[Epidemiology of melioidosis in China]

L Li1, Z Lu, O Han

  • 1Institute of Microbiology and Epidemiology, Academy of Military Medical Sciences PLA, Beijing.

Insights

Melioidosis, caused by Burkholderia pseudomallei, is endemic in southern China. This study identified environmental and animal reservoirs, highlighting risks to animal quarantine and public health from contaminated meat.

Area of Science:

  • Environmental microbiology
  • Bacteriology
  • Epidemiology

Context:

  • Melioidosis is a significant zoonotic disease caused by Burkholderia pseudomallei.
  • The organism's presence in water and animal reservoirs poses public health and animal quarantine challenges.
  • Previous research on melioidosis distribution in China was limited.

Purpose:

  • To investigate the geographical distribution and prevalence of Burkholderia pseudomallei in southern China.
  • To assess the serological evidence of infection in human and animal populations.
  • To evaluate the implications for public health and animal quarantine.

Summary:

  • 73 strains of Burkholderia pseudomallei were isolated from water and pathological samples across four Chinese provinces between 1975 and 1989.
  • Serological data revealed a correlation between geographical distribution and antibody prevalence, with foci in subtropical and tropical zones.
  • Antibody rates in humans ranged from 3.8%-15.2%, while in animals, they varied from 6.6% (oxen) to 35% (pigs).
  • Horses and mules infected with B. pseudomallei pose quarantine issues, and contaminated meat presents a public health risk.
  • Three melioidosis cases, including two fatal septicemic cases and one with chronic leg ulcers, were reported in Hainan in 1989, suggesting potential underdiagnosis.

Impact:

  • This study establishes the endemicity of melioidosis in southern China and identifies key environmental and animal reservoirs.
  • Findings underscore the importance of robust animal quarantine measures and food safety protocols to mitigate public health risks.
  • The reported cases and predicted underdiagnosis highlight the need for increased clinical awareness and diagnostic capabilities for melioidosis in the region.