A recent story making international headlines details how a man developed a severe skin condition after wearing unwashed thrifted clothing, sparking new concern over the health risks associated with second-hand fashion. This case has resonated with Thai consumers as the popularity of second-hand shops continues to grow amid economic uncertainty and a burgeoning sustainability movement.
According to the New York Post, the individual reportedly began experiencing serious dermatological symptoms, including intense itching, a rash, and swelling, shortly after donning garments bought from a thrift store. Subsequent medical examination confirmed the presence of a transmissible skin infection attributed to pathogens remaining on pre-owned clothes. The precise diagnosis was not disclosed, but experts often cite risks such as scabies, fungi, or bacterial infections in similar cases.
For Thai readers, this story carries particular weight. Urban centres like Bangkok and Chiang Mai have witnessed a surge in thrift shops and vintage markets, driven by both youth fashion trends and economic necessity. Many attribute this to the ongoing global popularity of sustainable and affordable recycling practices, which encourage consumers to purchase used items rather than new. However, as the story demonstrates, the convenience and affordability of thrifted clothes may come with hidden dangers if proper hygiene measures are ignored.
Dermatological researchers have long warned that unwashed used clothing can harbour a range of pathogens, including bacteria like Staphylococcus aureus, fungi, and parasitic mites. According to a 2023 review in the journal Clinical Dermatology, infections resulting from contaminated clothing are relatively rare but underreported — partly due to lack of public awareness. The review notes, “Transmission of dermatological infections through textiles represents a plausible, but preventable, public health issue.” (PubMed)
Leading dermatologist at Siriraj Hospital explained to local media, “Second-hand textiles may be contaminated by sweat, dead skin cells, and microscopic pathogens from the previous owner, particularly if the clothing was not laundered before resale. Thorough washing and ironing at high heat are essential to kill most microorganisms.” He emphasized that Thai consumers should ensure any pre-owned garments are subjected to proper cleaning protocols before wearing.
The Thai Ministry of Public Health has previously addressed risks associated with thrifted goods—especially as imported used clothing passes through multiple hands before reaching consumers. Standard regulations require commercial launderers to disinfect such clothing, but compliance can vary in informal markets. A senior official from the Department of Disease Control stated in a 2022 press release, “We strongly recommend that all second-hand clothes be thoroughly washed in hot water with detergent and, if possible, exposed to direct sunlight before use. This practice can significantly reduce the risk of skin infections.” (Bangkok Post)
Notably, some infections contracted from clothing, such as scabies or certain fungal conditions, may be delayed, making them harder to trace to their source. Dr. Thanaporn, a specialist in infectious diseases at Ramathibodi Hospital, cited an uptick in outpatient cases linked to used textile exposure: “We have seen an increase in patients reporting itchy skin or unusual rashes after shopping at flea markets. Most often these are mild and treatable, but in rare instances, severe bacterial infections can occur, especially in individuals with compromised immune systems.”
Thailand’s relationship with thrifted fashion is also rooted in history. The domestic second-hand clothing market has existed for decades, serving as a resource for rural communities and urban low-income groups. With the rise of social media, online marketplaces, and “pop-up” fashion events, these goods are now embedded in both local culture and the broader sustainability movement. Celebrity endorsements and youth-driven “retro” trends also play their part in normalizing thrift culture.
Despite the risks, experts stress that proper hygiene can virtually eliminate most dangers. Research published in the Journal of Hospital Infection demonstrates that standard machine washing with detergent at temperatures above 60°C renders most pathogens non-viable. Sun-drying further enhances this effect due to ultraviolet light exposure. As stated by the lead author: “The vast majority of infections associated with textiles are easily prevented with appropriate laundering.”
Looking forward, officials warn that the expansion of the thrift market due to post-pandemic economic hardship may bring greater exposure to improperly sanitized goods. In response, consumer protection groups and the Ministry of Public Health are considering new awareness campaigns, retailer inspections, and educational programs aimed at both sellers and buyers of second-hand apparel.
For Thai readers, the key recommendations are clear: Always wash and iron thrifted clothes before use, choose reputable vendors when possible, and remain vigilant for any unusual skin symptoms following contact with used textiles. If symptoms such as persistent itching, rashes, or swelling occur, consult a healthcare provider for evaluation. Practicing basic hygiene not only protects individual health but helps maintain public trust in the thriving tradition of sustainable fashion.
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