“…Typically, massive outbreaks of leptospirosis in urban settings are associated with the abundance of rodents, being asymptomatic carriers of leprospires. In rural areas, outbreaks are linked to agricultural processes, such as animal breeding, while seasonal peaks exist in most affected areas suggesting that numerous environmental factors, such as torrential rains, floods, and cyclones may act as “triggers” of the disease outbreaks [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ]. Environmental changes in human habitat conditions and urbanization combined with climate changes are the most important risk factors in the occurrence and spread of present and future leptospirosis outbreaks [ 18 , 36 , 37 ].…”