included human cases of leptospirosis in its Regional Core Health Data Initiative, an open-access database that collects annual health indicators from the countries and territories of the Americas. This new information was used to analyze leptospirosis cases by country and sex and to calculate cumulative incidence rates. Maps were used to help present the results. To supplement that general review of leptospirosis in the Americas, more detailed descriptions of the epidemiological situation and the surveillance programs of four selected countries (Brazil, Colombia, Cuba, and Honduras) were provided<\/italic>.<\/p><p><bold>Results.<\/bold><italic>In this first year of PAHO requesting leptospirosis data, of the 49 countries and territories in the Americas, 38 of them (77.6%) reported information. Among those 38, 28 of them (73.7%) reported the presence of human cases; the majority of instances of zero cases were in Caribbean territories. From those 28, a total of 10 702 human cases were recorded. The largest numbers of cases in Latin America were in Brazil (40.2%), Peru (23.6%), Colombia (8.8%), and Ecuador (7.2%). The cumulative incidence rate for Latin America was estimated to be 2.0 per 100 000 population. On average, 65.1% of cases were males<\/italic>.<\/p><p><bold>Conclusions.<\/bold><italic>This study demonstrates that many countries in Latin America are making efforts to establish strong surveillance systems and programs for leptospirosis. The study also shows the importance of having leptospirosis surveillance systems as well as how the information generated can be used for evidence-based decision-making on leptospirosis<\/italic>.<\/p>","DOI":"10.26633\/rpsp.2017.81","type":"journal-article","created":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T14:49:37Z","timestamp":1563806977000},"page":"1","source":"Crossref","is-referenced-by-count":46,"title":["Leptospirosis in Latin America: exploring the first set of regional data"],"prefix":"10.26633","volume":"41","author":[{"given":"Maria Cristina","family":"Schneider","sequence":"first","affiliation":[{"name":"Pan American Health Organization, Department of Communicable Diseases and Health Analysis, Washington, D.C., United States of America"},{"name":"schneidc@paho.org"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deise Galan","family":"Leonel","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Department of Communicable Diseases and Health Analysis, Washington, D.C., United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Najera","family":"Hamrick","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Department of Communicable Diseases and Health Analysis, Washington, D.C., United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Pacheco de","family":"Caldas","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade, Secretaria de Vigil\u00e2ncia em Sa\u00fade, Bras\u00edlia, Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reina Teresa","family":"Vel\u00e1squez","sequence":"additional","affiliation":[{"name":"Secretar\u00eda de Salud, Tegucigalpa, Honduras"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Antonio","family":"Mendiga\u00f1a Paez","sequence":"additional","affiliation":[{"name":"Ministerio de Salud y Protecci\u00f3n Social, Subdirecci\u00f3n de Enfermedades Transmisibles, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jusayma Caridad","family":"Gonz\u00e1lez Arrebato","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica, Programa Nacional de Zoonosis, La Habana, Cuba"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gerger","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Department of Communicable Diseases and Health Analysis, Washington, D.C., United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Maria Pereira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Centro Colaborador da Organiza\u00e7\u00e3o Mundial da Sa\u00fade para Leptospirose, Rio de Janeiro, Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Aldighieri","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Department of Communicable Diseases and Health Analysis, Washington, D.C., United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"1. 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