Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023

Leptospirosis is a globally distributed zoonotic disease that remains under-reported and misdiagnosed, particularly in tropical regions such as Malaysia. This review provides a comprehensive analysis of leptospirosis cases in humans and animals in Malaysia from 1976 to 2023, examining trends in prev...

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Main Authors: Lea, Joy Siang Xin, Reduan, Mohd Farhan Hanif, Choong, Siew Shean, Kamaruzaman, Intan Noor Aina, Ooi, Peck Toung, AbuBakar, Sazaly, Loong, Shih Keng, Abdul Rahman, Mohammad Sabri
Format: Article
Language:en
Published: Veterinary World 2025
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Online Access:http://psasir.upm.edu.my/id/eprint/123731/1/123731.pdf
http://psasir.upm.edu.my/id/eprint/123731/
https://veterinaryworld.org/Vol.18/March-2025/14.php
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author Lea, Joy Siang Xin
Reduan, Mohd Farhan Hanif
Choong, Siew Shean
Kamaruzaman, Intan Noor Aina
Ooi, Peck Toung
AbuBakar, Sazaly
Loong, Shih Keng
Abdul Rahman, Mohammad Sabri
author_facet Lea, Joy Siang Xin
Reduan, Mohd Farhan Hanif
Choong, Siew Shean
Kamaruzaman, Intan Noor Aina
Ooi, Peck Toung
AbuBakar, Sazaly
Loong, Shih Keng
Abdul Rahman, Mohammad Sabri
author_sort Lea, Joy Siang Xin
building UPM Library
collection Institutional Repository
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
continent Asia
country Malaysia
description Leptospirosis is a globally distributed zoonotic disease that remains under-reported and misdiagnosed, particularly in tropical regions such as Malaysia. This review provides a comprehensive analysis of leptospirosis cases in humans and animals in Malaysia from 1976 to 2023, examining trends in prevalence, outbreak patterns, diagnostic advancements, and associated risk factors. The disease is primarily transmitted through direct contact with infected animals or indirectly via contaminated water and soil, with rodents serving as a major reservoir. In Malaysia, leptospirosis prevalence has increased in recent years, with a notable correlation between outbreaks and occupational exposure, recreational water activities, and monsoon-related flooding. Surveillance data indicate that specific populations, including agricultural workers, town service employees, and animal handlers, are at elevated risk. Furthermore, the disease is commonly misdiagnosed due to its clinical similarities with other endemic febrile illnesses, such as dengue fever and malaria. Advances in diagnostic methodologies, particularly the increasing use of molecular techniques such as polymerase chain reaction (PCR), have enhanced early detection, although serological tests remain widely used in epidemiological studies. This review underscores the necessity of a One Health approach, integrating human, animal, and environmental health strategies to improve surveillance and control measures. Future research should focus on strengthening diagnostic capabilities, understanding environmental reservoirs, and implementing targeted public health interventions to mitigate leptospirosis transmission in Malaysia.
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spelling my.upm.eprints-1237312026-03-18T01:32:04Z http://psasir.upm.edu.my/id/eprint/123731/ Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023 Lea, Joy Siang Xin Reduan, Mohd Farhan Hanif Choong, Siew Shean Kamaruzaman, Intan Noor Aina Ooi, Peck Toung AbuBakar, Sazaly Loong, Shih Keng Abdul Rahman, Mohammad Sabri Leptospirosis is a globally distributed zoonotic disease that remains under-reported and misdiagnosed, particularly in tropical regions such as Malaysia. This review provides a comprehensive analysis of leptospirosis cases in humans and animals in Malaysia from 1976 to 2023, examining trends in prevalence, outbreak patterns, diagnostic advancements, and associated risk factors. The disease is primarily transmitted through direct contact with infected animals or indirectly via contaminated water and soil, with rodents serving as a major reservoir. In Malaysia, leptospirosis prevalence has increased in recent years, with a notable correlation between outbreaks and occupational exposure, recreational water activities, and monsoon-related flooding. Surveillance data indicate that specific populations, including agricultural workers, town service employees, and animal handlers, are at elevated risk. Furthermore, the disease is commonly misdiagnosed due to its clinical similarities with other endemic febrile illnesses, such as dengue fever and malaria. Advances in diagnostic methodologies, particularly the increasing use of molecular techniques such as polymerase chain reaction (PCR), have enhanced early detection, although serological tests remain widely used in epidemiological studies. This review underscores the necessity of a One Health approach, integrating human, animal, and environmental health strategies to improve surveillance and control measures. Future research should focus on strengthening diagnostic capabilities, understanding environmental reservoirs, and implementing targeted public health interventions to mitigate leptospirosis transmission in Malaysia. Veterinary World 2025-03-23 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/123731/1/123731.pdf Lea, Joy Siang Xin and Reduan, Mohd Farhan Hanif and Choong, Siew Shean and Kamaruzaman, Intan Noor Aina and Ooi, Peck Toung and AbuBakar, Sazaly and Loong, Shih Keng and Abdul Rahman, Mohammad Sabri (2025) Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023. Veterinary World, 18 (3). art. no. 14. pp. 673-685. ISSN 0972-8988; eISSN: 2231-0916 https://veterinaryworld.org/Vol.18/March-2025/14.php Veterinary (all) 10.14202/vetworld.2025.673-685
spellingShingle Veterinary (all)
Lea, Joy Siang Xin
Reduan, Mohd Farhan Hanif
Choong, Siew Shean
Kamaruzaman, Intan Noor Aina
Ooi, Peck Toung
AbuBakar, Sazaly
Loong, Shih Keng
Abdul Rahman, Mohammad Sabri
Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title_full Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title_fullStr Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title_full_unstemmed Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title_short Leptospirosis in humans and animals in Malaysia: a review from 1976 to 2023
title_sort leptospirosis in humans and animals in malaysia: a review from 1976 to 2023
topic Veterinary (all)
url http://psasir.upm.edu.my/id/eprint/123731/1/123731.pdf
http://psasir.upm.edu.my/id/eprint/123731/
https://veterinaryworld.org/Vol.18/March-2025/14.php
url_provider http://psasir.upm.edu.my/