@article{102028,
  keywords = {Australia, Buruli ulcer, Melbourne, Mycobacterium ulcerans, Bacteria, endemic, Epidemiology, Tuberculosis and other mycobacteria},
  author = {Ravindran B and Hennessy D and O'Hara M and Tay E and Banuve R and McVernon J and Carville K},
  title = {Epidemiology of Buruli Ulcer in Victoria, Australia, 2017-2022.},
  abstract = {<p>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.</p>
},
  year = {2025},
  journal = {Emerging infectious diseases},
  volume = {31},
  pages = {448-457},
  month = {03/2025},
  issn = {1080-6059},
  url = {https://pmc.ncbi.nlm.nih.gov/articles/PMC11878321/pdf/24-0938.pdf},
  doi = {10.3201/eid3103.240938},
  language = {eng},
}