ArticleEcoHealth2019
A Case-Control Study of Environmental and Occupational Risks of Leptospirosis in Sri Lanka.
Article in EcoHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Molecular epidemiology of rodent-borneJournal of medical microbiology · 2026Article
- Spatiotemporal patterns and climate influences on leptospirosis in Sri Lanka from 2009 to 2024.BMC infectious diseases · 2026Article
- Human leptospirosis in northern Iran: a population-based epidemiological study using infectious disease surveillance system data.BMC research notes · 2025Article
- Electrocardiographic Abnormalities in Patients With Leptospirosis: A Clinical Observational Study.Cureus · 2025Article
- Unraveling the drivers of leptospirosis risk in Thailand using machine learning.PLoS neglected tropical diseases · 2025Article
- Case-control study of leptospirosis in Aotearoa New Zealand reveals behavioural, occupational, and environmental risk factors.Epidemiology and infection · 2025Article
- Molecular surveillance of zoonotic pathogens from wild rodents in the Republic of Korea.PLoS neglected tropical diseases · 2024Article
- Are PathogenicTropical medicine and infectious disease · 2024Article
- Ecology and distribution of Leptospira spp., reservoir hosts and environmental interaction in Sri Lanka, with identification of a new strain.PLoS neglected tropical diseases · 2022Article
- Diagnostic method-based underestimation of leptospirosis in clinical and research settings; an experience from a large prospective study in a high endemic setting.PLoS neglected tropical diseases · 2022Article
- SARIMA and ARDL models for predicting leptospirosis in Anuradhapura district Sri Lanka.PloS one · 2022Article
- Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review.One health (Amsterdam, Netherlands) · 2021Article
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- Article
- Potentially PathogenicTropical medicine and infectious disease · 2020Article
- Understanding leptospirosis eco-epidemiology by environmental DNA metabarcoding of irrigation water from two agro-ecological regions of Sri Lanka.PLoS neglected tropical diseases · 2020Article
- Clinico Epidemiological Study of Human Leptospirosis in Hilly Area of South India-A Population Based Case Control Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sri Lanka has one of the highest incidences of human leptospirosis worldwide. Outbreaks of this zoonotic infection are related to the monsoons and flooding. The study investigates risk factors associated with environmental, animal and occupational exposure while acknowledging the potential bias due to hanta viral infections in the study samples. Data were obtained from structured interviews with 483 patients (276 cases and 207 controls). Risk exposures were studied for the entire population and for two stratified occupational groups: non-paddy workers and paddy workers. A higher odds ratio (OR) of leptospirosis transmission for paddy workers was observed compared to non-paddy workers (OR 1.905, 95% CI 1.274-2.856). Rat exposure was not associated with a significant higher risk for any of the groups. Instead, cattle and household animals seemed to be important for transmission of leptospirosis to humans, especially among non-paddy workers (OR 10.655, 95% CI 1.213-93.582). Leptospirosis in paddy workers was associated with environmental factors linked to contamination and wetness in paddy fields. Interestingly, abandoned paddy fields were found to have a protective effect against transmission to paddy workers (OR 0.421, 95% CI 0.237-0.748). Keeping animals on these dryer fields may act as a boundary for contamination of paddy fields with infectious animal urine. This finding may be considered as a public health intervention targeting leptospirosis among paddy workers.
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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.