2009
DOI: 10.1590/s1413-86702009000100013
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The public health implications of melioidosis

Abstract: Melioidosis, which is caused by the bacterium Burkholderia pseudomallei, is a potentially fatal tropical infection, little known outside its main endemic zone of Southeast Asia and northern Australia. Though it has received more attention in recent years on account of its claimed suitability as a biological weapon agent, the principal threat from melioidosis is a result of naturally occurring events. Occasional case clusters, sporadic cases outside the known endemic zone and infections in unusual demographic g… Show more

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Cited by 28 publications
(26 citation statements)
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“…Although sporadic cases of melioidosis have been reported in West and East Africa and, more recently, in Madagascar and Mauritius, 5 the extent and relevance of this disease in the continent remains largely unknown, due probably to the absence of bacteriological diagnostic resources, 7 the overlapping of the clinical disease caused by B. pseudomallei with other pyogenic infections, such as tuberculosis, 3 and a lack of awareness of the disease among clinicians. From Gambia, only one previous case report has been published until now.…”
Section: Discussionmentioning
confidence: 99%
“…Although sporadic cases of melioidosis have been reported in West and East Africa and, more recently, in Madagascar and Mauritius, 5 the extent and relevance of this disease in the continent remains largely unknown, due probably to the absence of bacteriological diagnostic resources, 7 the overlapping of the clinical disease caused by B. pseudomallei with other pyogenic infections, such as tuberculosis, 3 and a lack of awareness of the disease among clinicians. From Gambia, only one previous case report has been published until now.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, correlations have been observed between short-term increases in temperature and both food poisoning (McMichael et al, 2006) and increases in diseases such as salmonellosis and botulism (Semenza & Menne, 2009;WHO, 1999). The link between climatic variables and the incidence of rodent-borne diseases has been reported for diseases such as plague (Githeko et al, 2000;Gubler et al, 2001), as well as influences on soil-borne diseases such as melioidosis (Inglis & Sousa, 2009). …”
Section: Other Infectious Diseasesmentioning
confidence: 97%
“…The burden of disease is likely to increase due to steep population growth and the rising prevalence of diabetes in such regions. Climate change has increased the likelihood of severe weather events, such as storms and flooding, that are associated with case clusters with increased mortality [20].…”
Section: Public Health Issuesmentioning
confidence: 99%
“…Exposure mitigating practices such as use of mechanical agriculture and protective clothing when coming into contact with mud and water may reduce infection [20] but may not be practical. As melioidosis is caused by a soil and water saprophyte that infects both animals and humans it is an ideal candidate for the 'One Health' approach to control.…”
Section: Public Health Issuesmentioning
confidence: 99%