Melioidosis Alert: Three Fatalities Prompt Health Warning in Maha Sarakham

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A serious health alert has been issued in Maha Sarakham following an outbreak of melioidosis, known as "soil fever," with three deaths reported in the province. This warning comes from the provincial public health office as infections rise amid the rainy season.

Melioidosis is caused by the Burkholderia pseudomallei bacterium, predominantly found in soil and water, particularly in northeastern Thailand. With rice farming season underway, Dr Watthana Sriwattana from the provincial health department cautions that more cases may emerge.

Epidemiological data from January 1 to May 17 revealed 24 cases in Maha Sarakham, with a rate of 2.54 per 100,000 people, and three fatalities occurring in Wapi Pathum and Muang districts. The most recent was a 62-year-old farmer with pre-existing health conditions, who died shortly after developing severe symptoms, including joint inflammation and respiratory distress.

In the broader Public Health Region 9, which includes several provinces, 147 cases and five fatalities were reported from January 1 to May 19. Notably, Buri Ram reported 61 cases with one death, and Chaiyaphum recorded 16 cases, leading to three deaths.

Melioidosis primarily impacts older adults, especially those over 65, and is prevalent among farmers and agricultural workers. The disease can be contracted via open wounds, inhalation, or ingestion, particularly in moist environments like flooded fields. Symptoms include fever, muscle aches, pneumonia, and bloodstream infections, sometimes leading to death.

Health authorities are highlighting preventive measures: avoiding barefoot walking in stagnant water, using protective gear such as rubber boots and gloves, and ensuring prompt cleaning of any open wounds. The Department of Disease Control also urges continuous monitoring of high-risk areas to prevent further infections.

This outbreak underscores the necessity for public awareness and protection, especially during the rainy season when soil and water exposure risks are heightened. Authorities continue to monitor the situation closely, providing guidance and resources to mitigate the spread of this potentially fatal disease.

  Adapted by ASEAN Now from Bangkok Post 2025-05-30