A concerning health issue is emerging along Australia’s coastline, as the Buruli ulcer, known for its flesh-eating properties that can lead to severe disfigurement, shows signs of spreading. This ulcer has been present in Australia since the 1940s, primarily affecting the Northern Territory and far-north Queensland. However, a significant increase in cases in Victoria, with nearly daily reports, along with new instances in a coastal town of southern New South Wales (NSW), is raising alarms among researchers.
Recent analysis has suggested that Buruli ulcer has become endemic in Batemans Bay, a town about 110 kilometers southeast of Canberra. Researchers examined the town’s two recorded cases from 2021 and 2023 and analyzed 27 samples of possum feces, as possums are considered the primary reservoir for the bacteria that cause the ulcer. Mosquitoes are thought to play a crucial role in transmitting the bacteria to humans.
The researchers from various Australian health regions noted that the new cases in Batemans Bay might indicate a potential expansion of the disease in NSW, similar to the situation in Victoria. The analysis confirmed the presence of the ulcer-causing bacteria in local possums, although the strain found in Batemans Bay differs from that in the more endemic areas of Victoria.
Buruli ulcer typically starts as a lesion resembling an insect bite, with the potential to develop into an extensive ulceration if not promptly diagnosed and treated. In one case from Batemans Bay, a 94-year-old man’s finger was amputated due to severe infection from a large skin lesion.
The similarities in wildlife and insect populations between coastal Victoria and southern NSW point to a likely increase in ulcer-endemic regions for NSW health authorities. However, researchers are still trying to understand the sporadic occurrence of cases across various locations that can be hundreds of kilometers apart.
While this news is concerning, it presents an opportunity for increased vigilance and research into effective prevention and treatment measures. Public health officials and researchers are now more focused on understanding the underlying factors contributing to the spread of this disease, which may ultimately lead to better management and mitigation strategies.
In summary, the emergence of Buruli ulcer as an endemic issue in southern NSW reflects broader public health challenges but also underscores the importance of collaboration in research to combat infectious diseases.

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