January 28, 2022 | SPARC News

Puerto Rico Public Health Surveillance Project Succeeds Amidst Natural Disasters, Covid-19, and Government Upheaval

Four years ago, the world looked a little different. Covid-19 had not yet disrupted life as we know it, the University of Minnesota’s (UMN) Strategic Partnerships and Research Collaborative (SPARC) was just getting ready to launch, and Puerto Rico (PR) was dealing with devastation stemming from 2017’s Hurricane Irma and Hurricane Maria.

Among the latter was an increase in cases of leptospirosis and melioidosis—diseases that spread from animals to humans, especially in the presence of contaminated water. History has shown the incidence of infection is exacerbated during periods of drastic environmental disturbance, such as heavy rains and floods.

The hurricanes had not only brought heavy rain and floods but had devastated PR’s electric grid, severely disturbed access to all health services, interrupted water services and access to clean water, disconnected communities, blocked and destroyed roads, and paralyzed the functioning of all systems on the island. While local officials and health experts suspected an increase in leptospirosis cases and deaths, the challenging conditions, and the need for laboratory testing to diagnose cases, made it difficult to accurately survey and implement timely and effective public health responses.

As the world has been reminded recently, a well-built and -maintained public health infrastructure geared toward both prevention and preparedness is the first line of defense against health threats. Furthermore, activities related to prevention, epidemic investigation, and control require a sophisticated level of decision making and resource coordination.


Building Laboratory Capacity and Surveillance in Puerto Rico


One of the first projects supported by SPARC was a Centers for Disease Control and Prevention (CDC) Partner Project titled, “Laboratory capacity building and implementation of enhanced surveillance for leptospirosis and melioidosis in Puerto Rico.” Jointly led by SPARC (Amy Kircher and Melissa Mueller) and the School of Public Health (Claudia Muñoz-Zanzi), the 3-year, $2.3 million project focused on developing and implementing a surveillance system for leptospirosis and melioidosis in hurricane ravaged PR.


Through the use of active surveillance methods established at partnering local hospitals and clinics, the team created a protocol for monitoring these diseases in the wake of the disaster. They also defined which areas are most susceptible for these diseases and the main risk factors that contribute to their spread, which will help guide prevention efforts going forward–ideally not only in PR but similar environmentals globally.