Leptospirosis Threat in Hurricane Katrina Affected Areas
Following Hurricane Katrina, Dr. Kenneth Harkin, an expert on leptospirosis, commented on the survival of leptospires in various conditions. While he suspects that the immediate area of New Orleans would be at lower risk for leptospirosis, Harkin believes the greater risk areas are those flooded but not contaminated with sewage and chemicals.
The presence of sewage, in some flooded areas like New Orleans, decreases the survival of the organisms in the water. Areas that saw a lot of rain, even if they didn't get substantial flooding, would be at a higher risk as well.
The majority of his research on the correlation between flooding and the spread of leptospirosis was related to foreign countries. He found that in Thailand leptospirosis ranked just behind Dengue fever in one disease outbreak following flooding. In Puerto Rico in 1996, the prevalence of leptospirosis jumped four-fold in Dengue-negative patients following a Hurricane. Harkin also found that Hurricane Mitch in Nicaragua did not seem to have a significant impact on leptospirosis.
Dr. Kenneth Harkin is an associate professor at Kansas State University, where he has been on staff since 1997. He received his Doctor of Veterinary Medicine degree in 1989 from Iowa State University. His research interests include infectious disease, with an emphasis on leptospirosis, canine dysautonomia, perianal fistula of dogs and chronic canine liver disease. His work includes improving the diagnosis of leptospirosis, evaluating the zoonotic risk associated with infected dogs and investigating pathogenic mechanisms of leptospiral infections. He is currently the faculty advisor to the student chapters of the American Veterinary Medical Association, American Animal Hospital Association and American Association of Feline Practitioners.
To learn more about the effects of flooding, see the sources cited below:
- Mumbai braces itself for leptospirosis and waterborne
infections.
BMJ. 2005 Aug 6;331(7512):307. No abstract available.
PMID: 16081431 [PubMed - indexed for MEDLINE]BMJ. 2005 Aug 6;331(7512):307. - Rural community of Chiapas, Mexico. Epidemiol Infect. 2003
Dec;131(3):1149-56.
PMID: 14959783 [PubMed - indexed for MEDLINE] - Pradutkanchana J, Pradutkanchana S, Kemapanmanus M, Wuthipum N,
Silpapojakul K. The etiology of acute pyrexia of unknown origin in
children after a flood. Southeast Asian J Trop Med Public Health.
2003 Mar;34(1):175-8.
PMID: 12971532 [PubMed - indexed for MEDLINE] - Sehgal SC, Sugunan AP, Vijayachari P. Outbreak of leptospirosis
after the cyclone in Orissa. Natl Med J India. 2002
Jan-Feb;15(1):22-3.
PMID: 11855587 [PubMed - indexed for MEDLINE] - Barcellos C, Sabroza PC. The place behind the case:
leptospirosis risks and associated environmental conditions in a
flood-related outbreak in Rio de Janeiro. Cad Saude Publica.
2001;17 Suppl:59-67.
PMID: 11426266 [PubMed - indexed for MEDLINE] - Campanella N. Infectious diseases and natural disasters: the
effects of Hurricane Mitch over Villanueva municipal area,
Nicaragua. Public Health Rev. 1999;27(4):311-9.
PMID: 11081356 [PubMed - indexed for MEDLINE] - Sanders EJ, Rigau-Perez JG, Smits HL, Deseda CC, Vorndam VA,
Aye T, Spiegel RA, Weyant RS, Bragg SL. Increase of leptospirosis
in dengue-negative patients after a hurricane in Puerto Rico in
1996 [correction of 1966] Am J Trop Med Hyg. 1999
Sep;61(3):399-404. Erratum in: Am J Trop Med Hyg 1999
Nov;61(5):861.
PMID: 10497979 [PubMed - indexed for MEDLINE] - Easton A. Leptospirosis in Philippine floods. BMJ. 1999 Jul
24;319(7204):212. No abstract available.
PMID: 10417074 [PubMed - indexed for MEDLINE] - Fuortes L, Nettleman M. Leptospirosis: a consequence of the
Iowa flood.
Iowa Med. 1994 Oct;84(10):449-50. No abstract available.
PMID: 7989184 [PubMed - indexed for MEDLINE]
