Epidemiology of Buruli Ulcer in Victoria, Australia, 2017-2022.

Epidemiology of Buruli Ulcer in Victoria, Australia, 2017-2022.

Publication date: Mar 01, 2025

Buruli ulcer (BU) is a rare, neglected tropical disease caused by Mycobacterium ulcerans that can lead to severe skin ulcers. To determine the epidemiology of BU in Victoria, Australia, during 2017-2022 we analyzed surveillance data. A total of 1,751 cases of BU were notified; 968 (55%) patients were male and 781 (45%) female (2 were missing sex data), and 984 (56%) resided in established BU-endemic areas, although an increasing number were in new BU-endemic areas. Most cases (83%, 1,301) were classified as category I. Multivariate modeling demonstrated that factors for severe BU included being male, being older, and living in a new BU-endemic or non-BU-endemic area. A relatively shorter interval between first visit to a clinician and receipt of diagnosis was protective against severe disease. The expansion of BU-endemic areas throughout Victoria remains a public health concern and calls for targeted action, particularly for patients and clinicians in new BU-endemic areas.

Concepts Keywords
Australia Adolescent
Disease Adult
Mycobacterium Aged
Australia
bacteria
Buruli Ulcer
Buruli ulcer
Child
Child, Preschool
endemic
epidemiology
Female
History, 21st Century
Humans
Infant
Male
Melbourne
Middle Aged
Mycobacterium ulcerans
Mycobacterium ulcerans
Victoria
Young Adult

Semantics

Type Source Name
disease MESH Buruli Ulcer
disease MESH neglected tropical disease
disease MESH skin ulcers
disease IDO bacteria
disease IDO history
disease MESH tuberculosis
pathway KEGG Tuberculosis

Original Article

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