{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:55:04Z","timestamp":1785365704392,"version":"3.55.0"},"reference-count":21,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,2,6]]},"abstract":"<jats:p>Leptospirosis disproportionately affects residents of urban slums. To understand the knowledge, attitudes, and practices regarding leptospirosis, we conducted a cross-sectional study among residents of an urban slum community in Salvador, Brazil. Of the 257 residents who were interviewed, 225 (90%) were aware of leptospirosis and more than two-thirds of respondents correctly identified the modes of disease transmission and ways to reduce exposure. However, study participants who performed risk activities such as cleaning open sewers had limited access to protective clothing such as boots (33%) or gloves (35%). Almost all respondents performed at least one activity to prevent household rat infestation, which often included use of an illegal poison. Our findings support the need for interventions targeted at the individual and household levels to reduce risk of leptospirosis until large-scale structural interventions are available to residents of urban slum communities.<\/jats:p>","DOI":"10.4269\/ajtmh.2012.12-0245","type":"journal-article","created":{"date-parts":[[2012,12,27]],"date-time":"2012-12-27T02:45:10Z","timestamp":1356576310000},"page":"359-363","source":"Crossref","is-referenced-by-count":39,"title":["Knowledge, Attitudes, and Practices Related to Leptospirosis among Urban Slum Residents in Brazil"],"prefix":"10.4269","volume":"88","author":[{"given":"Wildo","family":"Navegantes de Ara\u00fajo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Finkmoore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme S.","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato B.","family":"Reis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridalva D. M.","family":"Felzemburgh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 E.","family":"Hagan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitermayer G.","family":"Reis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert I.","family":"Ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Nat Rev Microbiol","first-page":"736","article-title":"Leptospira: the dawn of the molecular genetics era for an emerging zoonotic pathogen","volume":"7","author":"Ko","year":"2009"},{"key":"R2","series-title":"Leptospira and leptospirosis","first-page":"368","author":"Faine","year":"1993"},{"key":"R3","series-title":"Lancet Infect Dis","first-page":"757","article-title":"Leptospirosis: a zoonotic disease of global importance","volume":"3","author":"Bharti","year":"2003"},{"key":"R4","series-title":"Emerg Infect Dis","first-page":"505","article-title":"Leptospirosis-associated severe pulmonary hemorrhagic syndrome, Salvador, Brazil","volume":"14","author":"Gouveia","year":"2008"},{"key":"R5","series-title":"Curr Opin Infect Dis","first-page":"527","article-title":"Leptospirosis","volume":"14","author":"Vinetz","year":"2001"},{"key":"R6","series-title":"Lancet","first-page":"820","article-title":"Urban epidemic of severe leptospirosis in Brazil","volume":"354","author":"Ko","year":"1999"},{"key":"R7","series-title":"Indian J Pediatr","first-page":"855","article-title":"Leptospirosis in children in Mumbai slums","volume":"69","author":"Karande","year":"2002"},{"key":"R8","series-title":"PLoS Negl Trop Dis","first-page":"213","article-title":"Human leptospirosis caused by a new, antigenically unique Leptospira associated with a Rattus species reservoir in the Peruvian Amazon","volume":"2","author":"Matthias","year":"2008"},{"key":"R9","series-title":"Popul Health Metr","first-page":"1","article-title":"The burden of disease profile of residents of Nairobi's slums: results from a demographic surveillance system","volume":"6","author":"Kyobutungi","year":"2008"},{"key":"R10","series-title":"Am J Trop Med Hyg","first-page":"605","article-title":"Population-based case-control investigation of risk factors for leptospirosis during an urban epidemic","volume":"66","author":"Sarkar","year":"2002"},{"key":"R11","series-title":"PLoS NTD","first-page":"e228","article-title":"Impact of environment and social gradient on Leptospira infection in urban slums","volume":"2","author":"Reis","year":"2008"},{"key":"R12","series-title":"PLoS Negl Trop Dis","first-page":"e154","article-title":"Household transmission of Leptospira infection in urban slum communities","volume":"3","author":"Maciel","year":"2008"},{"key":"R13","series-title":"Rural Remote Health","first-page":"526","article-title":"A note from a survey of some knowledge aspects of leptospirosis among sample of rural villagers in the highly endemic area, Thailand","volume":"6","author":"Wiwanitkit","year":"2006"},{"key":"R14","series-title":"Br J Sports Med","first-page":"223","article-title":"Understanding of Weil's disease among canoeists","volume":"26","author":"Phillip","year":"1992"},{"key":"R15","series-title":"Int J Prev Med","first-page":"158","article-title":"Do people know adequately about leptospirosis? A knowledge assessment survey in post-outbreak situation in Sri Lanka","volume":"1","author":"Agampodi","year":"2010"},{"key":"R16","series-title":"Zoonoses Public Health","first-page":"449","article-title":"Zoonotic disease awareness in animal shelter workers and volunteers and the effect of training","volume":"58","author":"Steneroden","year":"2011"},{"key":"R17","first-page":"1","article-title":"Resident population (total, urban total, and municipal total), in absolute and relative numbers, with indication of the total area and demographic density, according to municipalities. 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