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<datestamp>2018-01-04</datestamp>
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<title lang=en>Underestimation of Leptospirosis Incidence in the French West Indies</title>
<creator>Cassadou, Sylvie</creator>
<creator>Rosine, Jacques</creator>
<creator>Flamand, Claude</creator>
<creator>Escher, Martina</creator>
<creator>Ledrans, Martine</creator>
<creator>Bourhy, Pascale</creator>
<creator>Picardeau, Mathieu</creator>
<creator>Quenel, Philippe</creator>
<contributor>Institut de Veille Sanitaire (INVS) ; Institut de Veille Sanitaire (INVS)</contributor>
<contributor>Cellule de l'Institut de Veille Sanitaire en régions Antilles Guyane ; Cellule de l'Institut de Veille Sanitaire en régions Antilles Guyane</contributor>
<contributor>Cellule Interrégionale d'Epidémiologie Antilles-Guyane ; Cellule interrégionale d'épidémiologie Antilles-Guyane [CIRE]</contributor>
<contributor>Unité d'Epidémiologie ; Institut Pasteur de la Guyane - Réseau International des Instituts Pasteur (RIIP)</contributor>
<contributor>Centre National de Référence de la Leptospirose-Centre Collaborateur FAO/OMS pour l'épidémiologie de la leptospirose-Biologie des Spirochètes ; Institut Pasteur [Paris]</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<description>International audience</description>
<source>ISSN: 1935-2727</source>
<source>EISSN: 1935-2735</source>
<source>PLoS Neglected Tropical Diseases</source>
<publisher>Public Library of Science</publisher>
<identifier>hal-01324701</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01324701</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01324701/document</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01324701/file/journal.pntd.0004668.pdf</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01324701</source>
<source>PLoS Neglected Tropical Diseases, Public Library of Science, 2016, 10 (4), pp.e0004668. 〈10.1371/journal.pntd.0004668〉</source>
<identifier>DOI : 10.1371/journal.pntd.0004668</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pntd.0004668</relation>
<identifier>PUBMED : 27128631</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/27128631</relation>
<language>en</language>
<subject lang=en>Disease surveillance</subject>
<subject lang=en> Enzyme-linked immunoassays</subject>
<subject lang=en> France</subject>
<subject lang=en> Guadeloupe</subject>
<subject lang=en> Hospitals</subject>
<subject lang=en> Leptospirosis</subject>
<subject lang=en> Martinique</subject>
<subject lang=en> Public and occupational health</subject>
<subject>[SDV] Life Sciences [q-bio]</subject>
<subject>[SDV.MP] Life Sciences [q-bio]/Microbiology and Parasitology</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Author Summary Leptospirosis is a common disease in tropical regions around the world. It is caused by a bacteria excreted in environmental waters by mammals, especially rodents, through their urine. Leptospirosis has symptoms similar to other tropical diseases, including dengue fever, and early laboratory diagnosis is crucial to provide both appropriate treatments for patients and rapid control measures when an outbreak occurs. In 2011, we undertook a study to determine the incidence of leptospirosis in two territories (Guadeloupe and Martinique) in the French West Indies by establishing a surveillance network and implementing new diagnostic assays in order to ensure an exhaustive diagnostic analysis. We concluded that leptospirosis was previously significantly under-reported in the French West Indies and we recommended: 1- access to these new diagnostic tests for the entire population for a better detection of leptospirosis patients and, 2- the implementation of an integrated surveillance, alert and prevention system for the disease in this region. Our findings had raised the awareness of this neglected disease in the French West Indies and, as another consequence; new diagnostic tests are now reimbursed by the social security insurance in France</description>
<rights>http://creativecommons.org/licenses/by/</rights>
<date>2016-04</date>
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