In late 2011 a Dutch tourist contracted leptospirosis after he returned home from a holiday in the Dominican Republic. He had choked on muddy water after entering the Chavon river, whist on an excursion. He required admission to intensive care, and spent 10 days in hospital.
Human infection results from exposure to infected urine from mammals, often rats. Tourist should be aware that activities in local rivers may give rise to infection.
Source: ProMED Newsgroup
For further advice, contact the Globe Travel Health Centre on 01603 667323
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