Last updated: 8 Oct 2026 | 20 Views |
From late September into early October 2026 (B.E. 2569), many sois along Ramkhamhaeng Road in Bang Kapi district, from Soi 19/1 to Soi 43, together with Hua Mak, the Bang Kapi junction on Nawamin Road and the Khlong Chan housing flats, were hit by standing floodwater that affected large numbers of residents. When the water went down, many homes were left with bathrooms that smelled of drains and damp, showerheads coated in slime, and cloudy water from the first turn of the tap. In small places like showerheads and pipes that sat unused, there is a group of bacteria lung specialists pay growing attention to: NTM, or nontuberculous mycobacteria. This article explains what they are, who is at risk, which symptoms need a doctor, how to deal with showerheads and the water system after a flood, and where ozone disinfection in Bang Kapi can and cannot help.
These facts come from news reports on the dates stated. Conditions change daily, so follow BMA and Bang Kapi district office announcements too.
Across Bangkok in 2026 (B.E. 2569), Thai PBS reported more than 300 mm of rain in about 48 hours on 25 to 26 September, and all 50 districts were declared disaster zones on 26 September. DDPM figures reported by Bangkok Biz News on 6 October 2026 put affected Bangkok households at about 329,000. Nationally, DDPM data as of 06:00 on 7 October 2026, published by the Government Public Relations Department, listed 27 provinces plus Bangkok, 123 districts, 984 sub-districts, 1,154,875 households and more than 3.1 million people affected.
In Bang Kapi, housing density matters. Flats, condominiums, dormitories, shophouses and homes on narrow sois mean that when flooding lasts days and returns, a great many bathrooms and building water systems sit unused, or are used in abnormal conditions, for a long time.
Example case written to illustrate a common situation, not an interview or review from any resident.
Auntie Lek, in her sixties, lives in a ground-floor unit in a building off Ramkhamhaeng Road. She had tuberculosis years ago and was cured, but she has bronchiectasis and sees her doctor regularly. When the flood came, water reached halfway up her shins, so her son took her to stay with relatives for almost two weeks. The unit stayed shut. Nobody ran the taps or used the bathroom.
When they returned, her son and neighbours shovelled out mud, washed the floor and ran fans. But the bathroom reeked of drains, the first water from the tap ran light brown, and the showerhead had black slime in its holes. Auntie Lek went back to her usual warm shower every day and rinsed her nose with tap water as she always had.
Three weeks later she was coughing more than usual, bringing up phlegm, tiring easily and losing weight. Her doctor ordered sputum tests to distinguish between a TB relapse, an ordinary bacterial infection and NTM, which live in water and soil and tend to cause problems in people whose lungs are already damaged. The doctor also told her to stop rinsing her nose with tap water and to clean or replace the showerhead.
Whatever the results, her son learned that flood recovery does not end with mud and floors. It has to include the bathroom, the water system and the room air. So he started searching "how to clean a showerhead", "does ozone help bathrooms" and "is ozone safe for people with lung disease".
NTM stands for nontuberculous mycobacteria. They belong to the same genus as the bacterium that causes tuberculosis (Mycobacterium tuberculosis) but are different species. Commonly reported examples include the Mycobacterium avium complex (MAC), Mycobacterium abscessus, Mycobacterium kansasii and Mycobacterium fortuitum.
The key difference is that NTM live in the environment: soil, dust, natural water and even treated municipal water systems. TB spreads from person to person through coughing, but most NTM infections do not spread between people. People pick them up from the environment, by breathing in water aerosols containing the bacteria, or through wounds.
NTM have an unusually thick, waxy cell wall that makes them hardier than many bacteria and more tolerant of several disinfectants, including the chlorine in tap water. They can live in biofilm, the thin slimy layer that mixed microbes form on the inside of pipes, showerheads, faucet aerators, water tanks, water heaters and bidet sprayer hoses.
A shower, especially a warm one, breaks water into fine droplets that hang in the bathroom air and can be breathed deep into the lungs. That is why researchers have examined showerheads as a household source of NTM exposure. Most healthy people are exposed to these environmental bacteria without becoming ill; problems usually arise in people whose lungs or immunity are already vulnerable.
NTM lung infection usually develops slowly, and its symptoms resemble TB so closely that only sputum tests and imaging, as a doctor decides, can tell them apart. Watch for:
Skin infections from wounds may appear as red lumps, sores that will not heal on schedule, or oozing pus, especially in wounds exposed to floodwater or mud.
If a cough lasts more than three weeks, or comes with weight loss, low fever or night sweats, see a doctor and mention any lung disease, past TB and flood exposure. Diagnosing NTM requires repeated sputum cultures plus imaging, and treatment is decided case by case by a specialist. Anyone who waded through floodwater and develops high fever, calf pain or red eyes should also be checked for leptospirosis.
This is general information, not diagnosis or treatment advice. Never self-medicate with antibiotics or TB drugs.
Most flood recovery focuses on floors, walls and furniture, but the bathroom combines water, humidity, drains and aerosols in one place. Check:
Drain smells, musty odours and rotten-egg smells in bathrooms are heavily searched after floods. They signal moisture, sediment or sewer gas, and the fix starts at the source before treating the room air.
This is the most important step for reducing risk from microbes in the water system, and ozone cannot do it for you. Do it before returning to normal showers.
In condos and flats with shared systems, central tanks and pumps are the building management's responsibility. Ask whether they have been cleaned and checked since the flood.
A post-flood bathroom needs three kinds of work: the water system (flush, clean showerheads and tanks), surfaces (scrub stains, mold and grout) and room air (remove humidity, odour and airborne germs). Ozone helps with the last, after the first two are done.
The residential and building ozone disinfection service from World Health Disinfection (WHD) releases ozone gas (O3) into a sealed, unoccupied room. Ozone is an oxidising gas that helps break down the structures of virus, bacteria and mold groups and odour molecules in the air and on surfaces the gas reaches, then reverts to oxygen (O2) without chemical residue.
According to the company's certification data, the service was tested by Thailand's Department of Medical Sciences and Intertek (UK) and reduced viruses, bacteria and mold by 99.99% under those test conditions. NTM belong to the bacteria group the service targets, but WHD does not claim test results against NTM specifically, and these bacteria are known for tolerating many disinfectants. Ask the team for the test documents if you would like the details.
What ozone can do, after the water system and surfaces are dealt with, is help reduce bacteria, virus and mold groups in the air and on surfaces in bathrooms, bedrooms and other rooms the gas reaches, and help reduce lingering musty, drain and rotten-egg odours.
WHD is based in Bang Khae district, Bangkok 10160, and serves Bangkok including Bang Kapi, Ramkhamhaeng, Hua Mak, Nawamin and Khlong Chan. Upcountry customers can call or message on LINE about travel. Dates follow the actual queue, and same-day service is not promised.
At disinfection concentrations ozone irritates the lungs, so homes with bronchiectasis, COPD, asthma or past TB must follow the safety rules strictly.
Promotion as stated on the company website: ozone jobs from 15,000 baht receive a free medical-grade disinfectant spray, subject to company terms. Prices are quoted only after assessing the site.
No. NTM are mycobacteria other than TB that live in soil and water. Most do not spread between people, but they can cause TB-like lung disease in vulnerable people.
Chronic cough with phlegm, fatigue, weight loss, low fever or night sweats. Skin infections appear as slow-healing sores or lumps. See a doctor for testing.
Showerheads and pipes collect biofilm, and studies have found NTM in household showerhead biofilm. Most healthy people do not get sick, but people with lung disease or weak immunity should clean them regularly.
Flush all taps first, then remove the head, scrub off slime, soak in vinegar to dissolve scale and rinse, or replace it if deposits are stubborn.
No. Room ozone does not enter pipes, showerheads or tanks; those need flushing, cleaning or replacement. Ozone treats room air and surfaces after cleaning, targeting bacteria, virus and mold groups per the company's certification, without a specific NTM claim.
Pour water into drains to refill the traps, clear sediment, and call a plumber if odours persist. Then ozone can help reduce odour lingering in the air.
Yes if they stay in the room during treatment. They must leave the area and return only after the technician's go-ahead and ventilation. Followed this way, ozone reverts to oxygen and leaves no residue.
It depends on area, zones and conditions, quoted after assessment. Call 065-556-6294 or LINE @whd268.
Yes. WHD, based in Bang Khae, serves Bang Kapi, Ramkhamhaeng, Hua Mak, Nawamin, Khlong Chan and the rest of Bangkok by appointment.
Send photos of your bathroom and rooms, the flood level and where you notice drain odours or mold. The team will help plan the work and schedule treatment.
Call 065-556-6294 | LINE @whd268
Email worldhealthdisinfection@gmail.com | World Health Disinfection, Bang Khae, Bangkok 10160
Note: flood figures are as reported on the dates stated and change daily. Health information is general and not a medical diagnosis.
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