13/08/2012: Thailand: Public Health Ministry alert
The Public Health Ministry is alerting residents across the country to an outbreak of leptospirosis, one of the most common diseases found during the rainy season.Public Health Minister Witthaya Buranasiri said in addition to contracting hand-foot-mouth disease, local residents in flood-prone areas are also at risk of leptospirosis, which has so far killed 27 people nationwide. Leptospirosis is an infectious disease caused by the leptospira bacteria in rat urine. Most patients contracted the disease while wading in flood waters, or coming into contact with wet soil and plants contaminated by the animal urine.Mr Witthaya said since January of this year , over 1700 cases of leptospirosis have been reported in 70 provinces. Ranong, Phang-Nga, Phattalung, Surin, and Si Saket provinces have the highest rates of infection in the country.It is reported that rice farmers are most vulnerable to leptospirosis as their legs are constantly submerged under water while they are working in the paddy fields. Residents in flood-prone areas have also been increasingly exposed to the disease as they are forced to walk in stagnant water for an extended period of time.Disease Control Department director-general Dr Pornthep Siriwanarangsun said the agency is devising strict measures to prevent and curb the spread of the disease. He advises members of the public with symptoms such as high fever, severe muscle pain, and headache to urgently consult a physician. Leptospirosis can easily be treated with antibiotics. If left untreated, the disease can be fatal.
[Byline: Orapa Chueyprasit]
Date: Mon 13 Aug 2012
Leptospirosis is caused by bacteria of the genus _Leptospira_ and can be transmitted through contact with water or soil contaminated with urine from infected animals, predominantly rodents. In humans, leptospirosis can cause a wide range of symptoms, including high fever, headache, muscle aches, jaundice, red eyes and abdominal pain. Without treatment, leptospirosis can lead to kidney damage, meningitis, liver failure, respiratory distress and even death (see <http://www.cdc.gov/leptospirosis/>).According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, available in Thai, between 1 Jan 2012 and 4 Aug 2012, a total of 1779 cases and 27 fatalities were reported from 70 provinces. The attack rate was 2.80 per 100 000 population. The case fatality rate (CFR) was 0.04 percent. The highest percentage of cases was reported in the 35-44 year-old age group (20.57 percent), followed by the 45-54 year-old age group (18.49 percent) and 25-34 year-old age group (14.45 percent). The majority of cases (58.5 percent) were rice farmers.The south region has the highest attack rate (per 100 000 population) of leptospirosis (5.96), followed by the northeastern region (4.68), the north region (1.55) and the central region (0.30). High attack rates (per 100 000 population) were reported in the provinces of Ranong (91.88), Phangnga (11.92), Phatthalung (11.62), Surin (11.47) and Si Sa Ket (10.99).
For maps showing Thailand's regions, see <http://www.thailand-map.net/thailand_provinces/>; for provinces, see <http://en.wikipedia.org/wiki/Provinces_of_Thailand>. For the interactive HealthMap/ProMED-mail map of Thailand with links to other recent ProMED-mail and PRO/MBDS postings, see <http://healthmap.org/r/1l5W>. - Mod.SCM]
12/07/2012: Leptospirosis in Northeastern Thailand (through ProMED)
The Office of Disease Prevention and Control in Nakhon Ratchasima has disclosed that more people have contracted leptospirosis at a much faster rate in the northeastern region of Thailand.
According to Dr. Theerawat Walaisathien, Director of the Office of Disease Prevention and Control Region 5 in Nakhon Ratchasima, 567 people in the Lower Northeast of Thailand, consisting of Nakhon Ratchasima, Chaiyaphum, Buri Ram, Surin and Si Sa Ket provinces, have been admitted to the hospital after contracting leptospirosis. Nine patients have been pronounced dead so far.
It is reported that rice farmers are most vulnerable to leptospirosis as their legs are constantly submerged under the water while working in the paddy fields. With the arrival of the rainy season, rice cultivation has begun, prompting the infection rate to skyrocket accordingly.
The number of patients in Chaiyaphum leapt from 13 in [June 2012] to 326 this month [July 2012], which is the highest in the region, although no one has died in this province [Chaiyaphum]. Surin has the 2nd highest rate of infection, with 106 cases, while 5 people have succumbed to the disease. Nakhon Ratchasima currently has 50 cases of infection and 4 fatalities, while Buri Ram has 85 cases and no deaths.
Officials at the Office of Disease Prevention and Control Region 5 have been instructed to educate local residents on how to protect themselves against leptospirosis and to closely monitor the spread, which is expected to last until winter.
[Byline: Nuppol Suvansombut]
Date: Thu 12 Jul 2012
12/07/2012: Leptospirosis epidemics update in Thailand (through ProMED)
According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, between 1 Jan 2012 and 9 Jul 2012, a total of 1320 cases and 25 fatalities were reported from 68 provinces. The attack rate was 2.08 per 100 000 population. The case fatality rate (CFR) was 0.04 percent. Of these, 128 cases and 4 fatalities were reported from Si Sa Ket province. 279 cases and 9 fatalities were reported from reporting area zone 14; 54 cases and 4 deaths were from Nakhon Ratchasima province, 119 cases and 5 deaths were reported from Surin, 93 cases and no deaths were from Buriram, and 13 cases and no deaths were from Chaiyaphum.
High attack rates (per 100 000 population) were reported in the provinces of Ranong (29.16), Phangnga (11.13), Phatthalung (10.44), Si Sa Ket (8.85) and Surin (8.64). The south region has the highest attack rate (per 100 000 population) of leptospirosis (4.18), followed by the northeastern region (3.56), north region (1.11) and central region (0.26).
Communicated by: PRO/MBDS
01/07/2012: Leptospirosis in Lower Northeast Thailand (through ProMED)
A leptospirosis outbreak in the lower Northeast has killed 9 people and made 220 people ill, Public Health Region 14 inspector Dr Khamron Chaisiri said yesterday [30 Jun 2012].
Surin had 5 deaths and 95 people made ill, which was the most, followed by Nakhon Ratchasima with 4 deaths and 45 people left ill. Buri Ram had 68 patients with the disease, while Chaiyaphum had 12 patients. Leptospirosis had hit 20 percent more victims this year  than 2011, he added.
Date: Sun 1 Jul 2012
Source: The Nation [edited]
01/07/2012: Leptospirosis epidemics update in Thailand (through ProMED)
According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, between 1 Jan 2012 and 24 Jun 2012, a total of 1076 cases and 22 fatalities were reported from 64 provinces. The attack rate was 1.69 per 100 000 population. The case fatality rate (CFR) was 0.03 percent. Of these, 233 cases and 9 fatalities were reported from reporting area zone 14; 99 cases and 5 deaths were reported from Surin province, 72 cases and no deaths were from Buriram, 49 cases and 4 deaths were from Nakhon Ratchasima, and 13 cases and no deaths were from Chaiyaphum.
The south region has the highest attack rate (per 100 000 population) of leptospirosis (3.61), followed by the northeastern region (2.84), north region (0.86) and central region (0.22). High attack rates (per 100 000 population) were reported in the provinces of Ranong (29.16), Phatthalung (10.24), Surin (7.19), Loei (6.28) and Krabi (5.63).
In 2011, a total of 1062 cases and 30 deaths were reported from reporting area zone 14; 430 cases and no deaths from Buriram province, 427 cases and 17 deaths from Surin, 143 cases and 9 deaths from Nakhon Ratchasima, and 62 cases and 4 deaths from Chaiyaphum.
Communicated by: PRO/MBDS
13/06/2012: Leptospirosis in Surin, Thailand (from Pattaya Mail, through ProMED)
The Public Health Office in Surin province has alerted local residents to an outbreak of leptospirosis during the rainy season, which has already killed 17 people so far this year .
Dr. Sa-ard Weerajaroen of Surin's Public Health Office said that farmers, especially rice growers, are among those at risks of contracting the deadly disease on the job. Leptospirosis is commonly found in rats' and other animals such as cows, and buffaloes' urine.
He explained further that during the 1st half of this year , 722 have fallen ill after being exposed to the disease. He said leptospirosis can enter human body via the mouth or through a small cut on the skin. According to him, even healthy skin can be penetrable by the disease if submerged for a long period in contaminated water.
The doctor further stated that during the 1st week after receiving leptospirosis, patients will develop a high fever, a headache, and muscle pains particularly in his or her calves.
Those who are experiencing such symptoms are advised to seek medical attention immediately. They should not rely on over-the-counter medicines, because the lack of proper medical care might permit complications to manifest themselves, consequently resulting in death.
The majority of patients, or 59 percent of the total number of patients, are found in the northeastern region of Thailand.
Date: Wed 13 Jun 2012
Source: Pattaya Mail, National News Bureau of Thailand (NNT) report [edited]
23/12/2011: Leptospirosis in Phatthalung, Thailand (from ASTV, through ProMED)
Phatthalung Health Officer warns people in Muang and Cwnknun districts, areas that are still affected by flooding, of the risk of leptospirosis. People are advised to wear boots when walking through flooded areas for a long time to prevent contact with bacteria from water and to clean their feet immediately after that. If there are wounds, people should immediately seek medical attention and not let them become chronic wounds. 30 villagers in flooded areas of Muang and Cwnknun districts were infected with leptospirosis in the past months.
The flooding in many areas is back to normal 3 days after the rainfall stopped. There is no water flow in the roads of every village and traffic is normal. But there are some areas in Muang and Cwnknun districts that are still flooded, with an average flood height of 20-30 centimeters. More than 800 families are affected by the floods. It is expected that the situation will be back to normal if there is no more rain this week.
Date: Fri 23 Dec 2011
Source: ASTV Manager Online [in Thai, trans. Mod.SCM, edited]
23/12/2011: Leptospirosis epidemics update in Thailand (through ProMED)
According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, between 1 Jan 2011 and 14 Dec 2011, a total of 3699 cases and 66 fatalities were reported from 69 provinces. The attack rate was 5.82 per 100 000 population. The case fatality rate (CFR) was 0.10 percent. Of these, 60 cases and one death were reported from Phatthalung province; 4 cases and no deaths were reported in October 2011, 10 cases and no deaths were reported in November 2011, and 5 cases and no deaths were reported between 1 Dec 2011 and 14 Dec 2011. The attack rate of leptospirosis in Phatthalung was 11.78 per 100 000 population and the CFR was 1.67 percent.
The highest percentage of cases was reported in the 45-54 year old age group (23.33 percent), followed by the 35-44 year old age group (21.03 percent) and 25-34 year old age group (15.82 percent). The northeastern region has the highest attack rate (per 100 000 population) of leptospirosis (11.02), followed by the south region (6.02), north region (5.40) and central region (0.67). High attack rates (per 100 000 population) were reported in the provinces of Nong Bua Lamphu (32.74), Si Sa ket (30.08), Surin (27.65), Phangnga (24.64) and Loei (24.49).
In 2010, a total of 4944 cases and 43 fatalities attributed to leptospirosis were reported in Thailand. The attack rate was 7.78 per 100 000 population. The CFR was 0.07 percent.
Communicated by: PRO/MBDS
23/11/2011: Leptospirosis warning in Bangkok, Thailand (from Bangkok Post, through ProMED)
Poor sanitation and garbage disposal in Bangkok's flood-hit communities could result in an outbreak of leptospirosis, a health expert has warned.
Sumet Ongwandee of the Disease Control Department (DCD) said people should take precautions against leptospirosis and wear protective gear if they want to return home after the waters recede. "The waterborne disease can be hazardous to people," he said.
Leptospirosis can be transmitted to both humans and animals by direct contact with the urine of infected rodents in contaminated flood water. The disease gets into the body through cuts and wounds as well as the eyes, nose and mouth, Dr Sumet told the Bangkok Post.
Symptoms are a high fever, severe headache, muscle pain, chills, redness of the eyes, abdominal pain, jaundice, skin haemorrhages, vomiting, diarrhoea and a rash. Severe cases can be fatal if not treated immediately, he said.
"Leptospirosis is very worrying, as the floodwater has hit crowded urban communities in the capital. So garbage disposal management is needed, for it is the 1st measure that will help control rodents infected with the bacteria from spreading the disease to people," he said.
Dr Sumet said people should carefully protect themselves by wearing rubber boots, gloves and masks when wading through contaminated floodwater and dispose of garbage to help prevent themselves and others from catching the waterborne disease.
Apart from Bangkok's flood-hit communities, health authorities are speeding up monitoring for leptospirosis in 46 flood-hit provinces nationwide. Surveillance teams of the Bureau of Epidemiology found a leptospirosis case in Nakhon Sawan after the floodwaters receded there.
Another case with similar symptoms to leptospirosis was reported on [18 Nov 2011] in Ayutthaya's Pachi district and is still under investigation, the bureau said.
Bangkok has in the past experienced 3 leptospirosis outbreaks after flooding. The last outbreak in the capital was reported in 1964, said Wirongrong Jirakul of Mahidol University's faculty of tropical medicine. Dr Wirongrong said major outbreaks in the country were reported between 1997 and 1999. Up to 15 000 cases and 400 deaths were reported.
In Thailand, an estimated 2000-3000 people are infected with leptospirosis every year.
The disease is endemic in the northeast, where farmers work in fields and rice paddies without proper protection. Leptospirosis cases usually peak during the monsoon season.
Date: Wed 23 Nov 2011
Source: Bangkok Post [edited]
Health hazards are becoming a major concern as contamination of floodwater caused mainly by uncollected garbage is widespread - while warnings against waterborne zoonoses [diseases transferred from animals to humans] and food poisoning have been issued.
The Public Health Ministry's Department of Medical Sciences yesterday warned of possible leptospirosis in flooded areas and against consuming ice and iced drinks from unknown production sources. In a recent survey, 21 food samples, collected in four flooded provinces including Bangkok, yielded food poisoning manifestations, while 17 out of 57 samples of drinking water possessed germs which caused diarrhoea.
The minister reported one leptospirosis case in Khon Kaen and 20 suspected cases. The bacterial disease, which is found usually in flooded areas up to three weeks after a flood recedes, is potentially fatal if not properly treated.
In Bangkok, residents are encouraged to sort and separate rubbish, with decaying foodstuff and materials tightly sealed, as only 30 per cent of daily garbage can now be collected while more than 100 garbage trucks are undergoing modification to enable them to travel through high water.
As Bangkok governor Sukhumbhand Paribatra admitted, an understaffing problem has resulted in increasing garbage accumulation. District offices are hiring contractors to collect up to 70 per cent of garbage during flooding, while boats are being used to collect rubbish in badly flooded areas.
The Senate yesterday discussed contamination and hygiene issues and called on the government to immediately begin water treatment and other public health concerns including possible post-flooding outbreaks.
The senators, mostly those who sought to open yesterday's session, said the city administration and the government Flood Relief Operations Centre had overlooked health issues while concentrating too much on flood prevention and drainage. Senator Surachai Liangbunlertchai proposed that FROC set up a special panel to oversee measures relevant to disease prevention and treatment of spoiled water.
Senator Nillawan Phetchara-booranin, of the Senate commission on science and technology, said she admired volunteers' dedication in making disinfectant EM [effective micro-organism] balls but expressed scepticism over their effectiveness. A number of university lecturers have questioned use of the medicinal balls, even though charity groups who made and used them claim their effectiveness as a water disinfectant.
Dr Anant Ariyachaiphanich, head of the Senate commission on public health, called on diabetics to avoid wading in floodwater or against wounding themselves, and raised awareness of leptospirosis and mosquito-borne dengue fever.
A retired Army commander, Phichet Wisaijorn, who has had experience disinfecting waste water with EM balls, said he had been assigned by General Prayuth Chan-ocha to promote the use of the balls and to boost their production among Army units.
He said the EM balls would be most effective when used together with a liquid disinfectant, with the balls working underwater while the liquid is sprayed on the floodwater and works on the surface.
He said the space ratio of EM balls used under his supervision is one ball per square metre, compared to 1 to 4 claimed by charity groups.
Examples of success with EM balls' use are in tackling contamination of Pattani Bay a few years ago, and in spoiled water in vast areas of rice paddies in Nakhon Ratchasima during a major flood last year. Phichet said Prayuth had already ordered Army units to make EM balls, even before this year's flood, and now wanted a large number produced by Army units for immediate use.
08/11/2011: Leptospirosis epidemics update in Thailand (through ProMED)
According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, between 1 Jan 2011 and 5 Nov 2011, a total of 3256 cases and 57 fatalities were reported from 69 provinces. The attack rate was 5.13 per 100 000 population. The case fatality rate (CFR) was 1.75 percent. The highest percentage of cases was reported in the 45-54 year-old age group (23.13 percent), followed by the 35-44 year-old age group (21.53 percent), and 55-64 year-old age group (15.51 percent). Of these, 253 cases and 2 deaths were reported from Khon Kaen province, with an attack rate of 14.36 per 100 1000 population and CFR of 0.79 percent.
The northeastern region has the highest attack rat (per 100 000 population) of leptospirosis (10.16), followed by the south region (4.82), north (4.71) and central regions (0.43). High attack rates (per 100 000 population) were reported in the provinces of Nong Bua Lamphu (31.14), Burirum (23.60), Loei (22.07), Phangnga (21.06) and Nan (20.18).
Communicated by: PRO/MBDS
10/08/2011: Leptospirosis in Maha Sarakham, Thailand (from ASTV, through ProMED)
Dr Parinya Ratanaparinya, Chief of Maha Sarakham Provincial health office, revealed that it is rainy season and farmers have to work in the fields so it is inevitable for farmers to wade through floodwater or soak in flooded fields. Therefore, leptospirosis bacteria can get in the body through wounds.
Recently, a total of 14 cases and no fatality were reported in Maha Sarakham. High numbers of cases were reported from Yang Sisurat, Kantharawichai, and Phayakkhaphum Phisai districts. Most cases were in the working age group. Maha Sarakham Provincial Health Office warned farmers to cover wounds and scratches if there is a need to touch water, wear boots, and immediately clean up with soap and clean water after completing work. If farmers or family members have high fever and muscle aches, they must immediately seek medical attention. Avoid self-treatment because it maybe dangerous and cause death.
Date: Tue 9 Aug 2011
Communicated by: The ASTV Manager Online
First semester 2011: Leptospirosis in Thailand (from ASTV, through ProMED)
According to the Thai Ministry of Public Health, Bureau of Epidemiology (BOE) report on leptospirosis, between 1 Jan 2011 and 24 Jul 2011, a total of 1139 cases and 17 fatalities were reported from 66 provinces. The attack rate was 1.79 per 100 000 population, with a case fatality rate (CFR) of 1.49 percent. The south region has the highest attack rate (per 100 000 population) of leptospirosis (3.38), followed by the northeastern (2.96), north (1.44) and central regions (0.16).
The highest percentage of cases was reported in the 45-54 years old age group (22.12 percent), followed by the 35-44 years old age group (19.67 percent), and 25-34 years old age group (16.24 percent). Most cases are farmers (54.6 percent). High attack rates (per 100 000 population) were reported in these 5 provinces: Ranong (11.55), Nong Bua Lam Phu (9.38), Phang Nga (9.14), Nan (8.83) and Kalasin (7.65).
Date: Sun 31 Juil 2011
Communicated by: PRO/MBDS
31/07/2011: Public warned of Leptospirosis as over 1000 people have been infected
(NNT)-Permanent Secretary for Public Health MD. Paijit Warachit has revealed a new record high of people contracting Leptospirosis. The statistics has prompted health officials to inform people to avoid walking barefooted in the muddy fields.
According to Dr. Paijit, the number of patients has reached 1,043 patients during the first 7 months this year and so far16 of them have died. Leptospirosis is a common disease found during the rainy season. A human can contract the disease by being exposed to infected water from puddles, ponds and animal urine.
The symptoms include nausea, red eyes, constipation and high fever. People are told not to wade into the water with their bare feet especially if there are wounds. Among all regions in Thailand, the Northeast has reported the highest number of patients at 568, followed by the South, the North and the Central region.
Over 50% of the patients are farmers. The rest include students, soldiers, police and monks. However, Dr. Paijit said children were among those at risks because of their nature. They could contract the disease in the playground or when they walked into the puddle containing bacteria.
He added that adults would normally not detect anything unusual and would assume their children had a normal flu. Parents are encouraged to take their children to see a doctor if they are unsure about the symptoms.
Reporter : NUPPOL SUVANSOMBUT
Date: Sun 31 Juil 2011
08/09/2010: Leptospirosis in Sa Kaeo, Thailand (from ASTV, through ProMED)
Sa Kaeo Provincial Public Health Officewarns people of the risk of leptospirosis when cleaning houses after flooding,especially in Aranyaprathet and Khok Sung, areas that have been heavilyaffected by flooding. Recently, 7 cases were reported.
Dr Yutthapong Srimongkol, preventivemedicine doctor of Sa Kaeo reveals that there was flooding in 9 districts in SaKaeo province. Severe flooding was reported in 2 border districts(Aranyaprathet and Khok Sung). The concern is post-flooding outbreaks,particularly leptospirosis. In the past, cases of leptospirosis were reported throughoutthe year especially during the rainy season and after flooding. Risk groups arethose working in inundated fields and living in post-flooding areas.
Public health officers in the provinceencourage people to stay clean amidst flooding and avoid walking throughflooded areas for a long time. In addition, people are advised to wearwaterproof boots when working in inundated fields and clean their bodyimmediately after that.
Between 1 Jan 2010 and 3 Nov 2010, therewere 7 cases of leptospirosis reported in the province. No death was reported.High numbers of cases were reported in Watthana Nakhon, Khlong Hat andAranyaprathet districts. According to case reports of leptospirosis in theprevious 5 years (2005-2009), there were approximately 25 leptospirosis casesper year, during June through November each year. The provincial Public HealthOffice instructed health officials and health volunteers in Arunyaprated andKoh Sung districts to keep vigilant of 4 main post-flooding diseases for 8weeks; leptospirosis, conjunctivitis, acute diarrhea, and dysentery.
Dr Yutthapong mentioned that the symptomsof leptospirosis are high fever, chills, headache, nausea, vomiting and musclepain especially the calf muscles. Pain can be found in 40-100 percent ofpeople. People experiencing these symptoms are advised to see a doctorimmediately in order to prevent serious complications that may cause death,such as liver or kidney failure. The disease can be cured, however, it is possibleto be re-infected.
Date: Sun 7 Nov 2010
Source: The ASTV Manager Online
08/09/2010: Leptospirosis outbreak in Surin, Thailand (from National News Bureau , through ProMED)
Over 250 residents of the northeastern province of Surin have been infected with leptospirosis. One person has been confirmed dead.
Dr Sa-ard Weeracharoen of the Surin Provincial Public Health Office stated that the cumulative number of people infected with leptospirosis in the province currently stood at 252 with one fatality. He said the province ranked 5th in the country in terms of the number of infections. Most of the patients are agricultural workers.
The districts with the highest infection rates are Buachet, Kap Choeng, Chom Phra, Chumphon Buri, and Rattanaburi, respectively.
Public health officers in the province have been dispatched to encourage people to stay clean amidst flooding. Rice farmers are advised to wear water-proof boots when working in inundated fields for long hours.
People experiencing symptoms of leptospirosis, including high fever, headache, diarrhea, rash, and respiratory distress, are advised to see doctors immediately for examination.
Date: Mon 6 Sep 2010
Communicated by: PRO/MBDS
26/08/2010: Leptospirosis outbreak in Maha Sarakham, Thailand (from ASTV, through ProMED)
Dr Piti Tangpisarn, a preventive medicinedoctor at Maha Sarakham Provincial Health Office said that it is rainy seasonand farmers have to work in the fields so it is inevitable for farmers to wade throughfloodwater or soak in flooded fields. Therefore, leptospirosis bacteria can getin the body through wounds.
Recently, a total of 22 cases and onefatality were reported in Maha Sarakham. High numbers of cases were reportedfrom Phayakkhaphum Phisai district, Borabue district and Chiang Yuen district. Mostcases were in the working age group.
Maha Sarakham Provincial Health Officewarned farmers to cover wounds and scratches if there is a need to touch water,wear boots, and immediately clean up with soap and clean water after completingwork.
If farmers or family members havehigh fever and muscle aches, they must immediately seek medical attention.Avoid self-treatment because it maybe dangerous and cause death.
Date: Thu 26 Aug 2010
Source: The ASTV Manager Online
Communicated by: PRO/MBDS
01/08/2010: Leptospirosis outbreak in Surin, Thailand (from ASTV, through ProMED)
The deputy Public Health physician of Surinprovince, Dr Peerasak Polpruengsa said that at present there were 1645 casesand 17 fatalities due to leptospirosis reported from 67 provinces. In Surinprovince, there were 199 cases with attack rate 14.44 per 100 000 population.No death has been reported in Surin so far. The highest numbers of cases, 150 cases,were reported in Farmers. High attack rate were reported in Buachet district,following by Kap Choeng district, Chom Phra, Chumphon Buri and Prasartdistrict.
Dr Peerasak Polpruengsa said thatin order to prevent leptospirosis, people should avoid wading through floodwater or soaking in flooded fields. Cover wounds and scratches if there is aneed to touch water, soil, or sludge. Immediately clean up with soap and cleanwater after completing work. In addition, Dr Peerasak warned people to boil wellwater before drinking, wash vegetables and fruits with clean water, eliminaterat habitats, and destroy garbage collections which are rats' food. Also,maintain clean environments around the home.
18/07/2010: Leptospirosis outbreak in Kalasin, Thailand (from ASTV, through ProMED)
Director of Kalasin Hospital Dr. Somkid Suriyalert has warned farmers to beware of rat urine [leptospirosis], after finding an increasing number of patients, especially in Muang district. To date [18 Jul 2010], there have been 25 cases and 2 fatalities due to leptospirosis reported in Muang district. Therefore, farmers who wade through floodwater or muddy surfaces and then develop high fever and muscle aches must immediately seek medical attention. Delay of treatment can cause death.
Date: Sun 18 Jul 2010
Source: The ASTV Manager Online
Communicated by: PRO/MBDS