Last updated: 8 Oct 2026 | 10 Views |
Repeated loose stools, cramping stomach pain, nausea and sometimes fever, appearing after heavy rain leaves a lane full of standing water. Diarrhoea after a flood can come from many germs. One that few people have heard of, but doctors know well, is Plesiomonas (Plesiomonas shigelloides), a bacterium that lives in freshwater, fish and shellfish. This article uses the Rat Phatthana Road flood in Saphan Sung district, 2026 (B.E. 2569), on the stretch linking the Ramkhamhaeng area with Kheha Romklao, as a lesson. It explains what Plesiomonas is, how it spreads, its symptoms, who is at risk, how to prevent it, and why, once the water drains, clean-up should be finished with the disinfection spraying service from World Health Disinfection (WHD).
Note: this is a typical scenario compiled from situations commonly seen after urban floods. It is not the account of any real individual.
On the night of 1 October 2026 (B.E. 2569), heavy rain fell over eastern Bangkok. The next morning "Nok", who sells rice and curry, opened the door of her townhouse in a lane off Rat Phatthana Road in Saphan Sung and found the soi under water. Water from the drains had pushed up with litter and a foul smell. Her ground floor, which doubles as the kitchen where she prepares food to sell, had water seeping in under the door and up through the bathroom drain.
Nok and her husband lifted pots, ice boxes and ingredients to higher shelves. That day the family ate leftovers and used water from a bucket in the kitchen to rinse vegetables and dishes. Their nine-year-old son waded down the lane to a neighbour's house, then came back and grabbed a snack without washing his hands.
Two days later the boy had several bouts of loose stools, cramps and a low fever, and his father followed with nausea and diarrhoea. Nok took them both to a doctor, who explained that diarrhoea after a flood can be caused by many germs carried in sewage and contaminated food, from viruses to freshwater bacteria such as Plesiomonas. The doctor managed their symptoms, stressed fluids and oral rehydration salts to prevent dehydration, and arranged a follow-up. Both gradually improved.
Once the lane was pumped dry, Nok's biggest worry was not damaged belongings but the kitchen she needed to cook in again. Cooking for customers every day, she did not want to reopen until she was sure the kitchen was truly clean. Many homes and eateries in Saphan Sung faced the same question in 2026.
According to a Thai PBS report with information dated 2 October 2026 (B.E. 2569):
Nationally, according to the Department of Disaster Prevention and Mitigation (DDPM), as of 06:00 on 7 October 2026 and published through the Government Public Relations Department, floods affected 27 provinces plus Bangkok, 123 districts and 984 subdistricts, with 1,154,875 households, or more than 3.1 million people, affected.
The Saphan Sung flood of 2026 was not as deep as river floods upcountry, but it was a typical urban flood: rainwater mixing with drain water that often carries wastewater from homes, restaurants and markets. When it backs up into lanes and ground floors, it leaves grime and germs on surfaces, especially in kitchens and bathrooms.
Plesiomonas shigelloides is a Gram-negative, rod-shaped bacterium found in freshwater and surface water such as canals, ponds and marshes, as well as in freshwater fish, shellfish and other aquatic animals, and in some other animals. It is more common in tropical and subtropical regions and tends to be found more often in warm weather.
The name "shigelloides" comes from the fact that it shares some antigens with Shigella, the cause of bacillary dysentery. In some people, Plesiomonas diarrhoea can resemble dysentery, with mucus or blood in the stool.
Is Plesiomonas dangerous? In healthy people, the diarrhoea is usually mild and settles on its own within a few days to about a week. The main danger is dehydration, especially in young children and older adults. In people with weakened immunity, liver disease or other serious conditions, infections outside the gut, such as bloodstream infection, have been reported. These are uncommon but need urgent medical care.
Plesiomonas enters the body mainly through the mouth. Common routes include:
Several factors raised the risk of diarrhoea after the Rat Phatthana flood of 2026. Urban flooding often happens when drains cannot cope, so drain water mixed with sewage rises onto roads and into lanes. Areas that drain into canals hold a lot of surface water, a natural home for freshwater bacteria. The ground floors of townhouses and shophouses are often kitchens or shopfronts, so dirty water reaches food-preparation areas directly. And during floods, power cuts and difficult shopping mean many households eat leftovers or food stored longer than usual.
The Rat Phatthana area and Saphan Sung district include housing estates, townhouses, dormitories and roadside eateries. When many restaurants reopen at the same time after the water recedes, kitchen hygiene becomes a matter for the whole community, not just one household.
Symptoms usually begin within one to two days of exposure, though sometimes later. Common signs include:
Watch for dehydration: dry mouth, strong thirst, little or dark urine, dizziness and marked weakness. Young children may cry without tears, become drowsy, or have a sunken soft spot on the head.
See a doctor if there is blood in the stool, diarrhoea is too frequent to keep up with fluids, vomiting prevents eating or drinking, there is high fever or dehydration, diarrhoea lasts more than three days, or the person is a young child, older adult, pregnant or has a chronic illness. Tell the doctor about floodwater exposure or raw seafood. This article is not treatment advice; all medicines must be decided by a doctor.
Diarrhoea after a flood may also be caused by norovirus, rotavirus, Salmonella, E. coli or Shigella, and only a doctor and laboratory can identify the cause. Anyone with fever, calf pain or red eyes after wading should consider leptospirosis and see a doctor promptly.
When the pumps finish and the lane dries, germs from drain water do not simply leave with it. They stay in thin films of grime and in surfaces that remain damp, and in shophouses along Rat Phatthana Road in 2026 the most important places to check are these:
The costs add up: repeat illness at home, medical bills and lost income, time off to care for the sick, and for restaurants, reputation. If customers fall ill, years of trust can vanish in days.
WHO and the US CDC agree that surfaces touched by floodwater, especially food-contact surfaces, should be washed with clean water and soap or detergent first, and then disinfected. Food that touched floodwater should be thrown away, and drinking water must be safe, such as boiled or bottled water. The CDC also advises drying the home as quickly as possible, within 24 to 48 hours where feasible, to limit mould.
Thailand's Department of Disease Control promotes the familiar rule of eating hot food, using serving spoons and washing hands, and warns about diarrhoeal diseases during floods. These are the same habits that help prevent Plesiomonas.
WHD follows the same approach: disinfection spraying comes after cleaning. It does not replace cleaning, safe food choices or medical care.
According to the World Health Disinfection spraying service page, trained technicians spray and/or apply ULV (Ultra Low Volume) fogging using CHEMGENE HLD4H, a medical-grade disinfectant from the United Kingdom containing Benzalkonium Chloride and Didecyldimethylammonium Chloride.
According to the service and product information, it is broad-spectrum, covering viruses, bacteria and fungi. Organisms named on the website include COVID-19, RSV, influenza H1N1 and H5N1, hand-foot-and-mouth virus, norovirus, Salmonella, Bordetella pertussis and fungi. The service page states 99.99% effectiveness and lists approvals or endorsements from Thailand's Department of Medical Sciences, Mahidol University, NHS England and EN 14476:2013+A2:2019.
Being transparent about Plesiomonas: Plesiomonas shigelloides is not among the organisms named on WHD's web pages, so WHD makes no claim of a tested result against it. It is a bacterium, within the bacteria group the product states it covers, and WHO and CDC advise cleaning then disinfecting flood-contaminated surfaces. For test data on a specific organism, please ask the WHD team. Surface spraying does not make contaminated food or water safe: flood-touched food must be discarded and drinking water must be safe.
Customers listed on the service page include hospitals, schools, malls, airports, offices, airlines, banks and residential buildings. The promotion includes a free CHEMGENE spray bottle and WELLGIENIC wet wipes, and tax invoices are available, which suits restaurants and businesses around Rat Phatthana.
WHD is based in Bang Khae, Bangkok 10160. For disinfection in Saphan Sung or along Rat Phatthana Road in 2026, call or message on LINE first so the team can assess the site and book a suitable time.
Water and food
Hands and hygiene
Before and after spraying
A Gram-negative bacterium found in freshwater, fish and shellfish that causes diarrhoea from contaminated water or food, common in tropical regions.
Mainly through the mouth: raw shellfish or seafood, unsafe water, food that touched floodwater, or hands that touched floodwater.
With blood in the stool, diarrhoea faster than you can replace fluids, heavy vomiting, high fever, dehydration, diarrhoea over three days, or if the person is a young child, older adult, pregnant or chronically ill.
It usually settles on its own in healthy people, but dehydration is dangerous for children and older adults, and people with weak immunity or liver disease can rarely develop infections outside the gut needing urgent care.
Symptoms usually start within one to two days of exposure, sometimes later.
Drink safe water, discard flood-touched food, avoid raw seafood, cook thoroughly, wash hands often, and clean then disinfect the kitchen and bathroom once the water recedes.
WHD makes no organism-specific claim, as Plesiomonas is not on the website's list. It is a bacterium, within the group the product states it covers, and clean-then-disinfect is what WHO and CDC advise. Ask the team for test data.
The service information says about 30 minutes, but follow the technicians' re-entry time. Everyone leaves the zone during spraying.
It is safest to avoid raw or lightly cooked shellfish while waterways are contaminated. If you do eat seafood, buy it from a reliable source and cook it thoroughly until it is piping hot all the way through.
Reopen only after mud and sewage residue are washed off, flood-touched stock is discarded, the kitchen is dry, and the technicians' re-entry time has passed. Rinse or wipe food-contact surfaces as the technicians advise before cooking.
WHD is based in Bang Khae, Bangkok. Call 065-556-6294 or LINE @whd268 to assess the site and book.
The kitchen is washed. Do not let worry about post-flood germs linger. Talk to WHD about disinfection spraying with CHEMGENE HLD4H.
See the Disinfection Spraying Service
Call 065-556-6294 · LINE @whd268
World Health Disinfection, Bang Khae, Bangkok 10160
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