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General News

9 November, 2026

Soil disease alert

CAIRNS Hospital infectious disease experts are leading new research into treatment of a potentially deadly tropical infection, while warning local residents of the increased risk as the wet season approaches.


At Cairns Hospital are (from left) melioidosis Dr Josh Hanson, patient William Misi and Dr Simon Smith. Picture: Cairns and Hinterland Hospital and Health Service
At Cairns Hospital are (from left) melioidosis Dr Josh Hanson, patient William Misi and Dr Simon Smith. Picture: Cairns and Hinterland Hospital and Health Service
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Dr Simon Smith and the team of clinicians and researchers have just published a study looking at the medication used to treat people who contract melioidosis, a bacterial infection spread through contact with contaminated soil, air or water.

It is typically found in tropical areas like Far North Queensland during the wet season.

There have been 39 confirmed cases of melioidosis in the Cairns and Hinterland region so far this year, with an annual average of around 53 cases.

Some of these patients have required treatment in the Intensive Care Unit. Last year 17 died from the disease.

Dr Smith said the study was looking at giving melioidosis patients longer courses of intravenous antibiotics and reducing the amount of oral medication, which can have serious side effects.

“Anyone who contracts melioidosis requires both types of antibiotics to ensure the infection doesn’t return,” he said.

“Unfortunately, around 50% of patients suffer side effects from the oral medication and most of them need to stop using them which increases their risk of re-infection.

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“With the wet season approaching we know we will likely see an increase in cases and this type of research is crucial to ensuring patients receive the best care possible.”

White Rock support worker William Misi contracted melioidosis last year and became part of Dr Smith’s study, which is the first randomised control trial involving the infection in Australia.

The 40-year-old said he thought he had “man flu” for several weeks before his condition deteriorated and he was brought to hospital in an ambulance with hallucinations and sharp pain in his liver.

“I thought someone had hit me with a pole,” he said.

“I wasn’t able to move and my wife told me afterwards that I said to her ‘let me sit here for five minutes before I die’.

“I take my hat off to Dr Smith and his team, they were right there to answer all my questions. The hospital staff were amazing.”

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