00:00It's the quiet killer lurking in Top End Gardens, an infectious disease found in soil and water.
00:10These bacteria, they evolved here in northern Australia, they're part of our nature, they're
00:14part of our environment, they have a role in the environment to do with plants and things
00:20like that where we as humans are incidental.
00:23Darwin is the frontier for miliodosis research and this week played host to a congress of
00:29international experts in the field.
00:32The big takeaways are that there are advancements in the treatment of miliodosis which is really
00:36good so more people are living longer. When they get infected there used to be a high
00:40mortality rate but that's been reduced as well as people identifying it in the environment
00:45as well as in clinical settings.
00:47The disease is now spreading to new areas with outbreaks in Hong Kong this week and
00:52even cases detected in Mississippi in the US.
00:56We had previous human cases but that was the first time that it had been isolated from
01:01the environment in the main continental United States and so that's sort of changed the
01:06dynamic there.
01:09International researchers looking to Australia for advice on how to tackle the dirt disease.
01:14I've done environmental sampling in Puerto Rico, the US Virgin Islands and the main part
01:19of the US but I learned here at Menzies School of Health Research.
01:24Primary scientists have driven down mortality rates but the disease is still a threat and
01:30this year's early rain brings an increased risk.
01:33We actually instituted some of our miliodosis preventative work in our emergency department
01:40in the hospital and in the laboratory we actually switched to a wet season type of protocol
01:46we call it to be really on the lookout.
01:50A reminder to take precautions where you can, wearing gloves and closed toe shoes and
01:55keep an eye out for any symptoms if dirt gets in cuts or wounds.
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