Heightened vigilance over ‘soil fever’ as 23 reported dead

Most cases reported in Northeast, farmers among those at risk, say health officials

People are being warned to be vigilant against melioidosis, also known as soil fever, after 23 deaths out of 732 patients nationwide were recorded between January and mid-April.

The Ministry of Public Health is monitoring the situation closely as the outbreak remained concerning, deputy government spokeswoman Lalida Periswiwatana said on Saturday.

The disease is caused by the Burkholderia pseudomallei bacterium, commonly found in soil and water. It enters the body through wounds, inhalation of contaminated dust or drinking contaminated water. The fever is most prevalent in the Northeast.

The Department of Disease Control office in Khon Kaen has reported 68 cases and two deaths so far this year in its zone, covering Khon Kaen, Maha Sarakham, Roi Et and Kalasin provinces, with the highest incidence among people aged 50 and above, Ms Lalida said.

Symptoms range from acute to chronic, including high fever, difficulty breathing, chest tightness and swollen or infected wounds. If the bacteria enter the bloodstream, severe sepsis and death may occur.

The spokeswoman warned the public not to ignore symptoms as early medical care is essential to prevent serious complications.

High-risk groups include farmers, agricultural workers and those frequently exposed to soil and water, as well as people with chronic conditions such as diabetes, kidney disease, thalassemia or weakened immune systems.

If it is necessary to be in contact with soil or water, protective gear such as boots and gloves should be worn, Ms Lalida said.