Amoebic Dysentery in Northeastern Thailand: Contributing Factors in Border Provinces (2019-2023)

Abstract

Background: We investigated the contributing factors of amoebic dysentery across five provinces in Northeastern Thailand from 2019 to 2023. Comprehensive data were collected regarding agricultural practices, disaster impacts, and demographic characteristics for Sisaket, Ubon Ratchathani, Yasothorn, Amnat Charoen, and Mukdahan. Methods: Overall, 1,112 cases of amoebic dysentery were analyzed, revealing a higher prevalence among males in younger age groups, while females dominated in older co-horts. Sisaket reported the highest number of cases, followed by Ubon Ratchathani, Amnat Charoen, Yasothorn, and Mukdahan. Notably, Sisaket demonstrated the highest in-cidence rate of 10.28 cases per 100,000 population, compared with Ubon Ratchathani's 5.27 cases. Results: The study highlights the interplay between environmental factors, agricultural practices, and sociodemographic characteristics, emphasizing how high disaster impact and reliance on natural agriculture may facilitate amoebic dysentery transmission. The findings underscore the importance of tailored public health interventions to mitigate the disease burden, particularly in vulnerable populations. Future research should focus on pinpointing specific factors driving the observed variations in disease prevalence across the region. Conclusion: This study serves as an essential resource for policymakers and public health officials aiming to enhance amoebic dysentery management strategies in Northeastern Thailand.