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Batting for prevention: on Nipah cases in Kerala

Batting for prevention: on Nipah cases in Kerala

The Hindu21 hours ago
With two cases of Nipah virus detected in Kerala — including one fatality owing to the infection — the attention is rightfully, once again, on a preventable infectious disease that could leave havoc in its trail. An adolescent girl from Malappuram succumbed to the virus on July 1, and a 38-year-old woman from Palakkad is battling for life in the hospital. In the big picture, as many as 425 people who are in the contact lists of the two Nipah-infected persons in three districts in Kerala have been identified and are under surveillance. Of these, 228 are from Malappuram district, where Patient Zero was identified this time, 110 in Palakkad and 87 in Kozhikode. In Palakkad, one contact is being treated in isolation, while 12 people are currently undergoing treatment in Malappuram — five of them are in the intensive care unit. One of them tested negative for the infection, and the results for the others are awaited. Over 140 of those on the contact list are said to be health workers. While the health machinery in Kerala is engaged in tracing the original source of the infection, it is also tasked, particularly in the three districts of Malappuram, Palakkad and Kozhikode, to trace contacts, isolate them to prevent further spread, contain infection and treat all those who show symptoms. India has recorded several outbreaks of the virus since 2001, a year when 45 of the 66 people infected died in West Bengal. In 2018, it surged in Kerala, with 17 of the 19 cases with laboratory-confirmed Nipah infection dying without responding to treatment. Kerala continues to report outbreaks regularly since then.
What renders even a single case of significant concern to get the entire health-care machinery in a tizzy? Nipah is a transmissible viral infection with a high mortality rate, ranging between 40% and 75%, which implies that if the infection spreads, then, a number of people are likely to die. Future research might add an effective tool to the armamentarium to effectively treat Nipah infections without mortality, but as of now, the course of action is vested only in prevention and awareness generation. Nipah is transmitted by fruit bats which are the natural reservoirs of the virus. It is suspected that consuming contaminated fruits, bitten or licked by bats, may play a role in spreading the virus. It is also equally important to cast a watchful eye on climate change-related factors, particularly anthropogenic activity that is destroying natural habitats, and initiate a robust One Health programme that will weigh not just Nipah but also other pathogens that are capable of zoonotic spillover, transitioning from animals to humans and causing great harm.
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Health Matters newsletter: Why prevention is sometimes all in health care
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Health Matters newsletter: Why prevention is sometimes all in health care

On Nipah virus rearing its head once again in Kerala, studies establishing no links between Covid-19 vaccines and sudden cardiac deaths, healthy ageing parameters, air pollution linked to preterm births, and more On July 1, an adolescent girl succumbed to Nipah infection in Kerala. Nipah, has, since, come to occupy headlines in health news. With two people in Kerala, including the adolescent, testing positive for Nipah, memories of a terrible outbreak in the State in 2018, where 17 of the 19 people who contracted the infection died, surfaced, sending the health and civic authorities into overdrive. While attempts are on to trace the source of the infection, hectic activity also takes the form of tracing the contacts of those who have tested positive for Nipah, isolating them, treating and testing those with symptoms. As many as 425 people who are in the contact lists of the two Nipah-infected persons in three districts in Kerala have been identified and are under surveillance. 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Kerala Health Minister Veena George chairs review meeting on prevention of Nipah virus, says 461 people in Nipah contact list
Kerala Health Minister Veena George chairs review meeting on prevention of Nipah virus, says 461 people in Nipah contact list

India Gazette

time9 hours ago

  • India Gazette

Kerala Health Minister Veena George chairs review meeting on prevention of Nipah virus, says 461 people in Nipah contact list

Malappuram (Kerala) [India], July 8 (ANI): Kerala Health Minister Veena George chaired a review meeting regarding the prevention of the Nipah virus at the Collectorate Conference Hall in Malappuram. There are 461 people in the Nipah contact list, out of which 27 people are at a high risk, Health Minister Veena George said. Health Minister Veena George on Monday said, 'There are currently 461 people in the Nipah contact list in the state. Out of these, 252 are from the Malappuram district and 209 are from the Palakkad district. 27 people are on the high-risk list. They are undergoing treatment in Malappuram, Palakkad, Kozhikode, Kannur and Ernakulam districts.' The minister added, 'Out of 48 people in the contact list, 46 have tested negative. Out of these, 23 are in Manjeri Medical College and 23 in Kozhikode.' She added that the people on the high-risk list are in quarantine, and all persons on the list have been found. 'It has been ensured that all the people on the high-risk list remain in quarantine. No person in the contact list is left unaccounted for. Police help has been sought for this,' Veena George added. Earlier on July 4, the health authorities in Kerala issued an alert after two suspected cases of Nipah were found in the state. Veena George said that the suspected cases of the Nipah virus are from the Palakkad and Malappuram districts. 'An alert has been issued in three districts of Kerala, namely Kozhikode, Malappuram and Palakkad, in connection with two new Nipah virus cases,' she said. According to official sources, the positive case is that of Bishara Nehrin, an 18-year-old female resident of Mallapuram District. The place of residence is rural, with a nearby forested area and fruit orchards reportedly frequented by Fruit bats. The patient succumbed to the illness on July 1, 2025. 'The post-mortem samples (Serum, CSF, NPS & lung tissue) were sent to Regional VRDL in GMC, Kozhikode on 2nd July and were reported positive by RT-PCR,' they added. Regarding the other case, sources stated that Hasanath, a 38-year-old female resident of the Pallakad district. 'The patient is presently admitted to a private hospital in Mallapuram and is on ventilatory support. The samples sent to NIV Pune on 4th July 2025 were confirmed to be positive for NiVD Public Health Response,' sources told ANI. The official sources further said that more than 300 contacts have been identified thus far in 3 districts: Pallakad, Mallapuram and Kozhikode. (ANI)

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