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India: 12-year-old boy dies of Nipah virus infection in Kozhikode, central team rushed to Kerala - 11 symptomatic contacts

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  • #16
    Kasargod: Death of boy - Nipah virus suspicion, swabs sent, vaccine programme cancelled
    Fri, Sep 17 2021 11:17:44 AM

    Kasargod, Sep 17: The throat swab samples of a five-year-old boy from within Chengala gram panchayat limits who died due to fever, has been sent to laboratories for testing.

    This step was taken as there was suspicion that the boy displayed certain symptoms of Nipah infection. The samples were sent to the laboratories at Kozhikode and Pune. The Covid test report of the boy was negative. The officials said they expect to receive the reports in two days.

    Chengala health inspector, Rajesh, said that the ambitious Covid vaccination programme within the said gram panchayat limits has been put on hold. He also stated that all the programmes in which people come together have been banned within the gram panchayat limits till the test report result is received.

    Daijiworld Media Network - Kasargod (SP) Kasargod, Sep 17: The throat swab samples of a five-year-old boy from within Chengala gram panchayat limits who died due to fever, has been sent to laboratories for testing. This step was taken as there was suspicion that the boy displayed certain symptoms of Nipah infection. .....

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    • #17
      Okieman Comment: Please notice that the two cases reported up above are from the same location. It could be that the two cases are really one and they just got the gender confused in one of the articles. Both cases are the same age and in the same geographic location.

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      • #18
        Okieman Comment: Just found this article. Apparently the little girl died of encephalitis. The news site will not allow copying and pasting of text. If that is the case then the death of the little boy may also be encephalitis. Tragic regardless.

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        Girl who died of Nipah-like symptoms in Kasaragod turns -ve in preliminary test The girl died in a private hospital in Kannur on Wednesday at around 7...

        The girl died in a private hospital in Kannur on Wednesday at around 7 in the evening. Her cause of death was found to be encephalitis. The Nipah test was done after the girl died suddenly, just two days after getting the fever.

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        • #19
          Source: https://www.who.int/emergencies/dise...isease---india


          Nipah virus disease - India
          24 September 2021


          On 4 September 2021, the Kerala State Health department reported an isolated case of Nipah virus disease in Kozhikode district, Kerala state, India. Nipah has a relatively high case fatality ratio, and is an emerging zoonotic disease of public health importance in the South East Asia and Western Pacific WHO Regions. This is the fifth outbreak of the disease in India.
          On 29 August, a 12 year-old boy developed low grade fever, and the family sought care at a local health care facility. On 31 August, he was transferred to several hospitals as his condition deteriorated. On 1 September, the patient’s condition continued to deteriorate, and the family requested his transfer to another hospital in Kozhikode.
          On 3 September, plasma, serum and cerebrospinal fluid samples were sent to the National Institute of Virology in Pune, India. On 4 September, the presence of Nipah virus in the plasma, cerebrospinal fluid and serum samples was confirmed by real-time polymerase chain reaction (RT-PCR) and IgM antibodies was confirmed in the plasma sample by ELISA serology test. On 5 September, the patient died and a safe burial and cremation were performed the same day in Kozhikode.
          As of 6 September, epidemiological investigations identified contacts, including health care workers and close family members, who were placed under quarantine.


          Public health response

          The following public health responses were implemented:
          • The state government held a meeting of senior health officials to plan and implement response measures;
          • A district core committee was formed, and a district Nipah virus disease action plan was released for all stakeholders;
          • A multi-disciplinary central team from the National Centre for Disease Control was sent to Kerala state to provide technical support. Immediate public health measures were applied, including active case finding in the family, hospitals, village and areas with similar topography especially in Malappuram district, located in the southeast of Kozhikode district;
          • Risk communication messages to the public about the transmission of Nipah virus disease and prevention measures were provided;
          • State authorities issued an alert to Mysuru, Mangaluru, Chamarajanagar and Kodagu districts in Karnataka state, which border Kerala state.

          WHO risk assessment

          Nipah virus disease is an emerging zoonotic disease of public health importance in the WHO South East Asia and Western Pacific Regions, where Pteropus fruit bats, the natural host of the virus, are widespread. It was first identified during an outbreak in Malaysia in 1998, and all subsequent outbreaks have occurred in parts of Asia (India, Bangladesh, Malaysia and Singapore). Transmission can occur from direct contact with infected animals, consuming contaminated food products or through close contact with an infected person. Previous outbreaks had a seasonal pattern with occurrence during winter and spring, associated with several factors such as the breeding season of the bats, increased virus shedding by bats and fruit harvesting season. The case fatality ratio ranges from 40 to 100%.
          In India, the first Nipah virus disease outbreak was reported in Siliguri town in 2001, followed by a second outbreak in Nadia district in 2007, both in West Bengal state. In 2018, an outbreak was reported in Kozhikode district, and in 2019, another outbreak in Kochi district, both in Kerala state. Bats from the Pteropus spp. were the probable source of the 2018 outbreak in Kerala state.
          The current isolated case was reported in a rural area in Kerala state where an outbreak was previously reported in 2018. India has experienced and contained Nipah virus disease outbreaks in the past and has demonstrated the capacity to carry out outbreak control activities, including case identification, laboratory testing, case management, contact tracing and risk communication. This event is an isolated case and the risk is low at national level and low at the regional level...



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