Leptospirosis Claims Lives in Flood-Stricken Cebu
Cebu City faces a health crisis as four residents have died from suspected leptospirosis following weeks of heavy rains and flooding caused by Typhoon Tino and Super Typhoon Uwan in November 2025. The Cebu City Health Department (CCHD) confirmed one fatality tested positive for the bacterial infection, while three others await laboratory confirmation.
Rising Case Numbers Linked to Weather Patterns
According to CCHD data, leptospirosis cases have surged dramatically in 2025, with 93 infections and 17 deaths recorded between January 1 and October 28. This represents a significant increase compared to last year's 38 cases and eight deaths. The four November cases all resulted in fatalities.
Dr. Daisy Villa, CCHD chief, explained that "cases really went up because of the frequent rains" and noted the city reached epidemic levels during July and August. While cases have since declined below the alert threshold, the recent typhoons have created new exposure risks.
Health Warnings and Preventive Measures
Leptospirosis spreads through floodwater contaminated with urine from infected rats. Health officials emphasize that infection can occur even without open wounds, making prevention crucial.
Both Villa and Mandaue City Health Office head Dr. Debra Catulong urge residents to:
- Avoid wading through floodwaters
- Seek immediate medical attention for symptoms including high fever, body weakness, red or yellowing eyes, and jaundice
- Visit barangay health centers for preventive medication (prophylaxis)
Doxycycline is available for prophylaxis in local health centers, but Catulong stresses that taking medication shouldn't replace professional medical consultation.
Neighboring City Reports Suspected Cases
Mandaue City has recorded 10 suspected leptospirosis cases following Typhoon Tino's impact, though none have been confirmed as of November 25. These patients remain hospitalized while awaiting validation from the Regional Office.
Catulong explained that early leptospirosis symptoms can mimic other diseases, making laboratory confirmation essential. Meanwhile, Mandaue City has implemented post-disaster health measures including public consultations, WASH assessments in evacuation centers, and nutritional support for children.
Villa reassured the public that "it's a preventable disease if addressed early" and emphasized the availability of medical services throughout the affected regions.