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Published on: October 15, 2013
Emergence of Burkholderia pseudomallei Sequence Type 562, Northern Australia
Abstract:
Since 2005, the range of Burkholderia pseudomallei sequence type 562 (ST562) has expanded in northern Australia. During 2005-2019, ST562 caused melioidosis in 61 humans and 3 animals. Cases initially occurred in suburbs surrounding a creek before spreading across urban Darwin, Australia and a nearby island community. In urban Darwin, ST562 caused 12% (53/440) of melioidosis cases, a proportion that increased during the study period. We analyzed 2 clusters of cases with epidemiologic links and used genomic analysis to identify previously unassociated cases. We found that ST562 isolates from Hainan Province, China, and Pingtung County, Taiwan, were distantly related to ST562 strains from Australia. Temporal genomic analysis suggested a single ST562 introduction into the Darwin region in ≈1988. The origin and transmission mode of ST562 into Australia remain uncertain.
Insights
The Burkholderia pseudomallei ST562 bacterium has spread in Australia since 2005, causing human and animal melioidosis. Genomic analysis suggests a single introduction to Darwin around 1988, but its origin is unknown.
Area of Science:
- Microbiology
- Genomics
- Epidemiology
Background:
- Burkholderia pseudomallei sequence type 562 (ST562) has expanded its range in northern Australia since 2005.
- This bacterium caused 61 human and 3 animal melioidosis cases between 2005 and 2019.
- ST562 cases initially clustered around a creek before spreading throughout urban Darwin and a nearby island.
Purpose of the Study:
- To investigate the expansion and genomic epidemiology of Burkholderia pseudomallei ST562 in northern Australia.
- To determine the origin and introduction dynamics of ST562 into the Darwin region.
- To analyze the genetic relatedness of Australian ST562 strains to international isolates.
Main Methods:
- Epidemiological analysis of melioidosis cases linked to ST562.
- Genomic analysis of ST562 isolates from Australia, China, and Taiwan.
- Temporal genomic analysis to estimate introduction dates.
Main Results:
- ST562 caused 12% of melioidosis cases in urban Darwin, with this proportion increasing over time.
- Genomic analysis revealed distant relationships between Australian ST562 strains and those from China and Taiwan.
- Temporal analysis suggested a single introduction of ST562 into the Darwin region around 1988.
Conclusions:
- Burkholderia pseudomallei ST562 has significantly expanded its presence and impact in northern Australia.
- The genetic data points to a single introduction event into Australia, likely around 1988.
- The precise origin and transmission pathway of ST562 into Australia remain undetermined.
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