Published Date: 2010-08-03 07:25:37
Subject: PRO/MBDS> Leptospirosis - Thailand (02): Surin
Archive Number: 20100803.2602
LEPTOSPIROSIS - THAILAND (02): SURIN
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Sun 1 Aug 2010
Source: The ASTV Manager Online [in Thai, trans. Mod.SCM, edited]
The deputy Public Health physician of Surin province, Dr Peerasak
Polpruengsa said that at present there were 1645 cases and 17
fatalities due to leptospirosis reported from 67 provinces. In Surin
province, 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 Prasart district.
Dr Peerasak Polpruengsa said that in order to prevent leptospirosis,
people should avoid wading through flood water or soaking in flooded
fields. Cover wounds and scratches if there is a need to touch water,
soil, or sludge. Immediately clean up with soap and clean water after
completing work. In addition, Dr Peerasak warned people to boil well
water before drinking, wash vegetables and fruits with clean water,
eliminate rat habitats, and destroy garbage collections which are
rats' food. Also, maintain clean environments around the home.
According to the Thai Ministry of Public Health, Bureau of
Epidemiology (BOE) report on leptospirosis, available in Thai at
http://22.214.171.124/surdata/disease.php?ds=43, between 1 Jan 2010
and 23 Jul 2010, a total of 1881 cases and 17 fatalities were
reported from 68 provinces (out of 76 provinces of Thailand). The
attack rate was 2.96 per 100 000 population. Of 1881 cases, 215 cases
were reported from Surin province. Among 215 cases, approximately 75
percent (162 cases) were farmers.
The northeastern region has the highest attack rate (per 100 000
population) of leptospirosis (6.17), followed by the south (3.48),
north (1.33) and central regions (0.42). High attack rates (per 100
000 population) were reported in these 5 provinces: Ranong (24.21),
Burirum (18.81), Phangnga (17.48), Surin (15.60) and Sri Saket (15.14).
The total of 17 deaths were reported from Chanthaburi province (2
deaths), Nakhon Si Thammarat (2), Surat Thani (1), Krabi (1), Yala
(1), Maha Sarakham (1), Buri Ram (2), Chaiyaphum (1), Nakhon
Ratchasima (3), Nakhon Sawan (1) and Kalasin (2).
As of 18 Jul 2010, there have been 25 cases and 2 fatalities due to
leptospirosis reported in Muang district of Kalasin province (see
prior PRO/MBDS posting Leptospirosis - Thailand: Kalasin 20100720.2433).
For maps showing Thailand's provinces, see
http://en.wikipedia.org/wiki/Provinces_of_Thailand, and for
regions, see http://thailandforvisitors.com/general/regions.html.
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/01PD. - Mods.SCM/YMA]