High incidence of leptospirosis in an observational study of hospital outpatients in Vanuatu highlights the need for improved awareness and diagnostic capacities.

Positive serology was more frequent in males than females, but this difference did not reach statistical significance (p = 0.22).

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A logistic regression model integrating these various factors found no significant risk factor, only contact with pigs retained borderline significance after adjustment for all other factors.

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