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Occupational Leptospirosis in Urban Sanitation: Lessons for Early Recognition and Worker Protection

Year: 2026

Type: article

Abstract: Leptospirosis is a globally distributed disease associated with recreational aquatic activities; environmental exposure; and a range of occupational exposures, including animal handling, sanitation work, military operations, and sewer maintenance. We report a case of severe leptospirosis in a New York City sanitation worker after exposure to contaminated water. Because of the nonspecific presentation of his infection and the nuances of diagnostic testing, the patient presented to multiple care settings before leptospirosis was diagnosed. This case illustrates the importance of clinician awareness of urban leptospirosis and its broadening epidemiology in the United States, the time-dependent performance of diagnostic testing, and opportunities to improve personal protective equipment recommendations for sanitation employees.

Source: American Journal of Tropical Medicine and Hygiene

DOI: 10.4269/ajtmh.26-0203

Authors: Abigail Graham, Sarah Hill, Carly Kaplan, Zachary C. LeBlanc, Nancyanne Schmidt

Institutions: Columbia University, Columbia University Irving Medical Center

Language: English

Topic: Leptospirosis research and findings

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7211952582

FWCI:

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Related to: 10