Buruli ulcer: a new case definition for Victoria

Author:

Betts Juliana M1,Tay Ee Laine2,Johnson Paul D R3,Lavender Caroline J4,Gibney Katherine B5,O'Brien Daniel P6,Globan Maria4,Tzimourtas Nectaria2,O'Hara Miriam A2,Crouch Simon R2

Affiliation:

1. Victorian Government Department of Health and Human Services; School of Public Health and Preventive Medicine, Monash University, Melbourne

2. Victorian Government Department of Health and Human Services

3. Department of Infectious Diseases, Austin Hospital, Melbourne

4. Mycobacterium Reference Laboratory, Victorian Infectious Diseases Reference Laboratory (VIDRL), at the Peter Doherty Institute for Infection and Immunity, Victoria, 3000, Australia

5. Victorian Government Department of Health and Human Services; Department of Infectious Diseases, Austin Hospital, Melbourne; The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Victoria, 3000, Australia

6. Department of Infectious Diseases, University Hospital, Geelong; Department of Medicine and Infectious Diseases, Royal Melbourne Hospital, University of Melbourne, Melbourne

Abstract

Laboratory-confirmed infection with Mycobacterium ulcerans is currently notifiable to health departments in several jurisdictions. Accurate surveillance is imperative to understanding current and emerging areas of endemicity and to facilitate research into a neglected tropical disease with poorly-understood transmission dynamics. The state of Victoria currently reports some of the highest numbers of M. ulcerans cases in the world each year, with 340 cases notified in 2018 (an incidence of 5.5 per 100,000 population). In May 2019, a group of clinical, laboratory and public health experts met to discuss a new case definition for the surveillance of M. ulcerans disease in Victoria, incorporating clinical and epidemiological elements. The new case definition supports important public health messaging and actions for residents and visitors to popular tourist areas in Victoria.

Publisher

Australian Government Department of Health

Subject

General Medicine

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