The Department of Disease Control in Thailand issued urgent health warnings regarding the dangers of e-cigarettes mixed with Etomidate, a potent drug often used for inducing anesthesia. On March 18, 2025, Dr. Phanumart Yanavetsakul, the Director of the Department, expressed grave concern about the effects of using e-cigarettes combined with this substance. Studies from Wuhan University indicated that such usage can lead to serious side effects affecting both the brain and heart, potentially resulting in unconsciousness and even death.
Dr. Yanavetsakul warned that using e-cigarettes mixed with Etomidate may cause addiction and high blood pressure, increasing the risks of seizures and other severe health complications. "Our strongest recommendation is to refrain from using unsafe health products and not to fall victim to illegal substances that are banned for importation, manufacture, and sale in the country," he stated.
This warning comes amid rising cases of respiratory illnesses in Thailand, particularly during the hot season, which can exacerbate health conditions. On March 20, 2025, Dr. Yingjurai Wongsawat, another prominent figure from the Department of Disease Control, raised awareness about preventing lung diseases. She highlighted methods for self-care to reduce respiratory illness risks as temperatures rise.
From January 1 to March 14 of this year, there were 211,194 cases of respiratory infections, with 23 reported deaths across a wide age range from 11 to 88 years. Most fatalities were among individuals with underlying health issues, such as heart disease, high blood pressure, and asthma. Dr. Wongsawat urged the public to remain vigilant, especially those belonging to high-risk groups.
The statistics reveal that of the 211,194 respiratory illness cases reported this year, the majority stemmed from the influenza A/H1N1 strain, with outbreaks mostly occurring within school environments. Pneumonia cases from January 1 to March 14 totaled 111,552, resulting in 149 deaths primarily amongst young children and the elderly. As a response to this trend, Dr. Wongsawat emphasized proper hygiene practices, such as wearing masks in crowded places and frequent handwashing.
Additional health concerns stem from the spread of diseases like scarlet fever, where 1,693 cases have been recorded so far in 2025, yet fortunately with no fatalities reported. Notably, a significant number of cases occurred in children aged 5 to 9 years. Symptoms include the common presentation of a strawberry tongue, which is indicative of this condition.
In light of these worrying health trends, the Department recommends that individuals practice the “hot, clean, safe” principle when it comes to food consumption. The guidelines include consuming only well-cooked food, ensuring safe drinking water, and practicing excellent personal hygiene.
Health officials are also alerting to the risk of rabies, with three deaths attributed to this disease in 2025. In total, there have been 34 reported cases of potential rabies exposure from contact with infected animals. Authorities urge those with pets to ensure yearly vaccinations and take precautions to avoid contact with stray animals.
As part of ongoing public health efforts, the Department has also noted issues regarding pet-related illnesses, with awareness campaigns encouraging responsible pet ownership and reporting of sick or dead animals promptly to prevent the spread of diseases.
In conjunction with these alerts, preparations for the upcoming World Tuberculosis Day on March 24 emphasize the need for annual health checks such as lung x-rays. Awareness about the persistent public health challenges posed by tuberculosis remains a significant focus.
As Thailand contends with these multifaceted public health crises, officials continue to encourage the public to take preventive actions seriously. Dr. Wongsawat encapsulated this message succinctly: "Our efforts focus on preventive measures to help the public stay safe from respiratory illnesses during this hot season." Community cooperation and adherence to medical advice are crucial in reducing the burden of illness and ensuring a healthier future for all residents.
