Suspected methanol poisoning from tainted drinks has reportedly killed five tourists in a Laos holiday town in the past fortnight.
A British woman, an Australian woman, a US man and two Danish nationals have died, while another Australian woman remains critically ill in hospital. The deaths remain under police investigation, but news reports and testimonies online from other tourists suggest they may have consumed drinks laced with methanol, a deadly substance often found in bootleg alcohol.
Methanol poisoning has long been a well-known issue across South-East Asia, particularly in the poorer countries along the Mekong river.
But despite foreign governments posting warnings about alcohol consumption in these places, there is still little awareness among the backpacker party scene.
Flavourless and colourless, methanol is hard to detect in drinks and victims typically don’t see symptoms of poisoning straight away.
And in countries like Laos – one of the poorest and least developed in Asia – the problem arises from alcohol suppliers exploiting an environment where there is low law enforcement and almost no regulations in the food and hospitality industries.
What is methanol poisoning?
Methanol is a toxic alcohol used in industrial and household products like paint thinners, antifreeze, varnish and photocopier fluid.
It is colourless and has a similar smell to ethyl alcohol – the chemical substance found in alcoholic drinks.
But methanol is dangerous for humans and drinking just 25ml of it can be lethal.
It can take up to 24 hours for victims to start showing signs of illness which include: nausea, vomiting and abdominal pain which can escalate into hyperventilation and breathing problems.
If not treated, fatality rates are often reported to be 20% to 40%, depending on the concentration of methanol and the amount taken, says international medical charity Medicins Sans Frontiers (MSF) which tracks the number of global outbreaks.
But if a poisoning is diagnosed quickly enough, ideally within the first 30 hours, treatment can reduce some of the worse effects.