{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:52:17Z","timestamp":1791917537686,"version":"4.3.4"},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,3]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    Melioidosis, caused by\n                    <jats:italic>Burkholderia pseudomallei<\/jats:italic>\n                    , is a potentially fatal bacterial infection endemic to Southeast Asia and northern Australia. The disease often resurges after extreme weather events, such as typhoons. In this study, we investigated the epidemiological trends of melioidosis in Taiwan from 2015 to 2024, focusing on the impact of typhoon-associated precipitation. A total of 396 confirmed cases were reported over the decade, with 123 cases (31.1%) occurring in 2024 alone. Statistical analysis revealed a weak but significant correlation between precipitation and melioidosis incidence (Spearman rho: 0.275,\n                    <jats:italic>P<\/jats:italic>\n                    = 0.002), whereas leptospirosis incidence exhibited a stronger correlation with rainfall (Spearman rho: 0.477,\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.01). These findings suggest that although increased rainfall may facilitate the dissemination of\n                    <jats:italic>B. pseudomallei<\/jats:italic>\n                    , other environmental and host-related factors likely contribute to disease outbreaks. A multiple linear regression analysis was performed to identify the relationship between meteorological and socioeconomic variables and the log-transformed melioidosis incidence across regions. Among the predictors, 10-minute sustained wind speed was significantly associated with higher melioidosis incidence (\u03b2 = 1.769,\n                    <jats:italic>P<\/jats:italic>\n                    = 0.025), whereas maximum wind speed showed a significant negative association (\u03b2 = \u22121.366,\n                    <jats:italic>P<\/jats:italic>\n                    = 0.049). Given the potential influence of climate change and globalization on infectious disease transmission, continuous surveillance and proactive public health measures are essential to mitigate future outbreaks. Physicians should remain vigilant for melioidosis and leptospirosis, particularly after typhoons and among travelers returning from affected regions.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.25-0074","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T15:39:50Z","timestamp":1761233990000},"page":"1341-1344","source":"Crossref","is-referenced-by-count":3,"title":["Unprecedented Surge of Melioidosis after Typhoon Events in Taiwan 2024"],"prefix":"10.4269","volume":"113","author":[{"given":"Yu-Lin","family":"Tai","sequence":"first","affiliation":[{"name":"Hsinchu Municipal MacKay Children\u2019s Hospital, Hsinchu City, Taiwan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun-Long","family":"Weng","sequence":"additional","affiliation":[{"name":"Hsinchu Municipal MacKay Children\u2019s Hospital, Hsinchu City, Taiwan;"},{"name":"MacKay Medical College, New Taipei City, Taiwan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Tse","family":"Li","sequence":"additional","affiliation":[{"name":"Hsinchu Municipal MacKay Children\u2019s Hospital, Hsinchu City, Taiwan;"},{"name":"MacKay Medical College, New Taipei City, Taiwan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Ning","family":"Huang","sequence":"additional","affiliation":[{"name":"Hsinchu Municipal MacKay Children\u2019s Hospital, Hsinchu City, Taiwan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin","family":"Chi","sequence":"additional","affiliation":[{"name":"MacKay Medical College, New Taipei City, Taiwan;"},{"name":"MacKay Children\u2019s Hospital, Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan-Chang","family":"Chiu","sequence":"additional","affiliation":[{"name":"MacKay Medical College, New Taipei City, Taiwan;"},{"name":"MacKay Children\u2019s Hospital, Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Hsinchu Municipal MacKay Children\u2019s Hospital, Hsinchu City, Taiwan;"},{"name":"MacKay Medical College, New Taipei City, Taiwan;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Infect Public Health","first-page":"102560","article-title":"Resurgence of influenza and enterovirus infections in Taiwan post-COVID-19: A nationwide surveillance study","volume":"17","author":"Chiu","year":"2024"},{"key":"b2","series-title":"Am J Trop Med Hyg","first-page":"849","article-title":"Clinical and microbiological profile of melioidosis in a tertiary care hospital in Kerala, India","volume":"112","author":"Vijayakumar","year":"2025"},{"key":"b3","series-title":"Nat Rev Microbiol","first-page":"155","article-title":"Burkholderia pseudomallei and melioidosis","volume":"22","author":"Meumann","year":"2024"},{"key":"b4","series-title":"PLoS Negl Trop Dis","first-page":"e0003834","article-title":"Airborne transmission of melioidosis to humans from environmental aerosols contaminated with B. pseudomallei.","volume":"9","author":"Chen","year":"2015"},{"key":"b5","series-title":"Lancet Infect Dis","first-page":"892","article-title":"Global burden of melioidosis in 2015: A systematic review and data synthesis","volume":"19","author":"Birnie","year":"2019"},{"key":"b6","series-title":"Am J Trop Med Hyg","first-page":"1215","article-title":"Expanding the geographic boundaries of melioidosis in Queensland, Australia","volume":"108","author":"Gassiep","year":"2023"},{"key":"b7","article-title":"Taiwan National Infectious Disease Statistics System.","year":"2025"},{"key":"b8","article-title":"Climate Statistics.","year":"2024"},{"key":"b9","series-title":"J Travel Med","first-page":"taae031","article-title":"Cyclones and flooding in tropical northern Australia increase the risk of exposure to melioidosis","volume":"31","author":"Bauer","year":"2024"},{"key":"b10","series-title":"Am J Trop Med Hyg","first-page":"1081","article-title":"The expanding global footprint of Burkholderia pseudomallei and melioidosis","volume":"108","author":"Currie","year":"2023"},{"key":"b11","series-title":"Am J Trop Med Hyg","first-page":"187","article-title":"Leptospirosis after typhoon","volume":"86","author":"Lin","year":"2012"},{"key":"b12","series-title":"Semin Respir Crit Care Med","first-page":"111","article-title":"Melioidosis: Evolving concepts in epidemiology, pathogenesis, and treatment","volume":"36","author":"Currie","year":"2015"},{"key":"b13","series-title":"Curr Top Microbiol Immunol","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/978-3-662-45059-8_5","article-title":"Leptospirosis in humans","volume":"387","author":"Haake","year":"2015"},{"key":"b14","series-title":"Epidemiol Infect","first-page":"415","article-title":"The occurrence of melioidosis is related to different climatic conditions in distinct topographical areas of Taiwan","volume":"142","author":"Mu","year":"2014"},{"key":"b15","series-title":"Curr Trop Med Rep","first-page":"185","article-title":"The role of climate in the epidemiology of melioidosis","volume":"4","author":"Merritt","year":"2017"},{"key":"b16","series-title":"J Travel Med","first-page":"taae039","article-title":"Travel-associated melioidosis: A narrative review","volume":"30","author":"Norman","year":"2023"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/6\/article-p1341.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/6\/article-p1341.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/6\/article-p1341.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:32:00Z","timestamp":1764768720000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/6\/article-p1341.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":16,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.25-0074","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,3]]}}}