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Johnson, M.A., Smith, H., Joeph, P., Gilman, R.H., Bautista, C.T., Campos, K.J., Cespedes, M., Klatsky, P., Vidal, C., Terry, H., Calderon, M.M., Coral, C., Cabrera, L., Parmar, P.S. and Vinetz, J.M. (2004) Environmental Exposure and Leptospirosis, Peru. Emerging Infectious Diseases, 10, 1016-1022.
https://doi.org/10.3201/eid1006.030660

has been cited by the following article:

• TITLE: Do Occupational Factors Render Army Service a High-Leptospirosis-Risk Occupation?

  AUTHORS: Siti Sara Y., Aziah B. D., Azwany Y. N., Mohd Nazri S., Zahiruddin W. M., Nabilah A., Siti Asma’ H., Zaliha I., Fairuz A.

  KEYWORDS: Army, Leptospirosis, Seroprevalence, Igm Enzyme-Linked Immunosorbent Assay (ELISA), Microscopic Agglutination Test (MAT)

  JOURNAL NAME: Occupational Diseases and Environmental Medicine, Vol.8 No.2, April 28, 2020

  ABSTRACT: Objective: Leptospirosis is a known zoonotic disease which is closely related to certain high-risk occupational group. This study aimed to identify the risk factors associated with seropositive leptospirosis among army personnel. Methodology: A cross sectional study was conducted involving 616 army personnel using a self-administered questionnaire. The questionnaire consisted of sociodemographic, occupational and environmental data as well as recreational activities history. Serum sample for leptospirosis was taken for screening with IgM Enzyme-linked Immunosorbent Assay (IgM ELISA) test. Positive tests were confirmed by Microscopic Agglutination Test (MAT). Results: All respondents were male, Malays and married with the mean age of 29.28 (7.15) years old. The mean duration of working was 11.50 (7.75). Majority of the respondents were non-officer and riflemen, smokers (455 (73.9%), stayed inside the camp and engaged in recreational activities. The mean duration of employment was 11.50 (7.75) years. The overall seroprevalence of leptospirosis was 16.2% (95% CI: 13.32, 19.15) and the predominant pathogenic serovar identified was Terengganu (38.2%). Those who had lower educational levels were more protective for positive leptospirosis compared to those who have only primary education (OR: 0.32; 95% CI: 0.14, 0.76; p = 0.009). Conclusion: Despite being named as one of the high-risk occupations for leptospirosis, this study found no significant occupational factors related to leptospirosis seropositivity among army personnel.