ILOILO – The Iloilo Provincial Health Office (IPHO) has urged the public, particularly farmers and laborers, to take necessary precautions against leptospirosis following a confirmed fatality due to the disease.
A 30-year-old male farmer from Sara town died of leptospirosis on March 7 while undergoing treatment at a district hospital, according to Dr. Rodney Labis, head of the Health Service Delivery Division of the IPHO.
Leptospirosis is a bacterial infection transmitted through direct contact with water or soil contaminated by the urine of infected animals, especially rodents. It enters the human body through cuts, abrasions, or mucous membranes in the eyes, nose, or mouth.
Early symptoms include high fever, severe headache, muscle pain, chills, eye redness, jaundice, skin rashes, and gastrointestinal issues. Severe cases can lead to organ failure and death.
The IPHO and the Municipal Health Office (MHO) of Sara are currently investigating the victim’s case, particularly determining his possible exposure to floodwaters or agricultural fields, given his occupation.
Decline in Cases, But High-Risk Groups Identified
From January 1 to March 15, Iloilo recorded 26 leptospirosis cases with one fatality, a 24-percent decrease from the 33 cases reported during the same period last year, which also included one death.
Dr. Labis noted that the most affected individuals are those aged 30 and above, particularly farmers, laborers, and individuals engaged in agricultural activities.
“Based on our data, the most affected age group is 30 years and above, with the majority being farmers and laborers whose primary exposure is related to agriculture,” Labis said.
Transmission and Prevention
Leptospirosis is commonly contracted through contact with floodwaters, rice fields, streams, or canals contaminated with the urine of infected rodents. The disease can manifest between two to 30 days after exposure, with symptoms typically appearing within one to two weeks.
Warning signs that may indicate severe cases include yellowing of the skin and eyes, reddish or dark-colored urine, and difficulty urinating, which are signs of liver and kidney damage.
Despite its fatal potential, leptospirosis is preventable. The IPHO advises avoiding wading through floodwaters, rice fields, or other contaminated water sources.
If unavoidable, individuals should wear protective gear such as rubber boots and gloves and immediately wash exposed body parts with clean water.
Dr. Labis emphasized that post-exposure prophylaxis is available at Rural Health Units (RHUs) for individuals who may have been exposed to contaminated water, particularly those with open wounds.
“For farmers or anyone who has waded through contaminated water and is considered at risk of leptospirosis, it is crucial to seek medical attention at the nearest RHU to receive appropriate prophylactic treatment,” he added.
Those experiencing symptoms are advised to visit a health facility immediately for proper management and to prevent complications.
Affected Municipalities
This year, 16 out of Iloilo’s 43 municipalities, including Passi City, have reported leptospirosis cases. The top affected areas are: Dumangas (3 cases), San Miguel (2), Pototan (2), Maasin (2), Badiangan (2), Alimodian (2), Estancia (2), Passi City (2), Oton (1), Pavia (1), Leganes (1), Janiuay (1), Leon (1), Batad (1), Lambunao (1), and Sara (1, fatal case)./PN
