Is balamuthia mandrillaris a public health concern worldwide?

Balamuthia mandrillaris is an amoeba that was discovered in 1986 in the brain of the baboon that dies in San Diego Wild Animal Park. This can be found in the soil and water, therefore it is freely living. It is known to cause the neurological condition known as granulomatous amoebic encephalitis. In a study published by National Center for Biotechnology Information, it has a case fatality rate of >98%. Majority of this case can be found in warmer regions that affects individuals mostly of Hispanic origin. Documented cases had been reported from the Latin Americas in significant number, followed by the United States, Asian regions and some in Europe. However, a specific number of cases worldwide may never be known due to the following factors: lack of awareness, poor diagnosis and a poor public health system.

It is still yet to be known if its a serious public health concern worldwide.