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About 30 participants attended the International Meeting, including representatives from the Ministries of Health and Agriculture of the five selected countries that have been facing outbreaks of leptospirosis in the Americas: Brazil, El Salvador, Honduras, Nicaragua and the Dominican Republic. In addition representatives were present from the World Health Organization, the Pan American Health Organization, the WHO Collaborating Center on Leptospirosis of the Oswaldo Cruz Foundation (Fiocruz/Brazil) and the University of Minnesota that is part of the Global Leptospirosis Environmental Action Network (GLEAN). 

Members of the Intersectoral Committee of Leptospirosis of Nicaragua, which included representatives of the Ministry of Health, Ministry of Agriculture, University of León and the Pan American Health Organization, also participated in the meeting. Additionally, were present professionals from Nicaragua’s local and department level from areas with very high incidence of leptospirosis.