TABLE 1.

Worldwide distribution of melioidosis based on reported cases

Level of evidenceCountry (reference[s])
Endemic; multiple case series describedNorthern Australia (24, 111), Thailand (74, 267), Singapore (191, 272, 424), Malaysia (345), Burma (475), Vietnam (97, 204)
Possibly endemic; multiple cases, significant numbers ofSouthern China (499, 501), Hong Kong Special Administrative Region (170,
    exported cases397, 398), Brunei (130), PDR Laos (329; P. Newton, personal communication), Cambodia (9, 68), Taiwan (40, 205, 262-264)
Epidemic; limited outbreakAruba (Netherland Antilles) (421), France (130), Brisbane River Valley (Queensland, Australia) (236, 374)
Sporadic case reportsAsia
    India (43, 44, 122, 224, 231, 348), Indonesia (39, 120, 341, 370), Bangladesh (122, 201, 239, 300, 414), Japan (16), Philippines (120), Pakistan (122), Sri Lanka (452)
Americas and Caribbean
    Guadeloupe (327), Martinique (320), Puerto Rico (94, 146), Equador (45), Panama (296), El Salvador (45, 130), Haiti (130), Brazil (301, 378), Costa Rica and Colombia (O. Dance, personal communication), Venezuela (M. C. Redondo, Abstr. 11th Int. Conf. Infect. Dis. abstr. 58.026, 2004)
Pacific
    Guam (302), Fiji (100; B. J. Currie and M. Lowe, unpublished data), Papua New Guinea (112, 132, 240, 362, 469), New Caledonia (S. Hello, personal communication)
Africa and Middle East
    Iran (131, 339), Uganda (130), Sierra Leone (130), The Gambia (130), Madagascar (130), Kenya (49)
Unconfirmed identification, uncertain travel history, orAsia-Pacific
    serological evidence only    Korea (130), Hawaii (323), East Timor (P. Armstrong, personal communication)
Europe
    Spain (130), Germany (130)
Africa and Middle East
    United Arab Emirates (118), Saudi Arabia (118), Egypt (130), South Africa (451), Turkey (130), Egypt (130), Niger (153), Burkina Faso (Upper Volta) (130)
Americas
    Mexico (35), United States (38, 150, 164, 228, 295)
Isolates from environment onlyItaly (504), Peru (130), Côte d'Ivoire (130), Reunion Island (130), Haiti (130)