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Wongbutdee J, Jittimanee J, Daendee S, Thongsang P, Saengnill W. Exploring the Relationship between Melioidosis Morbidity Rate and Local Environmental Indicators Using Remotely Sensed Data. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:614. [PMID: 38791828 PMCID: PMC11121278 DOI: 10.3390/ijerph21050614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 05/09/2024] [Accepted: 05/10/2024] [Indexed: 05/26/2024]
Abstract
Melioidosis is an endemic infectious disease caused by Burkholderia pseudomallei bacteria, which contaminates soil and water. To better understand the environmental changes that have contributed to melioidosis outbreaks, this study used spatiotemporal analyses to clarify the distribution pattern of melioidosis and the relationship between melioidosis morbidity rate and local environmental indicators (land surface temperature, normalised difference vegetation index, normalised difference water index) and rainfall. A retrospective study was conducted from January 2013 to December 2022, covering data from 219 sub-districts in Northeast Thailand, with each exhibiting a varying morbidity rate of melioidosis on a monthly basis. Spatial autocorrelation was determined using local Moran's I, and the relationship between the melioidosis morbidity rate and the environmental indicators was evaluated using a geographically weighted Poisson regression. The results revealed clustered spatiotemporal patterns of melioidosis morbidity rate across sub-districts, with hotspots predominantly observed in the northern region. Furthermore, we observed a range of coefficients for the environmental indicators, varying from negative to positive, which provided insights into their relative contributions to melioidosis in each local area and month. These findings highlight the presence of spatial heterogeneity driven by environmental indicators and underscore the importance of public health offices implementing targeted monitoring and surveillance strategies for melioidosis in different locations.
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Affiliation(s)
- Jaruwan Wongbutdee
- Geospatial Health Research Group, College of Medicine and Public Health, Ubon Ratchathani University, Ubonratchathani 34190, Thailand; (J.W.); (J.J.); (S.D.)
| | - Jutharat Jittimanee
- Geospatial Health Research Group, College of Medicine and Public Health, Ubon Ratchathani University, Ubonratchathani 34190, Thailand; (J.W.); (J.J.); (S.D.)
| | - Suwaporn Daendee
- Geospatial Health Research Group, College of Medicine and Public Health, Ubon Ratchathani University, Ubonratchathani 34190, Thailand; (J.W.); (J.J.); (S.D.)
| | - Pongthep Thongsang
- Department of Geology, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand;
| | - Wacharapong Saengnill
- Geospatial Health Research Group, College of Medicine and Public Health, Ubon Ratchathani University, Ubonratchathani 34190, Thailand; (J.W.); (J.J.); (S.D.)
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Chewapreecha C, Pensar J, Chattagul S, Pesonen M, Sangphukieo A, Boonklang P, Potisap C, Koosakulnirand S, Feil EJ, Dunachie S, Chantratita N, Limmathurotsakul D, Peacock SJ, Day NPJ, Parkhill J, Thomson NR, Sermswan RW, Corander J. Co-evolutionary Signals Identify Burkholderia pseudomallei Survival Strategies in a Hostile Environment. Mol Biol Evol 2022; 39:6400259. [PMID: 34662416 PMCID: PMC8760936 DOI: 10.1093/molbev/msab306] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The soil bacterium Burkholderia pseudomallei is the causative agent of melioidosis and a significant cause of human morbidity and mortality in many tropical and subtropical countries. The species notoriously survives harsh environmental conditions but the genetic architecture for these adaptations remains unclear. Here we employed a powerful combination of genome-wide epistasis and co-selection studies (2,011 genomes), condition-wide transcriptome analyses (82 diverse conditions), and a gene knockout assay to uncover signals of "co-selection"-that is a combination of genetic markers that have been repeatedly selected together through B. pseudomallei evolution. These enabled us to identify 13,061 mutation pairs under co-selection in distinct genes and noncoding RNA. Genes under co-selection displayed marked expression correlation when B. pseudomallei was subjected to physical stress conditions, highlighting the conditions as one of the major evolutionary driving forces for this bacterium. We identified a putative adhesin (BPSL1661) as a hub of co-selection signals, experimentally confirmed a BPSL1661 role under nutrient deprivation, and explored the functional basis of co-selection gene network surrounding BPSL1661 in facilitating the bacterial survival under nutrient depletion. Our findings suggest that nutrient-limited conditions have been the common selection pressure acting on this species, and allelic variation of BPSL1661 may have promoted B. pseudomallei survival during harsh environmental conditions by facilitating bacterial adherence to different surfaces, cells, or living hosts.
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Affiliation(s)
- Claire Chewapreecha
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Parasites and Microbes Programme, Wellcome Sanger Insitute, Hinxton, United Kingdom
- Bioinformatics & Systems Biology Program, King Mongkut’s University of Technology Thonburi, Bangkok, Thailand
- Corresponding authors: E-mails: ; ;
| | - Johan Pensar
- Department of Mathematics, University of Oslo, Oslo, Norway
- Department of Mathematics and Statistics, Helsinki Institute of Information Technology, University of Helsinki, Helsinki, Finland
| | - Supaksorn Chattagul
- Melioidosis Research Center, Khon Kaen University, Khon Kaen, Thailand
- Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Maiju Pesonen
- Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway
| | - Apiwat Sangphukieo
- Bioinformatics & Systems Biology Program, King Mongkut’s University of Technology Thonburi, Bangkok, Thailand
| | - Phumrapee Boonklang
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Chotima Potisap
- Melioidosis Research Center, Khon Kaen University, Khon Kaen, Thailand
| | - Sirikamon Koosakulnirand
- Department of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Edward J Feil
- Department of Biology and Biochemistry, The Milner Centre for Evolution, University of Bath, Bath, United Kingdom
| | - Susanna Dunachie
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
| | - Narisara Chantratita
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Department of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Direk Limmathurotsakul
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
| | - Sharon J Peacock
- Department of Medicine, University of Cambridge, Cambridge, United Kingdom
| | - Nick P J Day
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
| | - Julian Parkhill
- Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom
| | - Nicholas R Thomson
- Parasites and Microbes Programme, Wellcome Sanger Insitute, Hinxton, United Kingdom
| | - Rasana W Sermswan
- Melioidosis Research Center, Khon Kaen University, Khon Kaen, Thailand
- Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
- Corresponding authors: E-mails: ; ;
| | - Jukka Corander
- Parasites and Microbes Programme, Wellcome Sanger Insitute, Hinxton, United Kingdom
- Department of Mathematics and Statistics, Helsinki Institute of Information Technology, University of Helsinki, Helsinki, Finland
- Department of Biostatistics, University of Oslo, Oslo, Norway
- Corresponding authors: E-mails: ; ;
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Singh A, Talyan A, Chandra R, Srivastav A, Upadhya V, Mukhopadhyay C, Shreedhar S, Sudhakaran D, Nair S, Papanna M, Yadav R, Singh SK, Dikid T. Risk factors for melioidosis in Udupi District, Karnataka, India, January 2017-July 2018. PLOS GLOBAL PUBLIC HEALTH 2022; 2:e0000865. [PMID: 36962866 PMCID: PMC10021467 DOI: 10.1371/journal.pgph.0000865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 11/13/2022] [Indexed: 12/15/2022]
Abstract
We initiated an epidemiological investigation following the death of a previously healthy 17 year-old boy with neuro-melioidosis. A case was defined as a culture-confirmed melioidosis patient from Udupi district admitted to hospital A from January 2013-July 2018. For the case control study, we enrolled a subset of cases admitted to hospital A from January 2017- July 2018. A control was resident of Udupi district admitted to hospital A in July 2018 with a non-infectious condition. Using a matched case-control design, we compared each case to 3 controls using age and sex groups. We assessed for risk factors related to water storage, activities of daily living, injuries and environmental exposures (three months prior to hospitalization), using conditional regression analysis. We identified 50 cases with case fatality rate 16%. Uncontrolled diabetes mellitus was present in 84% cases and 66% of cases occurred between May and October (rainy season). Percutaneous inoculation through exposure to stagnant water and injury leading to breakage in the skin were identified as an important mode of transmission. We used these findings to develop a surveillance case definition and initiated training of the district laboratory for melioidosis diagnosis.
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Affiliation(s)
- Akhileshwar Singh
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
| | - Ashok Talyan
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
| | - Ramesh Chandra
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
| | - Anubhav Srivastav
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
| | | | - Chiranjay Mukhopadhyay
- Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
- Center for Emerging and Tropical Diseases, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Shyamsundar Shreedhar
- Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Deepak Sudhakaran
- Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Suma Nair
- Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Mohan Papanna
- Division of Global Health Protection, US Centers for Disease Control and Prevention, Atlanta, United States of America
- Huck Institute of Life Sciences, The Pennsylvania State University, PA, United States of America
| | - Rajesh Yadav
- Division of Global Health Protection, US Centers for Disease Control and Prevention, Atlanta, United States of America
| | - Sujeet Kumar Singh
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
| | - Tanzin Dikid
- Epidemic Intelligence Service Programme, National Centre for Disease Control, Delhi, India
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Smith S, Horne P, Rubenach S, Gair R, Stewart J, Fairhead L, Hanson J. Increased Incidence of Melioidosis in Far North Queensland, Queensland, Australia, 1998-2019. Emerg Infect Dis 2021; 27:3119-3123. [PMID: 34808088 PMCID: PMC8632158 DOI: 10.3201/eid2712.211302] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
During January 1998–December 2019, the annual incidence of melioidosis in Far North Queensland, Queensland, Australia, more than doubled. Because climate and prevalence of predisposing medical conditions remained stable during that time, we hypothesize that the increased incidence was caused by urban expansion and increased construction, resulting in greater exposure to Burkholderia pseudomallei.
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Hempenstall AJ, Smith S, Stanton D, Hanson J. Melioidosis in the Torres Strait Islands, Australia: Exquisite Interplay between Pathogen, Host, and Environment. Am J Trop Med Hyg 2020; 100:517-521. [PMID: 30675834 DOI: 10.4269/ajtmh.18-0806] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Burkholderia pseudomallei, a bacterium that lives in the soil of the tropics, causes the disease melioidosis. This retrospective study investigated the temporospatial epidemiology of the 49 laboratory-confirmed melioidosis cases in the Torres Straits Islands of tropical Australia between 1997 and 2017. An identifiable risk factor for the disease was present in 43/49 (88%) cases and in 35/36 (97%) cases with complete clinical data. The mean incidence of melioidosis varied across the region, from 0/100,000 persons/year in the Eastern Island Cluster to 116.1/100,000 persons/year in the Near Western Island Cluster. An environmental suitability score for the growth of B. pseudomallei-constructed using the rainfall, vegetation, and soil type on each island-correlated with disease incidence (Spearman's rho 0.51; P = 0.035). Melioidosis is an opportunistic disease that occurs in patients with specific risk factors, but its incidence is also strongly influenced by environmental factors that favor the growth of the causative organism.
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Affiliation(s)
| | - Simon Smith
- James Cook University, Cairns, Australia.,Department of Medicine, Cairns Hospital, Cairns, Australia
| | | | - Josh Hanson
- Department of Medicine, Cairns Hospital, Cairns, Australia.,The Kirby Institute, Sydney, Australia
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