Evidence map›Paper›PMID 29758037›Full record

SynthesisPLoS neglected tropical diseases2018

A systematic review of human and animal leptospirosis in the Pacific Islands reveals pathogen and reservoir diversity.

Vanina Guernier, Cyrille Goarant, Jackie Benschop, Colleen L Lau

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Drivers of humanEpidemiology and infection · 2024
    Pooled it
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  5. Pooled it
  6. A systematic review and meta-analysis ofOne health (Amsterdam, Netherlands) · 2026
    Review
  7. Molecular epidemiology of rodent-borneJournal of medical microbiology · 2026
    Article
  8. Leptospira licerasiae, a zoonotic pathogen isolated from water sources in Santa Maria, Rio Grande do Sul, Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  9. Human leptospirosis in the central division of Fiji: a retrospective epidemiological study.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Article
  10. High prevalence and diversity ofOne health (Amsterdam, Netherlands) · 2025
    Article
  11. Review
  12. Leptospirosis.Nature reviews. Disease primers · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Bacteriological and Serological Investigation of Leptospirosis in Dogs and Pigs in Palau.The American journal of tropical medicine and hygiene · 2024
    Article
  17. A retrospective study of animal leptospirosis in Kazakhstan.Journal of advanced veterinary and animal research · 2024
    Article
  18. Detection of PathogenicAnimals : an open access journal from MDPI · 2024
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 5 countries.

Vanina GuernierAustralian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.ORCID 0000-0002-0960-3874
Cyrille GoarantGlobal Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland.
Jackie BenschopGlobal Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland.
Colleen L LauAustralian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.ORCID 0000-0001-8288-4169
World Health Organization - Pakistan · PKAustralian National University · AU

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe Pacific Islands have environmental conditions highly favourable for transmission of leptospirosis, a neglected zoonosis with highest incidence in the tropics, and Oceania in particular. Recent reports confirm the emergence and outbreaks of leptospirosis in the Pacific Islands, but the epidemiology and drivers of transmission of human and animal leptospirosis are poorly documented, especially in the more isolated and less developed islands. METHODOLOGY/PRINCIPAL

findingsWe conducted a systematic review of human and animal leptospirosis within 25 Pacific Islands (PIs) in Polynesia, Melanesia, Micronesia, as well as Easter Island and Hawaii. We performed a literature search using four international databases for articles published between January 1947 and June 2017. We further included grey literature available on the internet. We identified 148 studies describing leptospirosis epidemiology, but the number of studies varied significantly between PIs. No data were available from four PIs. Human leptospirosis has been reported from 13 PIs, with 63% of all studies conducted in Hawaii, French Polynesia and New Caledonia. Animal leptospirosis has been investigated in 19 PIs and from 14 host species, mainly pigs (18% of studies), cattle (16%) and dogs (11%). Only 13 studies provided information on both human and animal leptospirosis from the same location. Serology results were highly diverse in the region, both in humans and animals. CONCLUSIONS/SIGNIFICANCE: Our study suggests that, as in other tropical regions, leptospirosis is widespread in the PIs while showing some epidemiological heterogeneity. Data are scarce or absent from many PIs. Rodents, cattle, pigs and dogs are all likely to be important carriers, but the relative importance of each animal species in human infection needs to be clarified. Epidemiological surveys with appropriate sampling design, pathogen typing and data analysis are needed to improve our understanding of transmission patterns and to develop effective intervention strategies.

Indexed as

AnimalsCattleCattle DiseasesDisease ReservoirsDog DiseasesDogsHumansLeptospiraLeptospirosisPacific IslandsSwineSwine DiseasesZoonoses

Identifiers

PMID29758037
PMCPMC5967813
OpenAlexW2802205356

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.