Containment of Leptospirosis

Abstract

In compliances with the International Health Regulations 2005 (IHR 2005), member states were obligated to build capacity on surveillance, investigation and control of zoonotic diseases. Leptospirosis is an important disease in Thailand which can be called a zoonotic disease, water borne disease or flood borne disease. In 2011, Thailand faced a severe flooding and forecasting of having possible more floods because of global warming. Therefore, this article was aimed at increasing capacity of Surveillance and Rapid Response Team on zoonotic diseases. Four E’s strategies (four-E strategy early detection, early diagnosis, early treatment and early control) to control of leptospirosis by SRRT were reviewed in many specific context, for example, 1) outbreak from ecotourism 2) outbreak in military camp 3) outbreak during flood in urban area and 4) outbreak during flood in rural area.