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Recommendations

Créditos: O. Chavez

• Conduct household surveys in order to take into account other involved variables, such as access to piped water, amount of water received, household water management and education on water management.
• Characterization of the sources of infection in critical areas and endemic zones to determine the state of the carriers of the bacteria and shedders of organisms in their urine.
• Strengthening and involvement of all veterinary schools.
• Include the veterinary doctor among the health team, so that he works within Nicaragua’s health model.
• Development of studies to determine the proportion of asymptomatic cases and cases outside outbreaks with the support of sentinel surveillance.
• Studies to establish the relationship of reservoirs and infection sites.
• Studies to assess the impact of chemoprophylaxis in animals and humans

Conclusions

• Strengthen the laboratories of schools of veterinary medicine in order to carry out molecular differentiation of strains.
• Standardize the rapid test for veterinary medicine.
• Review of the Technical Standards for Leptospirosis related to the definition of early warning and the criteria for chemoprophylaxis in both humans and animals.
• Strengthen intersectoral collaboration to control aspects such as the mobilization of cattle herds.