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Health and Climate Foundation G lobal L eptospirosis E nvironmental A ction  N etwork Strengthen the prevention and outbreak control strategy Eric Bertherat,  MD, MPH, MSc Pandemic and Epidemic Diseases WHO Geneva
Leptospirosis: a public health perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],Increasing concerns at country level and request for technical support Ko A, Goarant C, Picardeau M. Nature Reviews Microbiology, 2009, 7: 736-747
557,000 cases  incl.  55,800 deaths  worldwide each year.  1,730,000 cases ,  123,000 deaths  annually when adjusted for potential under-reporting due to incomplete case confirmation Severe outbreaks linked to natural disasters   http://www.who.int/zoonoses/diseases/lerg/en/  Estimating the magnitude of the problem:  the Leptospirosis Burden Epidemiology Reference Group ( LERG ) WHO mandated by expert consultation in 2006 to coordinate a comprehensive global burden of leptospirosis assessment
Philippines, 2009 ,[object Object],Typhoon Pepeng:  3 October Typhoon Ondoy:  26 September Thousands of people displaced and housed in emergency evacuation centers In the 2 following weeks, 505 suspect cases and 15 deaths in Manila alone !
Looking for a clear and coherent strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Better prediction and preparedness are essential   but many key questions still pending !
The  G lobal  L eptospirosis  E nvironmental  A ction  N etwork (GLEAN) A One Health Approach GLEAN: An international Community of Practice Medical Clinicians, Public health specialists, Veterinarians, Climatologists, Statisticians,   Rodent specialists, Biologists, Anthropologists, Ecologists, Water and Sanitation Specialists, Economists...  Increasing the knowledge   of the relationship between environmental, biological, ecological, economic, demographic factors Early warning   systems  and Improved prevention and control   strategies Reducing the impact  of leptospirosis outbreaks  through   cost-effective, implementable and sustainable solutions
How to reduce the impact of the outbreaks ?  4 levels of potential intervention 5 years of efforts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Retrospective  ,[object Object],Predict Prevent Detect Intervene
Thanks Bangkok, October 2011

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The Global Leptospirosis Environmental Action Network: Strengthening the public health prevention and outbreak control strategy

  • 1. Health and Climate Foundation G lobal L eptospirosis E nvironmental A ction N etwork Strengthen the prevention and outbreak control strategy Eric Bertherat, MD, MPH, MSc Pandemic and Epidemic Diseases WHO Geneva
  • 2.
  • 3. 557,000 cases incl. 55,800 deaths worldwide each year. 1,730,000 cases , 123,000 deaths annually when adjusted for potential under-reporting due to incomplete case confirmation Severe outbreaks linked to natural disasters http://www.who.int/zoonoses/diseases/lerg/en/ Estimating the magnitude of the problem: the Leptospirosis Burden Epidemiology Reference Group ( LERG ) WHO mandated by expert consultation in 2006 to coordinate a comprehensive global burden of leptospirosis assessment
  • 4.
  • 5.
  • 6. The G lobal L eptospirosis E nvironmental A ction N etwork (GLEAN) A One Health Approach GLEAN: An international Community of Practice Medical Clinicians, Public health specialists, Veterinarians, Climatologists, Statisticians, Rodent specialists, Biologists, Anthropologists, Ecologists, Water and Sanitation Specialists, Economists... Increasing the knowledge of the relationship between environmental, biological, ecological, economic, demographic factors Early warning systems and Improved prevention and control strategies Reducing the impact of leptospirosis outbreaks through cost-effective, implementable and sustainable solutions
  • 7.