IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0217643.html
   My bibliography  Save this article

Risk factors for human leptospirosis following flooding: A meta-analysis of observational studies

Author

Listed:
  • Cho Naing
  • Simon A Reid
  • Saint Nway Aye
  • Norah Htet Htet
  • Stephen Ambu

Abstract

Leptospirosis is probably the most widespread zoonotic disease in the world especially in tropical countries. There has been an increase in individual studies, which assessed the frequency of leptospirosis in flood conditions. Some studies showed contact with floods was significantly associated with the occurrence of leptospirosis while other studies reported differently. The objective of this meta-analysis was to synthesize the evidence on the risk factors which are associated with human leptospirosis following flooding. We set up the inclusion criteria and searched for the original studies, addressing leptospirosis in human with related to flood in health-related electronic databases including PubMed, Embase, Ovid Medline, google scholar and Scopus sources. We used the terms ‘leptospirosis’, ‘flood’, ‘risk factor’ and terms from the categories were connected with “OR” within each category and by “AND” between categories. The initial search yielded 557 citations. After the title and abstract screening, 49 full-text papers were reviewed and a final of 18 observational studies met the pre-specified inclusion criteria. Overall, the pooled estimates of 14 studies showed that the contact with flooding was a significant factor for the occurrence of leptospirosis (pooled OR: 2.19, 95%CI: 1.48–3.24, I2:86%). On stratification, the strength of association was greater in the case-control studies (pooled OR: 4.01, 95%CI: 1.26–12.72, I2:82%) than other designs (pooled OR:1.77,95%CI:1.18–2.65, I2:87%). Three factors such as ‘being male’(pooled OR:2.06, 95%CI:1.29–2.83), the exposure to livestock animals (pooled OR: 1.95, 95%CI:1.26–2.64), the lacerated wound (pooled OR:4.35, 95%CI:3.07–5.64) were the risk factors significantly associated with the incidence of leptospirosis following flooding in the absence of within-study heterogeneity (I2: 0%). We acknowledge study limitations such as publication bias and type 2 statistical errors. We recommended flood control and other environmental modifications that are expected to reduce the risk of leptospiral infection, and a multi-sectoral effort to this aspect would have long-term benefits.

Suggested Citation

  • Cho Naing & Simon A Reid & Saint Nway Aye & Norah Htet Htet & Stephen Ambu, 2019. "Risk factors for human leptospirosis following flooding: A meta-analysis of observational studies," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-15, May.
    • Handle: RePEc:plo:pone00:0217643
    DOI: 10.1371/journal.pone.0217643
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217643
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0217643&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0217643?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Rajagopal, 2014. "The Human Factors," Palgrave Macmillan Books, in: Architecting Enterprise, chapter 9, pages 225-249, Palgrave Macmillan.
    2. Ridalva D M Felzemburgh & Guilherme S Ribeiro & Federico Costa & Renato B Reis & José E Hagan & Astrid X T O Melendez & Deborah Fraga & Francisco S Santana & Sharif Mohr & Balbino L dos Santos & Adria, 2014. "Prospective Study of Leptospirosis Transmission in an Urban Slum Community: Role of Poor Environment in Repeated Exposures to the Leptospira Agent," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 8(5), pages 1-9, May.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Mavrouli & Spyridon Mavroulis & Efthymios Lekkas & Athanassios Tsakris, 2022. "Infectious Diseases Associated with Hydrometeorological Hazards in Europe: Disaster Risk Reduction in the Context of the Climate Crisis and the Ongoing COVID-19 Pandemic," IJERPH, MDPI, vol. 19(16), pages 1-25, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Helena Sustar & Miloš N. Mladenović & Moshe Givoni, 2020. "The Landscape of Envisioning and Speculative Design Methods for Sustainable Mobility Futures," Sustainability, MDPI, vol. 12(6), pages 1-24, March.
    2. Xiang Yan & Jie Du & GuoPing Ji, 2021. "Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-21, March.
    3. Ribeiro-Navarrete, Samuel & Saura, Jose Ramon & Palacios-Marqués, Daniel, 2021. "Towards a new era of mass data collection: Assessing pandemic surveillance technologies to preserve user privacy," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    4. Björn Hedin & Cecilia Katzeff & Elina Eriksson & Daniel Pargman, 2019. "A Systematic Review of Digital Behaviour Change Interventions for More Sustainable Food Consumption," Sustainability, MDPI, vol. 11(9), pages 1-23, May.
    5. Liqing Yue & Virginia Plummer & Wendy Cross, 2017. "The effectiveness of nurse education and training for clinical alarm response and management: a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(17-18), pages 2511-2526, September.
    6. Carine Rodrigues Pereira & João Vitor Fernandes Cotrim de Almeida & Izabela Regina Cardoso de Oliveira & Luciana Faria de Oliveira & Luciano José Pereira & Márcio Gilberto Zangerônimo & Andrey Pereira, 2020. "Occupational exposure to Brucella spp.: A systematic review and meta-analysis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(5), pages 1-19, May.
    7. Rose E Donohue & Zoë K Cross & Edwin Michael, 2019. "The extent, nature, and pathogenic consequences of helminth polyparasitism in humans: A meta-analysis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 13(6), pages 1-41, June.
    8. Mathew Barnes & Purva Abhyankar & Elena Dimova & Catherine Best, 2020. "Associations between body dissatisfaction and self-reported anxiety and depression in otherwise healthy men: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-24, February.
    9. Eliz Kilich & Sara Dada & Mark R Francis & John Tazare & R Matthew Chico & Pauline Paterson & Heidi J Larson, 2020. "Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-28, July.
    10. Udeme E Ekrikpo & Andre P Kengne & Aminu K Bello & Emmanuel E Effa & Jean Jacques Noubiap & Babatunde L Salako & Brian L Rayner & Giuseppe Remuzzi & Ikechi G Okpechi, 2018. "Chronic kidney disease in the global adult HIV-infected population: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-24, April.
    11. Teketo Kassaw Tegegne & Catherine Chojenta & Deborah Loxton & Roger Smith & Kelemu Tilahun Kibret, 2018. "The impact of geographic access on institutional delivery care use in low and middle-income countries: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.
    12. Rahman, Shaikh Moksadur, 2020. "Relationship between Job Satisfaction and Turnover Intention: Evidence from Bangladesh," Asian Business Review, Asian Business Consortium, vol. 10(2), pages 99-108.
    13. İlkay Unay-Gailhard & Mark A. Brennen, 2022. "How digital communications contribute to shaping the career paths of youth: a review study focused on farming as a career option," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 39(4), pages 1491-1508, December.
    14. Mahin Ghafari & Vali Baigi & Zahra Cheraghi & Amin Doosti-Irani, 2016. "The Prevalence of Asymptomatic Bacteriuria in Iranian Pregnant Women: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-10, June.
    15. Elizabeth T Cafiero-Fonseca & Andrew Stawasz & Sydney T Johnson & Reiko Sato & David E Bloom, 2017. "The full benefits of adult pneumococcal vaccination: A systematic review," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-23, October.
    16. Santos Urbina & Sofía Villatoro & Jesús Salinas, 2021. "Self-Regulated Learning and Technology-Enhanced Learning Environments in Higher Education: A Scoping Review," Sustainability, MDPI, vol. 13(13), pages 1-12, June.
    17. Wang Kai, 2019. "Towards a Taxonomy of Idea Generation Techniques," Foundations of Management, Sciendo, vol. 11(1), pages 65-80, January.
    18. Oded Berger-Tal & Alison L Greggor & Biljana Macura & Carrie Ann Adams & Arden Blumenthal & Amos Bouskila & Ulrika Candolin & Carolina Doran & Esteban Fernández-Juricic & Kiyoko M Gotanda & Catherine , 2019. "Systematic reviews and maps as tools for applying behavioral ecology to management and policy," Behavioral Ecology, International Society for Behavioral Ecology, vol. 30(1), pages 1-8.
    19. Bridgelall, Raj & Stubbing, Edward, 2021. "Forecasting the effects of autonomous vehicles on land use," Technological Forecasting and Social Change, Elsevier, vol. 163(C).
    20. Nadine Desrochers & Adèle Paul‐Hus & Jen Pecoskie, 2017. "Five decades of gratitude: A meta‐synthesis of acknowledgments research," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 68(12), pages 2821-2833, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0217643. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.