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The Honolulu Advertiser
Posted on: Tuesday, February 6, 2007

Maui warned of bacterial infection

By Christie Wilson
Advertiser Neighbor Island Editor

PUBLIC MEETING

The state Health Department will hold a public information meeting on leptospirosis at 7 p.m. Thursday at Old Hana School, and Friday morning at the Kipahulu community kitchen (time to be announced). For more information, call (808) 984-8213.

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PRECAUTIONS

Reduce your risk of leptospirosis infection.

If you have open cuts, don't swim or wade in water that might be contaminated with animal urine.

Avoid dunking your head underwater. ("Diving jams it right into your eyes and nose," said Erick Cremer of the state Department of Health.)

Wear protective clothing and footwear if you are exposed to contaminated water or soil because of your job or recreational activities.

Know the symptoms, which include high fever, chills, headache and vomiting, and if you fall ill after exposure to possibly contaminated water or mud, tell your doctor.

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WAILUKU, Maui — State health officials are planning to hold community meetings in East Maui after a pig hunter in Hana contracted leptospirosis, the first case of the bacterial infection on the Valley Isle in eight years.

The man became ill in late December and was hospitalized for several days but recovered, said Dr. Lorrin Pang, Maui district health officer with the state Department of Health. The source of the illness was just confirmed last week.

Leptospirosis is a bacterial disease that affects humans and animals. Humans become infected through contact with water, food or soil containing urine from infected animals such as cattle, wild pigs and rats.

The last reports of leptospirosis contracted on Maui occurred in 1999, when there were three cases, one each at 'Iao Valley in Wailuku and the 'Ohe'o Pools in Kipahulu, and a third at an unknown stream.

Disease investigators are at a loss to explain why the disease should surface now after years of no reports. When the Health Department has conducted routine testing of rodents and mongooses, Maui has been found to have a much smaller rate of leptospirosis infection than other islands, said Erick Cremer, vector-borne surveillance coordinator for the department's Disease Investigation Branch.

Pang said, "We could have missed it, so either (the new case) is a fluke or a freaky thing, or it's on the rise."

Roughly half of the leptospirosis cases in the United States occur in Hawai'i, where residents and visitors are drawn to idyllic waterfalls and mountain pools that may be contaminated. Also at risk are campers, hunters, taro and prawn farmers, construction workers and others who spend a lot of time outdoors.

There have been nine fatalities from leptospirosis contracted in Hawai'i since 1990. The last known death occurred in 2004, when a college student from the Big Island fell ill on the Mainland following a trip home during which he hiked and swam in freshwater pools.

Reach Christie Wilson at cwilson@honoluluadvertiser.com.

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