Last updated: 5 Oct 2026 | 1 Views |
Shigella is the bacterium behind bacillary dysentery, known in Thai as "bit mai mi tua". What makes it so worrying after a flood is how little it takes to make someone ill. According to the US Centers for Disease Control and Prevention (CDC), swallowing only a small number of Shigella germs can cause infection. A fingertip that touched a toilet rim, a toy that floated in flood water or a nappy changed on a damp floor matters far more than people expect. This guide looks at Shigella through the eyes of families in Sena district, Phra Nakhon Si Ayutthaya, after the 2026 floods: how it spreads, its symptoms, who is most at risk, and where a professional disinfection spraying service fits, after the mud is gone and after soap and water have done their job.
This example case is built from situations that commonly follow floods. It is not the story of any particular family.
Aunt Daeng lives with her daughter, son-in-law and two-year-old grandson in a single-storey house in Sena. This year the water came faster and higher than expected. As Thairath reported in October 2026, homes in Sena flooded nearly 1 metre deep and residents had to build their floors up to escape the water until they were almost touching the roof. Aunt Daeng's family was one of them. Everyone slept, ate and looked after the toddler on a raised wooden platform squeezed under the roof.
The hardest part was not the cramped space. It was the bathroom. It was under water and the toilet could not be used. The family relied on sanitation bags and a plastic bucket. Clean water for hand washing was scarce because it had to be saved for drinking and cooking. The baby's nappies were changed on the same platform where the family ate.
When the water began to fall, they came down to floors covered in mud, a waist-high tide line on the walls and a bathroom that smelled of the septic tank. On the third day the grandson developed a fever, frequent loose stools and cramps. His mother noticed mucus in the stool and took him straight to hospital. The doctor said they would need to wait for the stool test and told the whole family to wash their hands carefully with soap, because some diarrhoeal diseases pass through a household very easily. After that, Aunt Daeng began to see her home differently.
Only reported facts are used here, to give context.
The picture of people living just under the roof says a lot about hygiene. When a whole family spends days on a small raised platform, keeping eating, sleeping and toileting areas apart is almost impossible, and clean water for hands runs short. Those are ideal conditions for diseases that spread from faeces to mouth, such as Shigella dysentery. The risk does not end when the water goes down, because germs left in mud and on surfaces are still waiting for the next hand.
Shigella is a rod-shaped Gram-negative bacterium that causes shigellosis, or bacillary dysentery. Thai speakers call it "dysentery without a creature" to tell it apart from amoebic dysentery, caused by the parasite Entamoeba histolytica. Both can cause stools with mucus or blood, but they are different organisms and need a doctor's diagnosis.
There are four main species: Shigella dysenteriae, Shigella flexneri, Shigella boydii and Shigella sonnei. All infect humans. The bacteria invade the lining of the large intestine, causing inflammation and small ulcers. That is why mucus and blood can appear in the stool, and why patients feel a constant urge to pass stool even when there is nothing left.
Shigella's defining feature is its very low infectious dose. CDC explains that swallowing only a small number of germs can make a person sick, unlike some germs that need a large dose. In practice, the invisible trace on a fingertip may be enough. That is why dysentery spreads readily in crowded homes, childcare centres and temporary shelters, all of which are common during floods.
CDC also reports that Shigella resistant to several antibiotics is becoming more common. This is not meant to frighten anyone. It underlines that preventing infection in the first place is valuable, and that antibiotics should never be self-prescribed; leave that to a doctor.
Shigella travels from faeces to mouth, through hands, food, water or objects. Floods open many routes at once.
In a house that flooded nearly 1 metre deep, every surface below that line sat in water that may have contained faeces. Pay special attention to the whole bathroom, especially the toilet bowl, flush handle, bidet spray, water scoop and floor around the toilet. Then the floors where children crawl or play, door handles, low kitchen cupboards, the dining table, table and bed legs, and plastic toys that floated around. The raised platform the family lived on may not have flooded, but after days of eating, sleeping and changing nappies there, it needs thorough cleaning too.
According to CDC, symptoms usually start one to two days after infection and often last about seven days. Common symptoms include:
Some people have mild symptoms or none, yet can still pass the germ on. That is why hygiene at home must involve everyone, not only the person who is ill.
Anyone with diarrhoea after a flood should drink enough clean water and oral rehydration solution as advised by health workers, and see a doctor to find the cause. Do not take anti-diarrhoea medicine or antibiotics on your own. This article is not treatment advice. In an emergency, call 1669.
Less common complications include severe dehydration, bloodstream infection and, in some people, joint pain that develops later. Shigella dysenteriae type 1 is also linked to a rare kidney complication. These are all reasons why bloody diarrhoea always needs a doctor.
Many households in Sena are extended families with babies and grandparents under one roof, so hygiene after the flood protects the most vulnerable members first.
CDC and WHO set out the same order: remove mud, wash with clean water and detergent, disinfect surfaces that touched flood water, and dry. With a germ like Shigella, where a tiny dose is enough, how thoroughly surfaces are covered matters as much as the strength of the product.
Before discussing spraying, it must be said clearly. The most important weapon against Shigella is washing hands with soap and clean water. No service replaces that habit.
Once hand washing is a habit, the remaining problem is the large area of surfaces that sat in flood water, which cloth wiping rarely covers fully. The disinfection spraying service from World Health Disinfection (WHD) is built for that job. According to the service page, trained technicians spray and/or use ULV (Ultra Low Volume) fogging, turning the disinfectant into a fine mist that reaches the flooded part of walls, the undersides of furniture, door gaps and wide floor areas quickly.
The product is CHEMGENE HLD4H, a medical-grade disinfectant from the United Kingdom. According to the product information, it contains Benzalkonium Chloride and Didecyldimethylammonium Chloride.
According to the product and service information, CHEMGENE HLD4H is broad-spectrum against viruses, bacteria and fungi. The website lists SARS-CoV-2 (COVID-19), Human Coronavirus 229E, RSV, influenza H1N1 and H5N1, HIV, norovirus, hand-foot-and-mouth virus, vaccinia virus, mycobacteria, Salmonella and Bordetella pertussis (whooping cough), plus bacteria and fungi in general. The service page claims 99.99% efficacy; the product page states 99.85% against COVID-19 within one minute. The service page also lists the Department of Medical Sciences, Mahidol University, NHS England and EN 14476:2013+A2:2019. For families with small children, it is worth noting that the list includes norovirus and hand-foot-and-mouth virus, which also spread by hands and surfaces, and Salmonella, another gut bacterium.
Shigella is not among the organisms the website lists with a specific test result. We do not claim any tested kill result for it. What can be said is that Shigella is a bacterium, part of the bacteria group the product says it covers, and that WHO and CDC recommend cleaning and then disinfecting surfaces contaminated by flood water. Childcare centres, schools and organisations that need test data for Shigella specifically can ask WHD directly.
Spraying always follows mud removal. It does not replace cleaning, and we do not claim it leaves no residue, which is why people leave during spraying and follow the re-entry time.
This comparison describes the process, not laboratory results.
An illustrative example to explain the process. Names and details are fictional.
Teacher Noi runs a small community childcare centre in Sena district. Water entered the single-storey building up to table height, ruining nap mats, toys and picture books. Parents wanted it open quickly so they could return to work, but Noi knew childcare centres are among the easiest places for dysentery to spread.
Teachers and parents shovelled out mud, threw away mats, soft toys and wet books, washed tables, chairs and plastic toys with detergent, and scrubbed the children's toilets and sinks. Only then did they book a spraying team, which focused on the children's bathroom, the nappy-changing corner, classroom floors, door handles and dining tables. Everyone waited outside, returned at the time given and wiped the dining tables as advised before use.
Before reopening, Noi posted hand-washing steps at the sinks, added hand-washing time before meals and after the toilet, and asked parents to keep children with diarrhoea or fever at home and see a doctor. Spraying, she said, was only one step among many, but it reassured parents that nothing had been skipped.
What is the difference between bacillary and amoebic dysentery?
Bacillary dysentery is caused by Shigella bacteria; amoebic dysentery by an amoeba. Both can cause mucus or blood in the stool, but diagnosis and treatment differ, so see a doctor.
If one person has dysentery, will others catch it?
Easily, because a small dose is enough. Washing with soap after the toilet and before eating, separate towels and frequent bathroom cleaning greatly reduce spread.
Does CHEMGENE definitely kill Shigella?
The website lists no specific test result for Shigella, so no figure should be claimed. Shigella is a bacterium, part of the group the product says it covers. Ask WHD for specific test data.
After spraying, can we wash our hands less?
No. Spraying treats surfaces at a point in time, but hands touch new things constantly. Soap and water remain the first line of defence.
Do we need to clean before spraying?
Always. Mud blocks the disinfectant from reaching surfaces; CDC and WHO advise cleaning first, then disinfecting.
When can young children come back in?
After the re-entry time the technicians give, about 30 minutes according to the service page. Open windows and wipe surfaces children may mouth as advised.
Has your Sena home been cleared of mud? Let our technicians complete the disinfection step before the little ones play on the floor again.
Book Post-Flood Disinfection SprayingCall 065-556-6294 · LINE @whd268 · worldhealthdisinfection@gmail.com
This article provides general health information, not a diagnosis or treatment advice. Anyone who feels unwell should see a doctor. Product efficacy information is attributed to the product and service pages on the provider's website.
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