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American Journal of Epidemiology Vol. 126, No. 3: 535-545
Copyright © 1987 by The Johns Hopkins University School of Hygiene and Public Health

research-article

A WATERBORNE OUTBREAK OF LEPTOSPIROSIS

BENIAMINO CACCIAPUOTI1,, LORENZO CICERONI1, CLAUDIO MAFFEI2, FRANCESCO DI STANISLAO2, PATRIZIA STRUSI2, LETIZIA CALEGARI3, REMO LUPIDI3, GIORGIO SCALISE4, GIORGIO CAGNONI4 and GIOVANNI RENGA2

1National Center for Leptospirosis, Istituto Superiore di Sanità Viale Regina Elena 299, 00161 Rome, Italy
2Institute of Hygiene, University of Ancona Medical School Ancona, Italy
3Institute of Microbiology, University of Ancona Medical School Ancona, Italy
4Department of Infectious Diseases, University of Ancona Medical School Ancona, Italy

Reprint requests to Prof. Beniamino Cacciapuoti

Cacciapuoti, B. (Istituto Superiore di Sanità, 00161 Rome, Italy), L. Ciceroni, C. Maffel, F. Di Stanislao, P. Strusi, L. Calegari, R. Lupidi, G. Scalise, G. Cagnoni, and G. Renga. A waterborne outbreak of leptospirosis. Am J Epidemiol 1987;126:535–45.

During the period from July 10–26, 1984, 33 cases of serologically confirmed leptospirosis occurred in a small town in central Italy. The fatality rate, including the deaths of two unconfirmed cases, was 8.6% (3 of 35). Based on serologic evidence, the infection was caused by leptospires of the serogroup Australis. Epidemiologic study showed that the patients contracted the infection by drinking water from a fountain. The source of leptospiral contamination was probably a hedgehog trapped in a reservoir of water not in use but still connected to the water system of the fountain.

disease outbreaks; leptospirosis; respiratory distress syndrome; water pollution; zoonoses


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