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Kerala infectious disease & unidentified fever 2018; 534 fatalities; Nipah Virus outbreak in May - 21 fatalities from 23 cases.

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  • Scrub Typhus Death WYD: Radhika 20/F,DOD:17.10.2018, PHC Appapara
    Pneumonia Death MPM: Sathar 32/M, DOD 17.10.18,Thuvur


    Twitter: @RonanKelly13
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    • Sus Lepto Deaths
      TVM: Surendran 54/M DOD 19.10.18,Vizhinjam
      KTM: Babu 60/M DOD 20.10.18, Vazhur


      Susp. Dengue Death:
      KLM: Anilkumar,52/M, D.o.D;15.10.2018, Parippally

      Susp.Lepto Deaths:3: TVM:
      1. Babu,50/M, D.o.D:22.10.2018, vellarada
      2. Reveendran,61/M, D.o.D:21.10.2018, Kalliyoor
      3. Shibu,40/M, D.o.D:20.10.2018, Kadakampally


      Fever Death:
      TVM: Sadasivan, 54/M, D.o.D: 22.10.2018, Maranellur

      Susp. Lepto Deaths-2:
      KLM: Ramachandran Pilla,66/M, D.o.D:21.10.2018, Velinallur
      MPM: Ashraf,32/M, D.o.D: 23.10.18, Kurumbalangode

      H1N1 conf Death:
      MPM: Abdul Resheed,39/M, D.o.D:20.10.2018, Nannambra

      Pneumonia Death:
      MPM: Ambujakshi,64/F, D.o.D:20.10.2018, Thuvur

      Susp. Scrub Typhus Death:
      KLM: Shyla,45/F, D.o.D:21.10.2018, Mancode Chithara
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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      • Confirmed Dengue Death:
        MPM: Muhammed Ashraf,45/M, D.o.D:14.10.2018, Vettom
        Susp Lepto Deaths-2:
        TVM: Sunil kumar,35/M, D.o.D:23.10.2018, Aruvikkara
        MPM: Mumthas, 30/F, D.o.D:23.10.2018, Thiruvali
        Pneumonia Death:
        MPM: Saidalikutty,65/M, D.o.D;23.10.2018, Pallikkal
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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        • Sus Lepto KLM: Prashanthan 43/M DOD 26.10.18, Veliyam, MO 9446319460,
          Twitter: @RonanKelly13
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          • Outbreak investigation of Nipah Virus Disease in Kerala, India, 2018
            Govindakarnavar Arunkumar, PhD R Chandni, MD D T Mourya, PhD S K Singh, MD Rajeev Sadanandan, MPhil Preeti Sudan, MPhil Balram Bhargava, MD, DM, FRCP NIPAH: Nipah Investigators People And Health
            The Journal of Infectious Diseases, jiy612, https://doi.org/10.1093/infdis/jiy612
            Published: 26 October 2018 Article history

            Abstract
            Background
            Nipah Virus (NiV) is a highly fatal emerging zoonotic virus with potential threat to global health security. Here we describe the characteristics of the NiV outbreak occurred in Kerala, India during May -June 2018.

            Methods
            We used real-time RT PCR in throat swabs, blood, urine and CSF to detect NiV. Further, the viral genome was sequenced and subjected to phylogenetic analysis. We conducted an epidemiological investigation to describe the outbreak and to elucidate transmission dynamics.

            Results
            During May 2 ? 29, 2018, 23 cases were identified including the index case; 18 were lab-confirmed. This NiV was closer to the Bangladesh lineage. Median age of cases was 45; 15 (65%) were male. The median incubation period was 9.5 days (6 ? 14 days). Of the 23 cases, 20 (87%) had respiratory symptoms. The case fatality rate (CFR) was 91%; two cases survived.. Risk factors for infection included close proximity (touching, feeding or nursing an NiV infected person) enabling exposure to droplet infection. The public health response included isolation of cases, contact tracing, and enforcing hospital infection control practices.

            Conclusion
            This is the first recorded NiV outbreak in South India. Early laboratory confirmation and immediate public health response contained the outbreak.
            Twitter: @RonanKelly13
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            • Susp. Lepto Death: MPM: Muhammed,58/M, D.o.D:25.10.2018, Valavannur
              ADD Death: TVM: Abhishek,11/M, D.o.D:25.10.2018, kizhuvilam
              AES Death: TVM: Nafiya,4/F, D.o.D:26.10.2018, Vembayam
              Pneumonia Death: PKD: Aswin,14/M, D.o.d:23.10.2018, Karakurissy



              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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              • Fever Death TVM: Sophi 60/F DOD 28.10.18, Neyyatinkara
                Sus Lepto Death TVM: Kunjumon 50/M DOD 28.10.18,Palode
                AES Death ALP: Arushi 2.5/F DOD 29.10.18, Pathiyur
                Two AES Cases reported from ALP(Chempumpuram,ALP Municipality)
                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                • Dengue Death PKD: Madavan,70/M, D.o.d:28.10.2018, Ozhalappathy
                  Sus Lepto Death PKD: Vella,75/F, D.o.D:25.10.2018, Mankara

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                  Twitter: @RonanKelly13
                  The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                  • Fever Death MPM: Jameela 56/F dod 31.10.18, Nediyirup
                    H1N1 Death EKM: Sruthy 6/F dod 27.10.18, Kalloor
                    Twitter: @RonanKelly13
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                    • Susp. Lepto Death: PKD: Bhargavy,48/F, D.o.D:2.11.2018,Elappully
                      Conf. H1N1 Death: TVM: Febina Bijas 2/F D.O.D 31.10.18,Edava
                      Pneumonia Death: PKD: Subrahmanyan,52/M, D.o.D: 30.10.2018, Vandazhy
                      Twitter: @RonanKelly13
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                      • Sus Lepto Death KLM: Sivadasn 65/M DOD 2.11.18, Sooranad south
                        Con: Lepto Death TSR: Daneesh 57/M DOD 1.11.18,Elkanad
                        Con: H1N1 Death KTM: Jaya 41/F DOD 2.11.18,Parathode
                        Pneumonia Death MPM: Velayudan 63/M DOD 2.11.18, Alamkode
                        Twitter: @RonanKelly13
                        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                        • Sus Lepto Deaths:2
                          KLM: Manoj,38/M,D.o.D:29.10.2018, Palathara
                          KNR: sulochana,61/f, D.o.D:4.11.2018, Parellassery
                          Twitter: @RonanKelly13
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                          • Sus Lepto Deaths:2
                            KLM: Rajmohan,26/M, D.o.D: 5.11.2018, chadayamangalam
                            PKD: Velayudhan,64/M, D.o.D: 2.11.2018, Vandazhy
                            Twitter: @RonanKelly13
                            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                            • susp. Lepto Death: KKD: Bindu,40/f, D.o.D:8.11.2018, Kunnamangalam
                              Pneumonia Death: PKD: Anakha, 9/F, D.o.D:2.11.18, Keralasseri
                              Twitter: @RonanKelly13
                              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                              • Fever Deaths: 2-
                                KLM:Rehim,50/M, D.o.D:5.11.2018, Thalachira
                                TSR: Geetha,36/F, D.o.D: 6.11.2018, Vallathol Nagar
                                Twitter: @RonanKelly13
                                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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