Last updated: 8 Oct 2026 | 9 Views |
If you have been searching for "yellow eyes after a flood" or "how does hepatitis E spread", this guide is for you. Hepatitis E virus (HEV) inflames the liver and spreads mainly through drinking water and food contaminated with faeces, which is exactly the situation that develops when a riverside community stays under water for days. We use the flood in Moo 8 and Moo 9, Ban Pom subdistrict, Phra Nakhon Si Ayutthaya, in 2026 (B.E. 2569), where residents travelled by boat, to explain what the virus is, which symptoms to watch for, who is most at risk, how to protect your family, and why a professional disinfection spraying service from World Health Disinfection (WHD), carried out after the mud is removed, is a sensible final step before life returns to normal.
Note: this is a typical scenario based on situations that commonly occur in riverside communities after flooding. It is not the account of any specific person.
Auntie Noi lives in a raised wooden house on the bank of the Chao Phraya River in Moo 9, Ban Pom. During the Ban Pom flood of 2026 the water rose above the open ground floor and into the lower rooms. Every morning her son paddled out to buy food at the end of the lane, and the family's fighting cocks were moved onto a raft the neighbours had lashed together. Her biggest worry was not the soaked furniture. It was the toilet that no longer worked, the water jars that had been flooded to the rim, and the brown water flowing past the house every day, carrying rubbish, leaves and a smell that made it clear sewage was in it.
In situations like this many families simply use whatever water they have. They wash dishes and vegetables with it, and sometimes drink it when the bottled water runs out, because getting more means a long trip by boat. Nothing may happen that day. But some viruses take weeks to cause illness, and hepatitis E is one of them. People may start to feel tired, lose their appetite and feel sick, then notice urine the colour of strong tea or a yellow tinge in their eyes long after the water has gone, without connecting it to the flood at all.
According to MGR Online on 5 October 2026 (B.E. 2569), the riverside community in Moo 8 and Moo 9 of Ban Pom subdistrict, Phra Nakhon Si Ayutthaya district, Ayutthaya province, was flooded to a depth of about 1 to 2 metres, with the water holding steady at around 1.2 to 1.5 metres. Moo 9 alone has about 80 households, roughly 250 people. Residents had to use boats to get around, and some built rafts to keep their fighting cocks above the water. The report attributed the flooding to the Chao Phraya Dam releasing water at 2,500 cubic metres per second.
The national picture was just as serious. Data from the Department of Disaster Prevention and Mitigation as of 06.00 on 7 October 2026, published by the Government Public Relations Department, showed 27 provinces plus Bangkok affected, covering 123 districts, 984 subdistricts and 1,154,875 households, or more than 3.1 million people. The 2026 floods were not a local problem for Ban Pom alone; they created a hygiene challenge across a large part of the country.
At least three features of the Ban Pom flood in 2026 matter directly for hepatitis E. First, the water was deep and stayed for days, so septic tanks and pit toilets could not work and their contents could mix with the water around homes. Second, travelling by boat makes it much harder to get clean drinking water. Third, the community sits on a river, so the floodwater was flowing and carried contamination from upstream communities too. These are the conditions in which germs spread by the faecal-oral route travel most easily.
Hepatitis E virus is a small RNA virus without a fatty outer envelope. Once swallowed, it multiplies in liver cells and causes acute hepatitis. The World Health Organization (WHO) describes hepatitis E as a worldwide disease that is most common where safe water and sanitation are limited, and notes that outbreaks often follow contamination of drinking water supplies, including after floods and other disasters.
A common question is "is hepatitis E dangerous?" For most healthy people the illness clears on its own within a few weeks, and many infected people never notice any symptoms. However, it can become severe in certain groups, particularly women in the later stages of pregnancy, people with existing chronic liver disease, and people with weakened immune systems, who can develop acute liver failure or a long-lasting infection. Tiredness after a flood should therefore not always be dismissed as simple exhaustion.
What makes hepatitis E especially relevant after a flood is its long incubation period, usually around 2 to 10 weeks, with an average of about 5 to 6 weeks. Someone infected during the Ban Pom flood in 2026 might fall ill only when everything seems to be back to normal. Infected people can also shed the virus in their stools before they feel unwell, so they may pass it to others at home without knowing, if the bathroom or their hands are not kept clean.
The main route for hepatitis E is faecal-oral, and a flood opens that route wide. Picture a riverside community under more than a metre of water for days. Septic tanks and pit latrines are submerged, so waste floats out into the water around the houses. That water flows under raised floors, seeps into storage tanks that are not tightly covered, and soaks the pots, chopping boards and plates kept on the lower level.
The most common pathways after a flood include:
Searches such as "yellow skin after flood", "dark urine like tea" or "tired and no appetite after floodwater" are signals worth taking seriously. Hepatitis E usually begins with vague symptoms and then shows signs of liver inflammation. Common symptoms include:
These symptoms overlap with other illnesses common after floods, such as hepatitis A and leptospirosis, which can also cause fever and jaundice. Telling them apart requires a doctor and blood tests, not guesswork. If you or anyone at home develops yellow eyes or skin, dark urine or unusual exhaustion in the weeks after a flood, see a doctor and mention that you were in a flooded area, used water of uncertain quality, or waded through floodwater.
Go to hospital immediately if someone becomes drowsy or confused, vomits so much they cannot keep anything down, bleeds unusually, turns yellow quickly, or is pregnant and has any jaundice at all. Do not take fever medicine or herbal remedies on your own without medical advice, because some medicines put extra strain on an inflamed liver.
A community like Moo 8 and Moo 9, Ban Pom in 2026 includes elderly residents, children and adults who wade through water every day. These groups need extra care:
Young children often have mild or no symptoms but can still shed the virus in their stools, so careful handling of nappies and potties, and handwashing by carers, matter just as much.
When we talk about hepatitis E at home, we do not mean the virus floats in the air or waits on walls. We mean traces of sewage and mud left on surfaces, which hands touch and later carry to the mouth. In a raised riverside house like those in Ban Pom in 2026, focus on:
These are the areas WHD technicians prioritise during survey and zoning, so that high-touch surfaces are not missed.
Many families blast the mud out with a hose, mop with scented floor cleaner and call it done. That makes a big visible difference, but it leaves gaps:
Cleaning is essential and always comes first. The final step that closes the gaps is systematic surface disinfection with a medical-grade product, applied by trained technicians.
The US Centers for Disease Control and Prevention (CDC) advises that after a flood, surfaces touched by floodwater should first be cleaned with clean water and soap or detergent, and then disinfected, with special attention to food-contact surfaces and children's toys. Porous items that cannot be cleaned, such as mattresses, carpets and soft toys, should usually be thrown away. WHO stresses that the best protection against hepatitis E is safe drinking water, proper disposal of human waste and handwashing.
An honest note: hepatitis E virus is not on the list of organisms that WHD's web pages state have been tested. According to the product information, CHEMGENE HLD4H covers viruses, bacteria and fungi, with listed organisms including SARS-CoV-2 (COVID-19), RSV, influenza H1N1, H5N1, norovirus and hand, foot and mouth disease virus. Hepatitis E belongs to the virus group the product says it covers, but we do not claim a specific test result against it. If you need test data for a particular organism, please ask the WHD team directly. And to repeat: the most important defences against hepatitis E are safe drinking water, properly cooked food and handwashing. Disinfection spraying supports overall surface hygiene at home; it does not replace these measures.
World Health Disinfection (WHD) provides disinfection spraying for homes, buildings and businesses. According to the service information, trained technicians spray and/or use ULV (Ultra Low Volume) fogging, a fine mist that reaches corners and crevices well. The disinfectant is CHEMGENE HLD4H, a medical-grade disinfectant from the United Kingdom containing Benzalkonium Chloride and Didecyldimethylammonium Chloride.
The service page states that the product covers viruses, bacteria and fungi, listing organisms such as COVID-19, RSV, H1N1, H5N1 and hand, foot and mouth disease virus, with a claimed effectiveness of 99.99%. It also lists approvals and references from Thailand's Department of Medical Sciences, Mahidol University, NHS England and the EN 14476:2013+A2:2019 standard. Customers include hospitals, schools, shopping malls, airports, offices, airlines, banks and residential buildings.
For upcountry communities like Ban Pom, Ayutthaya in 2026, note that WHD is based in Bang Khae, Bangkok 10160 and has no local branch. Jobs outside Bangkok are arranged by phone and LINE. The team assesses the site and access first, because some areas must wait for the water to fall and roads to reopen, so we cannot promise same-day service.
We do not claim the product leaves no residue. After re-entry, open windows to ventilate and rinse food containers with clean water before use. Under the current promotion on the website, customers receive a free CHEMGENE spray bottle and WELLGIENIC wet wipes with the service, and a tax invoice is available. Pricing depends on area size and site conditions, so please contact the team directly.
Mainly by swallowing water or food contaminated with an infected person's faeces, or by eating undercooked pork or pig liver. It is not spread through the air. Floods raise the risk because water supplies and utensils are more likely to be contaminated.
Tiredness, mild fever, poor appetite, nausea and pain under the right ribs, followed in some people by dark urine, pale stools and yellow eyes or skin. Many infections cause no symptoms.
Most healthy people recover within weeks, but pregnant women, people with liver disease and people with weak immunity can become seriously ill and need medical care. Do not self-medicate.
About 2 to 10 weeks, averaging around 5 to 6 weeks, so keep watching for symptoms well after the water is gone.
Drink boiled or bottled water, eat cooked food, wash hands often with soap, manage human waste properly, clean the house, then disinfect kitchen and bathroom surfaces.
We do not claim a specific test result against hepatitis E. CHEMGENE HLD4H is stated to cover viruses, bacteria and fungi; ask WHD if you need organism-specific test data. Spraying supports surface hygiene, while safe water and handwashing remain the main defences.
According to the service information, after about 30 minutes, following the technician's on-site instructions. People and pets must stay out of the zone during spraying.
WHD is based in Bang Khae, Bangkok, with no Ayutthaya branch, but books upcountry jobs by phone on 065-556-6294 or LINE @whd268 after assessing the site and access.
Mud cleared, but still unsure about the kitchen, bathroom and the surfaces everyone touches? Talk to the WHD team and send photos for an assessment first.
Book Post-Flood Disinfection Spraying
Call 065-556-6294 | LINE @whd268
World Health Disinfection, Bang Khae, Bangkok 10160. Upcountry jobs arranged by phone and LINE.
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