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rat lepto sign
mongoose
pig
(Photos -- Jack Jeffrey)

Conversation usually turns to Leptospirosis at least once on every streamwalk, and for good reason. According to the Centre for Disease Control, "100-200 [leptospirosis] cases are identified annually in the United States with about 50% of cases occurring in Hawai‘i".

On this page we have posted the same information already available from the Hawai‘i Department of Health. We have also provided links to information created by the authorities on this disease.

Summary
Leptospirosis may not cause its flu-like symptoms for up to two weeks after contact with a stream (or other source).

If flu-like symptoms arise after contact with a stream, go to the doctor and be sure you mention that you were in a stream.

Leptospirosis is easily treated with antibiotics, but can be fatal if left untreated.


Links to Official Resources

Center for Disease Control:
Leptospirosis - General Information

Hawai‘i Department of Health:
Leptospirosis Fact Sheet



Leptospirosis (Weil's disease)
(taken directly from DoH)

What is it? | How do you get it? | What are the symptons? | When do syptoms start? | What is the treatment? | How can I avoid it?

What is leptospirosis?
Leptospirosis is a disease caused by a microscopic spirochete (a type of bacterium) called Leptospira. The disease is transmitted to people when they come into contact with the urine of animals infected with the spirochete. Many wild and domestic (tame) mammals, particularly dogs, rats, and livestock, are infected with Leptospira spirochetes. The term Weil's disease applies to severe cases of leptospirosis.

How do you get it?
You can get leptospirosis indirectly by swimming or wading in fresh water puddles, ponds, or streams contaminated with animal urine, or by coming into contact with wet soil or plants contaminated with animal urine. You can also get it by direct exposure to urine, blood, or tissues from an infected animal. The spirochete can enter through broken skin or through the soft tissues on the insides of the mouth, nose, or eyes.

What are the symptoms of leptospirosis?
The symptoms include fever, headache, chills, sweating, muscle pain, red eyes (conjunctivitis), and vomiting. Occasionally, yellowing (jaundice) of the skin and the whites of the eyes and a rash may also occur. The symptoms may last from a few days to several weeks. Although deaths have occurred with this disease, they are rare. In some persons, the infection can be mild and without obvious symptoms.

When do symptoms start?
The symptoms usually start 7 to 14 days after being infected, but the onset can range from 2 to 20 days.

What is the treatment for leptospirosis?
A doctor can prescribe medications to treat leptospirosis. If left untreated, the patient can develop kidney, liver, blood, and nervous tissue damage. In rare cases, even death may occur.

How can you keep from getting it?

  1. Do not swim or wade in freshwater streams or ponds, especially when you have open cuts or sores. Swimming with the head underwater also increases the risk of infection through the eyes, nose, and mouth.
  2. Do not drink pond or stream water without boiling or chemically treating it.
  3. Keep catchment water-collection areas free from overhanging tree branches and prevent access to these areas by animals.
  4. Control rats, mice, and mongooses in areas around the home and work site with trapping and poisoning, and by removing their nests.
  5. Wear protective clothing including gloves, boots, long-sleeved shirts, and pants when clearing shrubs or grass, or working in wet soil where leptospirosis is a problem.
  6. Wear gloves when disposing of dead animals and when gutting (cleaning) livestock or game animals.
  7. Drain areas that have still, standing water.
  8. Vaccinate farm animals and pets.