ArticlePLoS neglected tropical diseases2021
Poverty, sanitation, and Leptospira transmission pathways in residents from four Brazilian slums.
Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of the prevalence of environmental and host-related risk factors and the zoonotic potential of leptospirosis in domestic dogs in regions impacted by environmental changes.BMC veterinary research · 2025Pooled it
- The Epidemiological Scenario of Human Leptospirosis in Brazil from 2015 to 2024.Epidemiologia (Basel, Switzerland) · 2026Article
- Causal inference for targeted public health interventions: interactions among environmental, social, and economic determinants within the one health framework.Journal of water and health · 2026Review
- Pharmaceutical Pollutants in Urban Rats Are Linked to Zoonotic Infection Risk.Environmental science & technology letters · 2026Article
- DMEM and EMEM as alternate growth media for pathogenic Leptospira.PLoS neglected tropical diseases · 2026Article
- Co-production of informal settlement health: a community based participatory research program for building healthy communities in urban informal settlements of Salvador, Brazil.Frontiers in public health · 2026Article
- Acute Adult-Onset Still Disease Presenting as Fever of Unknown Origin and Severe Myalgia in a Resource-Limited Tertiary Hospital in Brazil.Case reports in medicine · 2026Article
- [Floods in Rio Grande do Sul State, Brazil, in 2024 and their effects on the epidemiology of leptospirosis].Cadernos de saude publica · 2026Article
- Collaborative mapping: Perceived environmental risk of leptospirosis in Urban communities in Salvador, Brazil.PLOS global public health · 2026Article
- Leptospirosis in the Caribbean Region between 2000 and 2022: A scoping review of morbidity and mortality.PLoS neglected tropical diseases · 2026Article
- Socioeconomic vulnerability and the management of domestic animal hosts in urban environments: a one health issue.BMC veterinary research · 2025Article
- The Characteristics of Patients That Develop Severe Leptospirosis: A Scoping Review.Pathogens (Basel, Switzerland) · 2025Article
- Seroprevalence and risk factors for Toxoplasma gondii infection in wild, domestic and companion animals in urban informal settlements from Salvador, Brazil.PLoS neglected tropical diseases · 2025Article
- Article
- Leptospirosis seroprevalence and exposure factors in three informal settlements of French Guiana: An opportunistic survey.PLoS neglected tropical diseases · 2025Article
- A Scoping Review of Antimicrobial Therapy inAnimals : an open access journal from MDPI · 2025Review
- Using step selection functions to analyse human mobility using telemetry data in infectious disease epidemiology: a case study of leptospirosis.medRxiv : the preprint server for health sciences · 2025Article
- Topography and environmental deficiencies are associated with chikungunya virus exposure in urban informal settlements in Salvador, Brazil.PLoS neglected tropical diseases · 2025Article
- Geospatial analysis of leptospirosis clusters and risk factors in two provinces of the Dominican Republic.PLoS neglected tropical diseases · 2025Article
- Leptospirosis.Nature reviews. Disease primers · 2025Review
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Residents of urban slums suffer from a high burden of zoonotic diseases due to individual, socioeconomic, and environmental factors. We conducted a cross-sectional sero-survey in four urban slums in Salvador, Brazil, to characterize how poverty and sanitation contribute to the transmission of rat-borne leptospirosis. Sero-prevalence in the 1,318 participants ranged between 10.0 and 13.3%. We found that contact with environmental sources of contamination, rather than presence of rat reservoirs, is what leads to higher risk for residents living in areas with inadequate sanitation. Further, poorer residents may be exposed away from the household, and ongoing governmental interventions were not associated with lower transmission risk. Residents at higher risk were aware of their vulnerability, and their efforts improved the physical environment near their household, but did not reduce their infection chances. This study highlights the importance of understanding the socioeconomic and environmental determinants of risk, which ought to guide intervention efforts.
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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.