Thai meals is undoubtedly scrumptious. But one dish is so lethal that docs in Thailand are attempting to teach individuals concerning the threat - with studies that it kills 20,000 individuals yearly.

Koi Pla is a delicacy in Isaan, in the northeast of Thailand, the place the mighty Mekong River separates the nation from its neighbour Laos. The dish is made with finely chopped up uncooked freshwater fish, herbs, lime juice - and stay pink ants. 

But it isn't the ants which might be the issue. It's the uncooked freshwater fish, caught within the Mekong.  

More particularly, the parasitic flatworms referred to as liver flukes that they'll include. These parasites could cause cholangiocarcinoma, or bile duct most cancers - and clarify why this area has the best cholangiocarcinoma charges on this planet.

One research mentioned that greater than 600 million individuals throughout Southeast Asia are susceptible to an infection from these trematode parasites  - with greater than 6 million individuals in Thailand already contaminated. 

Infections are sometimes symptomless - however, if left untreated, heavy, long-standing infections are related to a variety of nasty liver ailments, together with bile duct most cancers. 

Liver surgeon Narong Khuntikeo mentioned: "It’s a very big health burden around here. But nobody knows about this because they die quietly, like leaves falling from a tree."

Health officers at the moment are educating kids concerning the dangers of uncooked meals as a part of their curriculum. But Khuntikeo says turning the older era off the dish is a tricky activity.

He instructed: instructed Agence France-Presse: "They’ll say: 'Oh well, there are many ways to die'. But I cannot accept this answer."  

The murderous meal will be made safer by cooking the fish. However, die-hard followers of the dish say this ruins its distinctive flavour.