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Kerala, India ramps up efforts to contain deadly Nipah virus outbreak

The practice of date palm sap collection involves placing collecting pots at date palm trees. Indian flying foxes have been observed licking the sap as it flows into the pots, as well as defecating and urinating in proximity to the pots. In this way, humans who drink the palm sap can be exposed to the bats' viruses. Image - Biswarup Ganguly, CC SA 3.0.
The practice of date palm sap collection involves placing collecting pots at date palm trees. Indian flying foxes have been observed licking the sap as it flows into the pots, as well as defecating and urinating in proximity to the pots. In this way, humans who drink the palm sap can be exposed to the bats' viruses. Image - Biswarup Ganguly, CC SA 3.0.

Authorities in India’s southern Kerala state are racing to contain an outbreak of the Nipah virus. The virus, which is not related to the coronavirus, but is far deadlier, killed a 12-year-old boy in Kerala over the weekend, prompting stepped-up efforts to trace his contacts. New infections have been confirmed. 

The boy was hospitalized a week ago with a high fever, according to CBS News. His condition worsened and doctors suspected inflammation of his brain (encephalitis). Blood samples confirmed the Nipah infection. He died early Sunday morning.

Contact tracing revealed that 188 people had come into contact with the boy, according to the state’s health minister, Veena George. Of that number, 20 were considered high-risk primary contacts — mainly family members, all of whom were being held under strict quarantine or hospitalized. 

Two healthcare workers who had come into contact with the boy were already showing symptoms and have been hospitalized as of Monday.

This is the second time in three years that a Nipah virus outbreak has been reported in Kerala, which is also reeling under a high rate of COVID-19 infections. Of the close to 40,000 new coronavirus cases in India every day, Kerala accounts for about 68 percent of them.

Symptoms of te Nipah virus often start mild but grow to include high fever and respiratory issues before devolving further to include brain swelling which can lead to coma and death.

While the Nipah virus is rarer than the coronavirus, it is deadlier, with a 40 to 75 percent fatality rate, according to the World Health Organization (WHO).

A colony of flying foxes (Pteropus giganteus) roosting in Goa, India. Image – Vladimir Yu. Arkhipov, CC SA 3.0.

What is the Nipah virus?

Like the conoravirus, the Nipah virus is a zoonotic virus – meaning it can be transmitted from animals to humans. The Nipah virus can also be transmitted through contaminated food or directly between people.

Nipah, or NiV is a member of the family Paramyxoviridae, genus Henipavirus. The animal host reservoir for NiV is the fruit bat (genus Pteropus), also known as the flying fox.

Infected fruit bats can spread the disease to people or other animals, such as pigs. People can become infected if they have close contact with an infected animal or its body fluids (such as saliva or urine).

Nipah was first discovered in 1999 following an outbreak of disease in pigs and people in Malaysia and Singapore. This outbreak resulted in nearly 300 human cases and more than 100 deaths, while over 1 million pigs were killed to help control the outbreak.

There have not been any further outbreaks of the disease in Malaysia and Singapore since 1999, however, after being identified in Bangladesh in 2001, there have been aqnnual outbreaks ever since.

The big worry for health authorities is that Nipah can now be transmitted from person-to-person during an outbreak, raising concerns about the potential for Nipah to cause a global pandemic, according to the Centers for Disease Control and Prevention (CDC).

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We are deeply saddened to announce the passing of our dear friend Karen Graham, who served as Editor-at-Large at Digital Journal. She was 78 years old. Karen's view of what is happening in our world was colored by her love of history and how the past influences events taking place today. Her belief in humankind's part in the care of the planet and our environment has led her to focus on the need for action in dealing with climate change. It was said by Geoffrey C. Ward, "Journalism is merely history's first draft." Everyone who writes about what is happening today is indeed, writing a small part of our history.

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