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. Author manuscript; available in PMC: 2008 Mar 20.
Published in final edited form as: J Postgrad Med. 2005;51(3):174–178.

Figure 2.

Figure 2

An outbreak of leptospirosis occurred in a swimming hole (left) at the edge of a newly developed village, Los Delfines, 10 km outside the city of Iquitos in the Peruvian Amazon. This outbreak resulted in the death of three children who had renal and respiratory failure, and cutaneous and gingival haemorrhage. Sixty-seven people sought medical attention for undiagnosed fever. Quantitative analysis of the creek running from the pig farm to the swimming hole showed that a new pig farm upstream of the village was the source of the outbreak. The Directorate of Public Health (DISA Loreto) placed a warning sign (right) at the swimming hole translated as ‘swimming prohibited. Do not drink this water’