Melioidosis in Mexico

[Torres, Alfredo G.]

Yes, there is Melioidosis in Mexico. The report of the Mexican Melioidosis meeting is out:

https://link.springer.com/article/10.1007/s40475-019-00182-1

 

Alfredo G. Torres, PhD., M.S.

The Herman Barnett Distinguished Professor in Microbiology and Immunology.

Assistant Dean of Faculty Affairs and Professional Development, OFAPD.

University of Texas Medical Branch

301 University Blvd  MRB 4.142G, Galveston, Tx 77555-1070

(409) 747 0189; Fax (409)747 6869

 

.

[Schully, Kevin L CTR USN NAVMEDRSCHCEN SVS MD (USA)]

Alfredo,
Did you guys do any soil sampling while in Mexico?

Thanks
Kevin

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Subject: [Non-DoD Source] [Melioidosis] Melioidosis in Mexico

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________________________________

Yes, there is Melioidosis in Mexico. The report of the Mexican Melioidosis
meeting is out:

Caution-https://link.springer.com/article/10.1007/s40475-019-00182-1

Alfredo G. Torres, PhD., M.S.

The Herman Barnett Distinguished Professor in Microbiology and Immunology.

Assistant Dean of Faculty Affairs and Professional Development, OFAPD.

University of Texas Medical Branch

301 University Blvd MRB 4.142G, Galveston, Tx 77555-1070

(409) 747 0189; Fax (409)747 6869



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[Torres, Alfredo G.]

Kevin:
Yes, they did and Bpm was isolated
Alfredo

Alfredo G. Torres, PhD., M.S.
The Herman Barnett Distinguished Professor in Microbiology and Immunology.
Assistant Dean of Faculty Affairs and Professional Development, OFAPD.
University of Texas Medical Branch
301 University Blvd  MRB 4.142G, Galveston, Tx 77555-1070
(409) 747 0189; Fax (409)747 6869

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[Gee, Jay (CDC/DDID/NCEZID/DHCPP)]

A group at a University in Mexico did the environmental sampling.

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[Schully, Kevin L CTR USN NAVMEDRSCHCEN SVS MD (USA)]

Do you have any pictures?

I am trying to convince some people to let me do a survey and they are
freaking out because "it's BSAT" and "it's BSL3 work". And once the wrong
person thinks that it's really hard to get them to unthink it.

Not trying to steel any thunder just trying to give some people a reality
check.

Thanks
Kevin

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From: melio...@googlegroups.com [mailto:melio...@googlegroups.com] On
Behalf Of Torres, Alfredo G.

Sent: Tuesday, June 11, 2019 12:40 PM

To: 'Schully, Kevin L CTR USN NAVMEDRSCHCEN SVS MD (USA)' via Melioidosis.info
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Subject: RE: [Non-DoD Source] [Melioidosis] Melioidosis in Mexico

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Caution-Caution-https://link.springer.com/article/10.1007/s40475-019-00182-1

Alfredo G. Torres, PhD., M.S.

The Herman Barnett Distinguished Professor in Microbiology and Immunology.

Assistant Dean of Faculty Affairs and Professional Development, OFAPD.

University of Texas Medical Branch

301 University Blvd MRB 4.142G, Galveston, Tx 77555-1070

(409) 747 0189; Fax (409)747 6869



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[Tim Inglis]

Kevin,

I'll send you one of mine if I can find it, showing me kneeling in a subsequently Bp POS tropical environment with no PPE. My pre and post serology did not change. More than a decade on, I am still seronegative, and we handle Bp at PC2 here.

For healthy adults with none of the recognised comorbidities, this is not as scarey as some would have you think.

Kind regards,

Tim Inglis.

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From: 'Schully, Kevin L CTR USN NAVMEDRSCHCEN SVS MD (USA)' via Melioidosis.info <melio...@googlegroups.com>

Sent: Wednesday, 12 June 2019 12:48:53 AM
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[Robert Norton]

Hi Kevin

Agree with Tim

It is a PC 2 organism here. We do not use PPE when environmental samples are collected. Unflattering photo attached

Robert

 

Dr Robert Norton
Director of Microbiology and Pathology
Townsville Hospital 100, Angus Smith Drive, Douglas, Townsville, Queensland 4814 Australia
	T 07 4433 3446  |  0419 672 617 E Robert...@health.qld.gov.au W www.health.qld.gov.au/townsville    Townsville Hospital and Health Service 100 Angus Smith Drive, Douglas, QLD 4814

 

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[Tim Inglis]

Kevin,

Here is a picture taken of me at a location that subsequently proved culture positive in Western Australia.

The two colleagues in high vis vests are sampling another culture positive location in the same mine site we published on in AJTM&H. They are wearing high visibility clothing because they are on a mine site road - not because B. pseudomallei might be nearby.

The third picture is health workers wading across the dam near where the NE Brazil melioidosis case cluster occurred, knowing that the children who contracted fatal infections had been diving off this dam.

BTW the Bp ’snowflake’ colony featured on the Mexico meeting website was one I originally took. It’s part of a collection of close up shots I took in our lab without any special protection over the camera. To my knowledge, no-one in these pictures has seroconverted in the following decade.

I have the high definition versions of all of these, but have kept the size down for convenience.

Kind regards,

Tim.

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[David Dance]

I agree with everything that has been said by others.  People do seem to have difficulty getting the risks into perspective, particularly in the USA.  Do they think that all rice farming should be banned?  The risks to an individual rice farmer are actually very low unless, as Tim points out, they have diabetes or some other major predisposing factor.  Direk could probably give you some hard figures for this group from his step-wedge study in Ubon.  The risks from one-off soil sampling are even less.

 

David

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[Direk Limmathurotsakul]

Dear David, Tim, Rob, Kevin, et al.

 

In general, for soil sampling, we go with boots and gloves. (no space suit; no N95 in rice field)

I hope the soil sampling team do not mind me sharing the working pictures attached.

 

For the SWRCT (NCT02089152), the pamphlets and poster (in Thai) we used are attached (open-access and available at https://melioidosisubon.wixsite.com/premel/c). Educational VDOs are open-access and available here (https://melioidosisubon.wixsite.com/premel/blank-3). Please note that we recommend farmers boots (and drinking boiled water) but didn’t go as far as recommending gloves (gloves doesn’t work for rice farming in flooded field under the sun for hours).

 

Soil culture was performed in BSL2+ in the same way we culture clinical specimens for diagnostic work. All plates are read in hoods.

 

Kind regards,

Direk

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[David Dance]

Agreed – boots and gloves are a sensible and proportionate precaution – as they are for rice farming.

 

David

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