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Melioidosis in Myanmar.

Mo Mo Win¹, Elizabeth A Ashley^2,3, Khwar Nyo Zin⁴

¹Department of Medical Research, Yangon, Myanmar. drmomowin@gmail.com.

Tropical Medicine and Infectious Disease

|October 3, 2018

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Summary

This summary is machine-generated.

Melioidosis, caused by Burkholderia pseudomallei, has been reported in Myanmar since 1911. Limited clinician awareness and diagnostic capacity likely result in significant under-reporting of this infectious disease.

Area of Science:

Infectious Diseases
Microbiology
Epidemiology

Background:

Melioidosis (caused by Burkholderia pseudomallei) has been documented in Myanmar since 1911.
Sporadic cases have been reported across seven states/regions, with a historical peak before 1949.

Purpose of the Study:

To summarize reported melioidosis cases in Myanmar.
To present findings from environmental and serosurveys.
To identify factors contributing to knowledge gaps in the disease's epidemiology.

Main Methods:

Review of published and unpublished melioidosis case reports (1911-2018).
Analysis of environmental soil surveys for Burkholderia pseudomallei.
Assessment of factors limiting disease surveillance and diagnosis.

Keywords:

Burkholderia pseudomallei Myanmar melioidosis

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Main Results:

A total of 298 melioidosis cases were identified between 1911 and 2018.
Burkholderia pseudomallei was detected in soil samples from all surveyed regions.
Lack of clinician awareness and inadequate laboratory capacity were identified as key issues.

Conclusions:

The true epidemiology of melioidosis in Myanmar remains largely unknown.
Under-reporting is likely substantial due to diagnostic and awareness challenges.
Further research and improved surveillance are needed to understand the disease burden.