<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-386X</journal-id>
<journal-title><![CDATA[Revista Facultad Nacional de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Nac. Salud Pública]]></abbrev-journal-title>
<issn>0120-386X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-386X2021000100007</article-id>
<article-id pub-id-type="doi">10.17533/udea.rfnsp.e339058</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Epidemiology of leptospirosis in Colombia between 2007 and 2015]]></article-title>
<article-title xml:lang="es"><![CDATA[Epidemiología de la leptospirosis en Colombia entre 2007 y 2015]]></article-title>
<article-title xml:lang="pt"><![CDATA[Epidemiologia da leptospirose na Colômbia entre 2007 e 2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Monsalve]]></surname>
<given-names><![CDATA[Clara Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Botero]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Donalisio]]></surname>
<given-names><![CDATA[Maria Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Corporación Universitaria Remington  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud  ]]></institution>
<addr-line><![CDATA[Bogotá, D.C ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Estadual de Campinas  ]]></institution>
<addr-line><![CDATA[Campinas ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-386X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-386X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-386X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Leptospirosis is a zoonotic disease of global distribution caused by the bacterium Leptospira. In Colombia, it has been mandatory to report this disease since 2007.  Objective:  to perform an epidemiological analysis of human leptospirosis in Colombia at the national, departmental and municipal levels for the period between January 2007 and December 2015.  Methodology:  A retrospective ecological study of the temporal trend and spatial distribution of leptospirosis cases reported between January 2007 and December 2015 was conducted. The variables of sex, age, municipality of residence, area of residence (urban, rural), date of onset of symptoms, and lethality were analyzed.  Results:  A total of 23,994 suspected cases were reported, of which 39.51% were confirmed; 82.4% came from urban areas; 68.87% presented in men; the lethality was 2.66% in men and 2.04% in women. The departments with the highest number of cases were Valle del Cauca (n=2032), Antioquia (n=1747), Atlántico (n=1159); the incidence varied between 2 (Arauca) and 465.4 (Guaviare) per 100,000 inhabitants. At the municipal level, Cali had the highest number of cases (n=682), followed by Barranquilla (n=612) and San José del Guaviare (n=448). The highest incidence was 1597.6 in Pueblo Rico (Risaralda), followed by Sabanas de San Ángel (Magdalena) with 883.4 and San José del Guaviare (Guaviare) with 742.5; the majority of municipalities had incidences between 0 and 50 per 100,000 inhabitants.  Conclusions:  Leptospirosis is distributed throughout Colombia with 85% of the cases concentrated in 10 of its 32 departments. At the municipal level there is a large degree of variation in annual incidences. Six hotspots for cases were also identified, indicating that there are areas of high risk for the disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A leptospirose é uma doença zoonótica de distribuição global causada pela bactéria Leptospira. Na Colômbia, a notificação da doença é obrigatória desde 2007.  Objetivo:  realizar uma análise epidemiológica da leptospirose humana na Colômbia em escalas nacionais, departamentais e municipais no período entre janeiro de 2007 e dezembro de 2015.  Metodologia:  Foi conduzido estudo ecológico retrospectivo da tendência temporal e distribuição espacial de casos de leptospirose no período. Variáveis &#8203;&#8203;demoráficas (sexo, idade, município de residência, área de residência urbana, rural), data de início dos sintomas e letalidade foram analisadas.  Resultados:  Foram relatados de 23 994 casos suspeitos, dos quais 39,51% foram confirmados; 82,4% vem de áreas urbanas; 68,87% dos casos em homens; letalidade de 2,66% nos homens e de 2,04% nas mulheres. Os departamentos com maior número de casos foram Valle del Cauca (n=2032), Antioquia (n=1747), Atlántico (n=1159); a incidência variou entre 2 (Arauca) e 465,4 (Guaviare) por 100 000 habitantes. No nível municipal, Cali tem o maior número de casos (n=682), seguido por Barranquilla (n=612) e San José del Guaviare (n=448). A maior incidência foi de 1597,6 por 100 mil em Pueblo Rico (Risaralda), seguida por Sabanas de San Ángel (Magdalena) com 883,4 e San José del Guaviare (Guaviare) com 742,5. A maioria dos municípios tinha incidências entre 0 e 50 por 100 mil habitantes.  Conclusões:  A leptospirose é distribuída em toda a Colômbia, com 85% dos casos concentrados em 10 dos 32 departamentos. Na escala municipal, há grande variação nas incidências anuais e foram identificados seis pontos quentes para os casos, indicando que existem área de alto risco para a doença.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La leptospirosis es una enfermedad zoonótica de distribución mundial causada por la bacteria Leptospira. En Colombia, su reporte es obligatorio desde 2007.  Objetivo:  realizar un análisis epidemiológico de la leptospirosis humana en Colombia a escala nacional, departamental y municipal en el período comprendido entre enero de 2007 y diciembre de 2015.  Metodologia:  Se realizó un estudio ecológico retrospectivo de tendencia temporal y distribución espacial de los casos de leptospirosis reportados entre enero de 2007 y diciembre de 2015. Se analizaron las variables de sexo, edad, municipio de residencia, área de residencia (urbana, rural), fecha de inicio de síntomas y letalidad.  Resultados:  se reportaron un total de 23 994 casos sospechosos, de los cuales se confirmó el 39,51%; el 82,4% proviene de zonas urbanas; el 68.87% se presentaron en hombres; la letalidad fue del 2,66% en los hombres y del 2,04% en las mujeres. Los departamentos con mayor número de casos fueron Valle del Cauca (n=2032), Antioquia (n=1 747), Atlántico (n=1159); la incidencia varió entre 2 (Arauca) y 465,4 (Guaviare) por 100 000 habitantes. A nivel municipal, Cali tiene el mayor número de casos (682), seguido de Barranquilla (n=612) y San José del Guaviare (n=448); la incidencia más alta fue 1 597.6 en Pueblo Rico (Risaralda), seguida por Sabanas de San Ángel (Magdalena) con 883.4 y San José del Guaviare (Guaviare) con 742.5; la mayoría de los municipios tuvieron incidencias entre 0 y 50 por 100 000 habitantes.  Conclusiones:  la leptospirosis se distribuye en toda Colombia, con el 85% de los casos concentrados en 10 de los 32 departamentos. A escala municipal, existe una gran variación en las incidencias anuales y se identificaron seis puntos calientes para casos, lo que indica que existen área de alto riesgo para la enfermedad.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[leptospirosis]]></kwd>
<kwd lng="en"><![CDATA[zoonoses]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Colombia]]></kwd>
<kwd lng="en"><![CDATA[incidence]]></kwd>
<kwd lng="pt"><![CDATA[leptospirose]]></kwd>
<kwd lng="pt"><![CDATA[zoonoses]]></kwd>
<kwd lng="pt"><![CDATA[epidemiologia]]></kwd>
<kwd lng="pt"><![CDATA[Colômbia]]></kwd>
<kwd lng="pt"><![CDATA[incidência]]></kwd>
<kwd lng="es"><![CDATA[leptospirosis]]></kwd>
<kwd lng="es"><![CDATA[zoonosis]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Colombia]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[de la Peña Moctezuma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospira and leptospirosis]]></article-title>
<source><![CDATA[Vet Microbiol]]></source>
<year>2010</year>
<numero>140</numero>
<issue>140</issue>
<page-range>287-96</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Jancloes]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Buss]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Aldighieri]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bertherat]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Najera]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis: a silent epidemic disease]]></article-title>
<source><![CDATA[Int J Environ Res Public Health]]></source>
<year>2013</year>
<volume>10</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>7229-34</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Leptospira and leptospirosis]]></source>
<year>2015</year>
<volume>387</volume>
<publisher-loc><![CDATA[Berlin ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[da Silva]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Evangelista M do]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndromic surveillance: Etiologic study of acute febrile illness in dengue suspicious cases with negative serology. Brazil, Federal district, 2008]]></article-title>
<source><![CDATA[Rev Inst Med Trop Sao Paulo]]></source>
<year>2010</year>
<volume>52</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>237-42</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[LaRocque]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Breiman]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
<name>
<surname><![CDATA[Ari]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Morey]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Janan]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Hayes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis during dengue outbreak, Bangladesh]]></article-title>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2005</year>
<volume>11</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>766-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="confpro">
<collab>World Health Organization</collab>
<source><![CDATA[Leptospirosis Epidemiology Reference Group (LERG)]]></source>
<year>2011</year>
<conf-name><![CDATA[ SecondMeeting of the Leptospirosis Burden Epidemiology Reference Group]]></conf-name>
<conf-loc> </conf-loc>
</nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dechner]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Regional Review A retrospective analysis of the leptospirosis research in Colombia]]></article-title>
<source><![CDATA[J Infect Dev Ctries]]></source>
<year>2014</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>258-64</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="">
<collab>Instituto Nacional de Salud</collab>
<source><![CDATA[Protocolo de Vigilancia en Salud Pública. Leptospirosis]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Human leptospirosis: guidance for diagnosis, surveillance and control]]></source>
<year>2003</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Vega]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Botello]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Herrera]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Arenas-López]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez-Tellez]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Environmental and socioeconomic determinants of leptospirosis incidence in Colombia]]></article-title>
<source><![CDATA[Cad Saude Publica]]></source>
<year>2019</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="">
<collab>Departamento Administrativo Nacional de Estadísticas DANE</collab>
<source><![CDATA[Censo Nacional de Población y Vivienda, 2018 Colombia]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="">
<collab>Departamento Administrativo Nacional de Estadísticas DANE</collab>
<source><![CDATA[Censo General 2005]]></source>
<year>2005</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silverman]]></surname>
<given-names><![CDATA[BWW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Density Estimation for Statistics and Data Analysis]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Cox]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Hinkley]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Rubin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Silverman]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
</person-group>
<source><![CDATA[Monographs on Statistics and Applied Probability]]></source>
<year>1986</year>
<page-range>1-22</page-range><publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Chapman and Hall]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hoyos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Arango]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of the 2010-2011 La Niña phenomenon in Colombia, South America: The human toll of an extreme weather event]]></article-title>
<source><![CDATA[Appl Geogr]]></source>
<year>2013</year>
<volume>39</volume>
<page-range>16-25</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-vega]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spatiotemporal dynamics of human leptospirosis and its relationship with rainfall anomalies in Colombia]]></article-title>
<source><![CDATA[Trans R Soc Trop Med Hyg]]></source>
<year>2018</year>
<volume>112</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arias-Monsalve]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Builes-Jaramillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of El Niño-Southern oscillation on human leptospirosis in Colombia at different spatial scales]]></article-title>
<source><![CDATA[J Infect Dev Ctries]]></source>
<year>2019</year>
<volume>13</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1108-16</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17.</label><nlm-citation citation-type="">
<collab>Ministério da Saúde Brasil</collab>
<source><![CDATA[Informe Epidemiológico Leptospirose]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Montes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Espinosa-Martínez]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Ríos-Muñoz]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Berzunza-Cruz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis in Mexico: Epidemiology and potential distribution of human cases]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2015</year>
<volume>10</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1-16</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alarcón-Villaverde]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
<name>
<surname><![CDATA[Romani-Romani]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Tejada]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Wong-Chero]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Céspedes-Zambrano]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis seroprevalence and associated features in rice farmers of tropical region of Peru]]></article-title>
<source><![CDATA[Rev Peru Med Exp Salud Publica]]></source>
<year>2014</year>
<volume>31</volume>
<page-range>195-203</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gestal]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Holban]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Escalante]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cevallos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of tropical neglected diseases in Ecuador in the last 20 years]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2015</year>
<volume>10</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1-12</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez-Silveira]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Hagan]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Hartskeerl]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Dos Reis]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Ko]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surveillance for leptospirosis in the Americas, 1996-2005: a review of data from ministries of health]]></article-title>
<source><![CDATA[Rev Panam Salud Pública]]></source>
<year>2012</year>
<volume>32</volume>
<page-range>169-77</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hartskeerl]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Collares-Pereira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ellis]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Emergence, control and re-emerging leptospirosis: dynamics of infection in the changing world]]></article-title>
<source><![CDATA[Clin Microbiol Infect Off Publ Eur Soc Clin Microbiol Infect Dis]]></source>
<year>2011</year>
<volume>17</volume>
<page-range>494-501</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Smythe]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Craig]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Weinstein]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Climate change, flooding, urbanisation and leptospirosis: fuelling the fire?]]></article-title>
<source><![CDATA[Trans R Soc Trop Med Hyg]]></source>
<year>2010</year>
<volume>104</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>631-8</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tilahun]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Reta]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Simenew]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global Epidemiological Overview of Leptospirosis]]></article-title>
<source><![CDATA[Int J Microbiol Res]]></source>
<year>2013</year>
<volume>4</volume>
<page-range>9-15</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bakoss]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Machá&#269;ová]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Jareková]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long-term trends in the epidemiology of human leptospirosis (Slovak Republic, 1954-2006)]]></article-title>
<source><![CDATA[Eur J Clin Microbiol Infect Dis]]></source>
<year>2012</year>
<volume>31</volume>
<page-range>2167-76</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jansen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schöneberg]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Frank]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Alpers]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Stark]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis in Germany, 1962-2003]]></article-title>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2005</year>
<volume>11</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1048-54</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yusti]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Arboleda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Agudelo-Flórez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo sociales y ambientales relacionados con casos de leptospirosis de manejo ambulatorio y hospitalario, Turbo-Colombia]]></article-title>
<source><![CDATA[Biomédica]]></source>
<year>2012</year>
<volume>33</volume>
<page-range>117-29</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guerra-Silveira]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Abad-Franch]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sex Bias in Infectious Disease Epidemiology: Patterns and Processes]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2013</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B29">
<label>29.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Ramírez]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Giraldo-Pulgarin]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
<name>
<surname><![CDATA[Agudelo-Marín]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Holguín-Rivera]]></surname>
<given-names><![CDATA[YA]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Sierra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz-Revelo]]></surname>
<given-names><![CDATA[PV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Geographical and Occupational Aspects of Leptospirosis in the Coffee-Triangle Region of Colombia, 2007-2011]]></article-title>
<source><![CDATA[Recent Pat Antiinfect Drug Discov]]></source>
<year>2015</year>
<volume>10</volume>
<page-range>42-50</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bornstein]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
<name>
<surname><![CDATA[Karpati]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Bruce]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bolin]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Austin]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outbreak of leptospirosis among triathlon participants and community residents in Springfield, Illinois, 1998]]></article-title>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2002</year>
<volume>34</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1593-9</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agampodi]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Karunarathna]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Jayathilala]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rathnayaka]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Agampodi]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Karunanayaka]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outbreak of leptospirosis after white-water rafting: sign of a shift from rural to recreational leptospirosis in Sri Lanka?]]></article-title>
<source><![CDATA[Epidemiol Infect]]></source>
<year>2013</year>
<volume>142</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>843-6</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hochedez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rosine]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Théodose]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Abel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bourhy]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Picardeau]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outbreak of leptospirosis after a race in the tropical forest of martinique]]></article-title>
<source><![CDATA[Am J Trop Med Hyg]]></source>
<year>2011</year>
<volume>84</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>621-6</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Agudelo-Flórez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Parra-Henao]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Arboleda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia y subregistro de casos de leptospirosis diagnosticados con tres métodos diferentes en Urabá, Colombia]]></article-title>
<source><![CDATA[Biomedica]]></source>
<year>2019</year>
<volume>39</volume>
<numero>Supl 1</numero>
<issue>Supl 1</issue>
<page-range>150-62</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis humana en Colombia: la experiencia del Instituto Colombiano de Medicina Tropical - CES]]></article-title>
<source><![CDATA[CES Med]]></source>
<year>2007</year>
<volume>21</volume>
<page-range>55-8</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arroyave]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Londoño]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Quintero]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Agudelo-Flórez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Arboleda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Etiología y caracterización epidemiológica del síndrome febril no malárico en tres municipios del Urabá antioqueño, Colombia]]></article-title>
<source><![CDATA[Biomédica]]></source>
<year>2012</year>
<volume>33</volume>
<page-range>99-107</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Villamarín]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Prieto-Suárez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Escandón]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[de la Hoz Restrepo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leptospirosis percentage and related factors in patients having a presumptive diagnosis of dengue, 2010 -2012]]></article-title>
<source><![CDATA[Rev Salud Publica (Bogota)]]></source>
<year>2014</year>
<volume>16</volume>
<page-range>597-609</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fontes]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Cavalcanti]]></surname>
<given-names><![CDATA[LP de G]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[ACA]]></given-names>
</name>
<name>
<surname><![CDATA[Bezerra LF de]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[AMM]]></given-names>
</name>
<name>
<surname><![CDATA[Colares]]></surname>
<given-names><![CDATA[JKB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A New Possibility for Surveillance: Do We Identify All Cases of Leptospirosis?]]></article-title>
<source><![CDATA[Rev Inst Med Trop Sao Paulo]]></source>
<year>2015</year>
<volume>57</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>443-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
