"Lepto" is a germ from wild pigs, plain and simple. Although it also
exists in cattle and rats, feral pigs
heavily populate the wet forest reserves of both the Koolaus and Waianaes.
Leptospira comes from their urine which soaks into the sloshy mud and
seeps into the streams. Also called "Fort Bragg fever", "Weil's disease",
and "swineherd's disease", it produces various symptoms in humans
including fever (102-104 degrees-F), chills, abdominal pains, vomiting,
nausea, myalgia (esp. calf muscles), unrelenting headache, photophobia,
sore throat, cough, diarrhea, and sometimes rashes. It may also cause
meningitis, which is a potentially fatal inflammation of the meninges, or
membranes, covering the brain and spinal cord. Perhaps the most dangerous
aspect of this "bug" is that its manifestation can be mistaken for a
common flu and thus may be regarded as such until more injurous symptoms
arise.
The germ is transmitted into the human body through minor
cuts in the skin, oral ingestion of contaminated water or food, and
contact with eyes. Unfortunately, to avoid large contact with the
bacteria, one would need to steer clear of streams and trails crossing
into pig territory. This virtually eliminates every trail on Oahu, except
those which follow dry, ungraded, sparsely-vegetated ridgelines (e. g.
Makapuu/Tom-Tom, Kamaileunu Ridge, Koko Crater).
Leptospirosis is an acute and severe infection caused by several
Leptospira species of Spirochetes bacteria. (Spirochetes are 2 to 500
microns in length, slender, spiral-shaped, unicellular organisms which
propel themselves by spinning around the longitudinal axis of their
bodies.) Objective symptoms include markedly reddened conjunctiva (the
transparent mucous membrane lining the inside of the eyelids and the white
of the eyeball), liver palpatations (50% of cases), jaundice (fifth day),
capillary hemorrhaging, purpuric skin lesions, and aseptic
meningitis.
These are two facts about Lepto, as provided by Nathan
Yuen:
- The highest number of cases of human leptospirosis in the
U.S. come from two regions in the State of Hawaii--Kauai and the east
coast of Hawaii (Big island). 70% of the cases of leptospirosis come from
these two areas.
- On Oahu, Kapena Falls (Nuuanu Stream behind Nuuanu Mortuary and
Cemetery) is the single most frequently identified site of exposure for
recreationally acquired leptospirosis. From 1985 to 1992, 10 confirmed
cases were associated with swimming at this site, including one
fatality.
Hikers with decades
of experience on these trails will attest to never having contracted
Leptospirosis. Personally, I, nor many others I have hiked with, have
ever contracted this germ - in the combined years of our travels. This
includes times when we had serious cuts or even blood-letting lacerations
- definite entry-points for any microbe. We cross streams and get muddy
in known pig areas with these scraped up legs and have come out without
infection. (Knock on wood!) It's just a danger that all hikers should be
aware of regarding hikes in Hawaii and an assumption of risk the hiker
needs to make.
Credits: 1997 Grolier Multimedia
Encyclopedia 9.0.1, Grolier Interactive, Inc., 1997 US Army
Special Forces Medical Handbook ST 31-91B, US Army Institute for
Military Assistance, 1988
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