DOH: Streptococcal toxic shock syndrome not yet a health concern in PH

Facade of the Department of Health office in Manila. INQUIRER FILE PHOTO

MANILA, Philippines — The Department of Health (DOH) does not yet consider the rare and deadly streptococcal toxic shock syndrome (STSS) a public health concern, despite reported cases in the country.

Japan has been experiencing a spike in STSS cases since March, with 77 deaths recorded, according to their National Institute of Infectious Diseases.

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Infectious diseases expert Dr. Rontgene Solante confirmed the presence of STSS cases in the Philippines during a Super Radyo dzBB interview on Thursday.

Although the DOH has not officially confirmed STSS cases in the country, DOH Assistant Secretary Albert Domingo told reporters in a Viber message on the same day that the agency does not see STSS “as a public health concern at this point in time.”

“We invite more attention to risk communication efforts against the WILD diseases – Water-borne illnesses, Influenza-like illnesses, Leptospirosis, and Dengue. By burden of disease and by effect on quality of life, they are more worthy of public attention,” he added.

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STSS is caused by bacteria spreading into deep tissues and the bloodstream, according to the Centers for Disease Control and Prevention (CDC).

The disease can lead to severe complications, including organ failure and shock, and may require surgery to remove infected tissue or limbs.

“Even with treatment, STSS can be deadly. Out of 10 people with STSS, as many as 3 people will die from the infection,” the CDC warned.

Initial symptoms of STSS include fever, chills, muscle aches, nausea, and vomiting. The CDC explained that blood pressure drops 24 to 48 hours after the first symptoms appear, leading to more severe symptoms such as:

• Hypotension
• Organ failure
• Tachycardia
• Tachypnea

“Examples of organ failure signs: Someone with kidney failure may not make urine. Someone with liver failure may bleed or bruise a lot or their skin and eyes may turn yellow,” the CDC said.