ArticleThe American journal of tropical medicine and hygiene2018
Leptospirosis Outbreak After the 2014 Major Flooding Event in Kelantan, Malaysia: A Spatial-Temporal Analysis.
Article in The American journal of tropical medicine and hygiene, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 6 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 6 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- Impact of flooding events on waterborne and vector-borne infections: a systematic review.BMC infectious diseases · 2026Pooled it
- The global burden of climate-sensitive health impacts: a systematic review of mortality, morbidity, and economic costs.The Pan African medical journal · 2026Pooled it
- Leptospirosis in humans and selected animals in Sub-Saharan Africa, 2014-2022: a systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
- The Impact of Meteorological Factors on Communicable Disease Incidence and Its Projection: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Traits and risk factors of post-disaster infectious disease outbreaks: a systematic review.Scientific reports · 2021Pooled it
- Risk factors for human leptospirosis following flooding: A meta-analysis of observational studies.PloS one · 2019Pooled it
- Molecular detection and genetic characterisation of a large flood-borne outbreak of human leptospirosis in Jakarta, Indonesia: A retrospective analysis of surveillance data.PLoS neglected tropical diseases · 2026Article
- Spatiotemporal patterns and climate influences on leptospirosis in Sri Lanka from 2009 to 2024.BMC infectious diseases · 2026Article
- Development of X-SIAGA: A disease X and outbreak preparedness intervention for indigenous households in Selangor, Malaysia.PloS one · 2026Article
- Leptospirosis? An epidemiologic investigation following the historic 2024 floods in Rio Grande do Sul, Brazil.One health (Amsterdam, Netherlands) · 2025Article
- Policy Options for Prevention of Leptospirosis Epidemics: A Scoping Review.Iranian journal of public health · 2025Review
- Epidemiological, temporal, and geographic trends of leptospirosis in the United States, 2014-2020.PLoS neglected tropical diseases · 2025Article
- Leptospirosis Cases During the 2024 Catastrophic Flood in Rio Grande Do Sul, Brazil.Pathogens (Basel, Switzerland) · 2025Article
- Increased incidence of human leptospirosis and the effect of temperature and precipitation, the Netherlands, 2005 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025Article
- Epidemiological Changes in Acute Febrile Diseases after the COVID-19 Pandemic in Thailand.The American journal of tropical medicine and hygiene · 2025Article
- Sea surface temperature modulates El Niño and La Niña driven leptospirosis patterns: Evidence from causal machine learning in Colombia.PLOS global public health · 2025Article
- Spatial patterns of laboratory-confirmed leptospirosis in north-eastern Peninsular Malaysia, 2016-2023.Epidemiology and health · 2025Article
- Analysing the outbreaks of leptospirosis after floods in Kerala, India.International journal of health geographics · 2024Article
- Article
- Leptospirosis in Malaysia: current status, insights, and future prospects.Journal of physiological anthropology · 2023Review
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Severe floods increase the risk of leptospirosis outbreaks in endemic areas. This study determines the spatial-temporal distribution of leptospirosis in relation to environmental factors after a major flooding event in Kelantan, Malaysia. We conducted an observational ecological study involving incident leptospirosis cases, from the 3 months before, during, and three months after flood, in reference to the severe 2014 Kelantan flooding event. Geographical information system was used to determine the spatial distribution while climatic factors that influenced the cases were also analyzed. A total of 1,229 leptospirosis cases were notified within the three study periods where incidence doubled in the postflood period. Twelve of 66 subdistricts recorded incidence rates of over 100 per 100,000 population in the postflood period, in comparison with only four subdistricts in the preflooding period. Average nearest neighborhood analysis indicated that the cases were more clustered in the postflood period as compared with the preflood period, with observed mean distance of 1,139 meters and 1,666 meters, respectively (both at
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