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Seroprevalence of Leptospirosis among High-Risk Individuals in Morocco.


ABSTRACT: Background:Leptospirosis is an anthropozoonotic reemerging neglected infectious disease underreported in most developing countries. A cross-sectional study was performed between 17 and 23 February 2014 to estimate the seroprevalence of leptospirosis among high-risk populations in Casablanca (Morocco). Methods:A total of 490 human serum samples (97.6% males) were collected in 3 high-risk occupational sites including the biggest meat slaughterhouse (n?=?208), a poultry market (n?=?121), and the fish market (n?=?161). A total of 125 human blood samples were also collected from the general population and used in this study as a control group. To detect the presence of anti-Leptospira, sera were screened with in-house IgG and IgM enzyme-linked immunosorbent assay (ELISA). Positive samples were tested by Microscopic Agglutination Technique (MAT) using a panel of 24 serovar cultures and cut point of 1?:?25. Results:Seroprevalence of leptospirosis among the control group was 10.4% (13/125). A high seropositivity among the overall seroprevalence of 24.1% (118/490) was observed in the high-risk groups of which 7.3% (36/490), 13.7% (67/490), and 3.1% (15/490) were for anti-Leptospira IgM, IgG, and both IgG and IgM antibodies, respectively. Most of the positive individuals were occupationally involved in poultry (37.2%), followed by the market fish (26.1%) and the meat slaughterhouse (14.9%) workers. Among all ELISA-positive serum samples, 20.3% (n?=?24) had positive MAT responses, of which the Icterohaemorrhagiae (n?=?7) is the most common infecting serogroup followed by Javanica (4), Australis (2), and Sejroe, Mini, and Panama (one in each). In the remaining 8 MAT-positive sera, MAT showed equal titers against more than one serogroup. Conclusion:Individuals engaged in risk activities are often exposed to leptospiral infection. Therefore, control and prevention policies toward these populations are necessary.

SUBMITTER: El Azhari M 

PROVIDER: S-EPMC7256772 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Seroprevalence of Leptospirosis among High-Risk Individuals in Morocco.

El Azhari Mohamed M   Picardeau Mathieu M   Cherkaoui Imad I   Anouar Sadat Mohamed M   Moumni Houda H   Marhoum El Filali Kamal K   Ghazal Hassan H   Maaroufi Abderrahmane A   Hamdi Salsabil S   El Mdaghri Naima N   Bourhy Pascal P  

Interdisciplinary perspectives on infectious diseases 20200520


<h4>Background</h4>Leptospirosis is an anthropozoonotic reemerging neglected infectious disease underreported in most developing countries. A cross-sectional study was performed between 17 and 23 February 2014 to estimate the seroprevalence of leptospirosis among high-risk populations in Casablanca (Morocco).<h4>Methods</h4>A total of 490 human serum samples (97.6% males) were collected in 3 high-risk occupational sites including the biggest meat slaughterhouse (<i>n</i> = 208), a poultry market  ...[more]

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