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Melioidosis–a disease of socioeconomic disadvantage

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  • Josh Hanson
  • Simon Smith
  • James Stewart
  • Peter Horne
  • Nicole Ramsamy

Abstract

Background: There is growing recognition of the contribution of the social determinants of health to the burden of many infectious diseases. However, the relationship between socioeconomic status and the incidence and outcome of melioidosis is incompletely defined. Methods: All residents of Far North Queensland, tropical Australia with culture-proven melioidosis between January 1998 and December 2020 were eligible for the study. Their demographics, comorbidities and socioeconomic status were correlated with their clinical course. Socioeconomic status was determined using the Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-economic Disadvantage score, a measure of socioeconomic disadvantage developed by the Australian Bureau of Statistics. Socioeconomic disadvantage was defined as residence in a region with a SEIFA score in the lowest decile in Australia. Results: 321 eligible individuals were diagnosed with melioidosis during the study period, 174 (54.2%) identified as Indigenous Australians; 223/321 (69.5%) were bacteraemic, 85/321 (26.5%) required Intensive Care Unit (ICU) admission and 37/321 (11.5%) died. 156/321 (48.6%) were socioeconomically disadvantaged, compared with 56603/269002 (21.0%) of the local general population (p

Suggested Citation

  • Josh Hanson & Simon Smith & James Stewart & Peter Horne & Nicole Ramsamy, 2021. "Melioidosis–a disease of socioeconomic disadvantage," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 15(6), pages 1-14, June.
    • Handle: RePEc:plo:pntd00:0009544
    DOI: 10.1371/journal.pntd.0009544
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