Prevalence Study of Antibody to Ratborne Pathogens and Other Agents among Patients Using a Free Clinic in Downtown Los Angeles

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Abstract
Norway rats (Rattus norvegicus) are hosts for various microbes. Homeless people who have contact with rats may be at risk of infection by them. The Los Angeles County Department of Health Services initiated a seroepidemiologic study among patients who used a free clinic in downtown Los Angeles; 200 serum specimens obtained for other routine assays were tested for antibodies to ratborne pathogens and other agents. The seroprevalence of antibody to hepatitis E virus in this population was 13.6%; to Bartonella elizabethae 12.5%; to B. quintana 9.5%; to B. henselae 3.5%; to Seoul virus, 0.5%; and to Rickettsia typhi 0.0%. This study found that patients and locally trapped rats had antibodies to some of the same agents