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"Catch the Rat" proposal to curb leptospirosis in Manila

Capturing rats for money to eliminate leptospirosis
Capturing rats for money to eliminate leptospirosis
Credits: 
CDC

The Manila Bulletin reports that a Valenzuela City councilor has proposed a “Catch the Rat ordinance” to pay people for killed or captured rodents in an effort to slow the spread of the bacterial disease, leptospirosis.

If passed, Valenzuela City which is part of Metropolitan Manila, would pay citizens 5 pesos for each rat weighing less than a kilo and 10 pesos for ones that weigh more.

According to the draft ordinance, the City Health Department would be in charge of implementing the proposal including disposal of the captured rats.

This comes more than a month after Tropical Storm Ondoy which flooded large portions of Metro Manila and caused the dramatic increase of leptospirosis in the area.

What is leptospirosis?

It is a bacterial zoonotic disease caused by the corkscrew shaped organism, Leptospira interrogans. It goes by several other names depending on the locale; mud fever, swamp fever, sugar cane and Fort Bragg fever, among others. It is a disease of both humans and animals.

How do people get infected with this bacterium?

The rat is the main host to Leptospira. However other animals such as cattle, pigs, horses, dogs, rodents, and wild animals.

People become infected by direct or indirect contact with the urine of these animals. Contact with urine-contaminated water is extremely important. Contaminated food and soil containing animal urine are other potential sources of infection.

The bacterium enters through contact with skin. Especially through cuts or breaks in the skin and through mucous membranes like the eyes.

Found worldwide, it was long considered an occupational disease (miners, farming, vets, and sugarcane harvesting and sewer workers), it is increasingly associated with recreational water sports and camping.

What are the symptoms of the disease?

Symptoms and disease if present appear in up to 4 weeks after exposure. Sometimes the person will show no symptoms or mild flu-like symptoms.

According to the Centers for Disease Control and Prevention (CDC), Leptospirosis may occur in two phases; after the first phase, with fever, chills, headache, muscle aches, vomiting, or diarrhea, the patient may recover for a time but become ill again. If a second phase occurs, it is more severe; the person may have kidney or liver failure (jaundice) or meningitis. This phase is also called Weil's disease.

How do they diagnose and treat for leptospirosis?

Leptospirosis is confirmed by laboratory testing of a blood or urine sample.

The infection can be treated with antibiotics (penicillin and doxycycline), especially if started early in the disease. For very ill patients, intensive care support and IV antibiotic may be necessary.

What can you do to prevent this infection?

The CDC recommends the following:
• Not swimming or wading in water that might be contaminated with animal urine.
• Protective clothing or footwear should be worn by those exposed to contaminated water or soil because of their job or recreational activities.

See related articles:

Post-typhoons Philippines: what could be the infectious disease aftermath?
Philippines: death toll from Leptospirosis at 157

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Infectious Disease Examiner

With over 20 years of experience and education in microbiology and infectious diseases, Robert Herriman, MPH, M (ASCP) will educate and inform...

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