![]() ![]() In the landmark Institute of Medicine report “Emerging Infections: Microbial Threats to Health in the United States,” leptospirosis was used as an example of an infection which had in the past caused significant morbidity in military personnel deployed in tropical areas ( 340). Leptospirosis is now identified as one of the emerging infectious diseases, exemplified by recent large outbreaks in Nicaragua ( 78, 100, 349, 507, 581), Brazil, India ( 645), southeast Asia, the United States ( 98, 102), and most recently in several countries as a result of the EcoChallenge Sabah 2000 competition in Malaysia ( 99, 126, 204).
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