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James Josh  Fact checked by:Thailand Medical News Team Apr 03, 2024  6 months, 1 week, 1 day, 1 hour, 49 minutes ago

Thailand’s Medical Authorities Warns Thais Planning Travel To Japan To Be Wary Of Growing Streptococcal Infections Causing STSS

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Thailand’s Medical Authorities Warns Thais Planning Travel To Japan To Be Wary Of Growing Streptococcal Infections Causing STSS
James Josh  Fact checked by:Thailand Medical News Team Apr 03, 2024  6 months, 1 week, 1 day, 1 hour, 49 minutes ago
Thailand Medical: Officials from the Division of General Communicable Diseases, Department of Disease Control have issued advisories to Thais planning to travel trips and holidays to Japan to be wary of the growing number of infections involving the invasive group A streptococcal disease (iGAS) that are rising across Japan including in various tourist sites popular with Thais.
https://ddc.moph.go.th/brc/news.php?news=42075
 

Thailand’s Medical Authorities Warns Thais Planning Travel To Japan To
Be Wary Of Growing Streptococcal Infections Causing STSS


Many of these infections in Japan are resulting in what is known as Streptococcal toxic shock syndrome or STSS and are even causing fatal outcomes.
 
Understanding Streptococcal Toxic Shock Syndrome (STSS)
Streptococcal toxic shock syndrome (STSS) is an infrequent yet severe infection typically caused by Group A Streptococcus bacteria, commonly found in the throat and on the skin. Invasive cases occur when these bacteria penetrate deeper tissues, releasing toxins into the bloodstream. This process triggers severe inflammation, potentially leading to shock and multiple organ failure. The infection primarily spreads through large droplets and contact with infected secretions like saliva and mucus.
 
The symptoms of STSS start with flu-like indications such as high fever, chills, and body aches, progressing rapidly within 24 to 48 hours to include low blood pressure, rapid heartbeat, breathing issues, organ failure signs, blood clotting, tissue inflammation, a red rash, and sometimes neurological symptoms.
 
Current Situation in Japan
According to data from the National Institute of Infectious Diseases in Japan, the country witnessed 521 STSS cases between January 1 and March 17, 2024, with 335 cases attributed to Group A Streptococcus. Alarmingly, this figure surpasses the five-year average, with 77 reported deaths.
https://www.niid.go.jp/niid/ja/group-a-streptococcus-m/2656-cepr/12594-stss-2023-2024.html
 
https://www.niid.go.jp/niid/ja/group-a-streptococcus-m/group-a-streptococcus-iasrs/12461-528p01.html
Japanese authorities have urged vigilance among their citizens, emphasizing personal hygiene practices like handwashing, mask-wearing, and wound care to mitigate the spread of infections.
 
Travel Advisory for Thais
Thailand Medical officials from the Division of General Communicable Diseases have developed a list of guidelines for Thais planning a trip or holiday to Japan. Before embarking on a trip to Japan or any other location, Thai travelers are asked to take several precautions: r />  
-Pre-Trip Preparations:
Check the disease situation in your destination area via official channels.

Equip yourself with protective gear like face masks, hand sanitizers, and wound care items.
 
Consider purchasing travel insurance that covers medical emergencies.
 
-During the Trip:
Avoid crowded places to minimize exposure. Maintain strict personal hygiene, including frequent handwashing, mask usage, and covering coughs and sneeze
 
Monitor your health closely for any unusual symptoms. Seek medical attention immediately if symptoms like sore throat or fever arise.
 
-Special Caution for High-Risk Groups:
Elderly individuals, children, pregnant women, and those with underlying health conditions should exercise heightened caution.

Individuals with existing wounds or surgical sites should take extra care to prevent infections.
 
-Post-Travel Measures:
While no WHO travel restrictions are in place, travelers should remain vigilant and seek medical advice if they develop symptoms consistent with STSS. Inform healthcare providers about recent travel history if seeking medical attention post-travel.
 
Information for Healthcare Professionals and Public Health Officials
Given the rapid onset and severity of STSS symptoms, healthcare authorities must be vigilant, particularly regarding travelers returning from areas with reported cases. Rapid risk assessment and treatment initiation are crucial to prevent shock and curb disease spread. Public health agencies should collaborate closely to monitor and manage potential cases effectively.
 
Conclusion
Thailand’s medical authorities are actively monitoring the rising cases of STSS in Japan, especially concerning given the potential risks to Thai travelers. Vigilance, proactive measures, and timely medical intervention are key to safeguarding public health and mitigating the impact of infectious diseases during international travel. By staying informed and adhering to recommended precautions, travelers can help minimize their risk and contribute to global disease prevention efforts.
 
For the latest advisories or guidelines from the Division of General Communicable Diseases, keep on logging to Thailand Medical News.

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