Why is leptospirosis hard to avoid for the impoverished? Deconstructing leptospirosis transmission risk and the drivers of knowledge, attitudes, and practices in a disadvantaged community in Salvador, Brazil
Palma F, Costa F, Lustosa R, Mogaji H, de Oliveira D, Souza F, Reis M, Ko A, Begon M, Khalil H. Why is leptospirosis hard to avoid for the impoverished? Deconstructing leptospirosis transmission risk and the drivers of knowledge, attitudes, and practices in a disadvantaged community in Salvador, Brazil. PLOS Global Public Health 2022, 2: e0000408. PMID: 36962720, PMCID: PMC10022107, DOI: 10.1371/journal.pgph.0000408.Peer-Reviewed Original ResearchLow socioeconomic statusLower riskLeptospirosis transmissionSocioeconomic statusIndividual infection riskEnvironmental risk factorsPublic health messagingUrban disadvantaged communitiesKAP variablesMale genderRisk factorsCross-sectional KAP surveyEpidemiological dataHigh-risk activitiesHealth messagingPrevention practicesGreater riskInfection riskInfectious diseasesKAP surveyTransmission riskResidents' knowledgeDisadvantaged communitiesRiskRisk activitiesLinking rattiness, geography and environmental degradation to spillover Leptospira infections in marginalised urban settings: An eco-epidemiological community-based cohort study in Brazil
Eyre MT, Souza FN, Carvalho-Pereira T, Nery N, de Oliveira D, Cruz JS, Sacramento GA, Khalil H, Wunder EA, Hacker KP, Hagan JE, Childs JE, Reis MG, Begon M, Diggle PJ, Ko AI, Giorgi E, Costa F. Linking rattiness, geography and environmental degradation to spillover Leptospira infections in marginalised urban settings: An eco-epidemiological community-based cohort study in Brazil. ELife 2022, 11: e73120. PMID: 36111781, PMCID: PMC9560157, DOI: 10.7554/elife.73120.Peer-Reviewed Original ResearchConceptsInfection riskSignificant global public health burdenCommunity-based cohort studyGlobal public health burdenPublic health burdenAgents of leptospirosisExposure of interestYears of agePublic health interventionsHigh-risk communitiesJoint spatial modellingZoonotic spilloverCohort studyHuman infection riskMale genderSerological evidenceHealth burdenLeptospira infectionLeptospiral infectionInfection rateHealth interventionsEco-epidemiological studiesHealth surveillanceFundação de Amparo à PesquisaOswaldo Cruz Foundation