{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:57:58Z","timestamp":1763499478755},"reference-count":21,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,6]]},"abstract":"<jats:p><jats:italic>Burkholderia pseudomallei<\/jats:italic>, 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 <jats:italic>B. pseudomallei<\/jats:italic>\u2014constructed using the rainfall, vegetation, and soil type on each island\u2014correlated with disease incidence (Spearman\u2019s rho 0.51; <jats:italic>P<\/jats:italic> = 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.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0806","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T07:05:25Z","timestamp":1548140725000},"page":"517-521","source":"Crossref","is-referenced-by-count":10,"title":["Melioidosis in the Torres Strait Islands, Australia: Exquisite Interplay between Pathogen, Host, and Environment"],"prefix":"10.4269","volume":"100","author":[{"given":"Allison J.","family":"Hempenstall","sequence":"first","affiliation":[{"name":"Torres and Cape Hospital and Health Service, Thursday Island, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cairns Hospital, Cairns, Australia;"},{"name":"James Cook University, Cairns, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Stanton","sequence":"additional","affiliation":[{"name":"3D Environmental Consulting, Greenslopes, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josh","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cairns Hospital, Cairns, Australia;"},{"name":"The Kirby Institute, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Clin Microbiol Rev","first-page":"383","article-title":"Melioidosis: epidemiology, pathophysiology, and management","volume":"18","author":"Cheng","year":"2005"},{"key":"b2","series-title":"PLoS Negl Trop Dis","first-page":"e0005411","article-title":"The epidemiology and clinical features of melioidosis in far North Queensland: implications for patient management","volume":"11","author":"Stewart","year":"2017"},{"key":"b3","series-title":"Am J Trop Med Hyg","first-page":"1691","article-title":"Case report: fatal pediatric melioidosis despite optimal intensive care","volume":"97","author":"Young","year":"2017"},{"key":"b4","series-title":"J Infect Dis","first-page":"890","article-title":"Melioidosis: a major cause of community-acquired septicemia in northeastern Thailand","volume":"159","author":"Chaowagul","year":"1989"},{"key":"b5","series-title":"Emerg Infect Dis","first-page":"1538","article-title":"Intensity of rainfall and severity of melioidosis, Australia","volume":"9","author":"Currie","year":"2003"},{"key":"b6","series-title":"Trop Med Infect Dis","first-page":"E27","article-title":"Melioidosis: an Australian perspective","volume":"3","author":"Smith","year":"2018"},{"key":"b7","series-title":"Epidemiol Infect","first-page":"1602","article-title":"Soil characteristics influencing the spatial distribution of melioidosis in far North Queensland, Australia","volume":"146","author":"Goodrick","year":"2018"},{"key":"b8","series-title":"Appl Environ Microbiol","first-page":"7086","article-title":"Soil nutrient depletion is associated with the presence of Burkholderia pseudomallei","volume":"82","author":"Hantrakun","year":"2016"},{"key":"b9","series-title":"PLoS Negl Trop Dis","first-page":"e0003635","article-title":"What drives the occurrence of the melioidosis bacterium Burkholderia pseudomallei in domestic gardens?","volume":"9","author":"Kaestli","year":"2015"},{"key":"b10","series-title":"Sci Rep","first-page":"3031","article-title":"Burkholderia pseudomallei in a lowland rice paddy: seasonal changes and influence of soil depth and physico-chemical properties","volume":"7","author":"Manivanh","year":"2017"},{"year":"2009","series-title":"Vegetation Communities and Regional Ecosystems of the Torres Strait Islands","author":"Stanton","key":"b11"},{"year":"2018","series-title":"Monthly Climate Statistics for Thursday Island Township","author":"Bureau of Meteorology","key":"b12"},{"year":"2016","series-title":"Census QuickStats Torres Strat Island","author":"Australian Bureau of Statistics","key":"b13"},{"key":"b14","series-title":"Aust N Z J Public Health","first-page":"144","article-title":"Obesity, diabetes and associated cardiovascular risk factors among Torres Strait Islander people","volume":"26","author":"Leonard","year":"2002"},{"year":"2014","series-title":"Australian Aboriginal and Torres Strait Islander Health Survey: Biomedical Results, 2012\u201313","author":"Australian Bureau of Statistics","key":"b15"},{"key":"b16","series-title":"Commun Dis Intell Q Rep","first-page":"279","article-title":"Melioidosis in the Torres Strait Islands of far North Queensland","volume":"26","author":"Faa","year":"2002"},{"year":"2018","key":"b17"},{"key":"b18","series-title":"J Infect","first-page":"687","article-title":"The association of melioidosis with climatic factors in Darwin, Australia: a 23-year time-series analysis","volume":"72","author":"Kaestli","year":"2016"},{"key":"b19","series-title":"Nature","first-page":"290","article-title":"Epidemiology: a global picture of melioidosis","volume":"529","author":"Currie","year":"2016"},{"key":"b20","series-title":"Nat Rev Microbiol","first-page":"102","article-title":"Microbial biogeography: putting microorganisms on the map","volume":"4","author":"Martiny","year":"2006"},{"key":"b21","series-title":"J Clin Microbiol","first-page":"2520","article-title":"Biogeography of Burkholderia pseudomallei in the Torres Strait Islands of northern Australia","volume":"51","author":"Baker","year":"2013"}],"container-title":["The American Journal of Tropical Medicine and 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