Travel alert: Nipah fear grips Kerala; of five infected, two dead
It has been studied that the new Nipah is a Bangladeshi variant with high
mortality rate. It has an addtitional fatal symptom of respiratory problem
other than the usual encephalitis. However, it is slow in transmission
unlike covid. Fortunately, the zoonotic virus has an R-value of less than
one.
Seven containment zones were declared in Kozhikode district on
Wednesday where everything will be shut till further orders.
Mostly the source of transmission is the flying fox which has made the
pitched roof spaces of the old, superior Portuguese style houses in Kerala as its
second home.
KOZHIKODE (Kerala), Sept 13: Nipah virus infection has broken out in Kerala
for a third time, claiming two lives and infecting three others. The two deaths
were reported from a private hospital in Kozhikode district in the past few
days.
The first death was of a 44-year-old reported on August 30. Nipah virus was
first suspected when his son (9) and another relative (24) also sought treatment
for symptoms similar to the viral infection. Antivirals and monoclonal antibodies
are currently being used to treat the two patients and another infected medical
worker.
The victim was a native of Maruthonkara village, where the first Nipah outbreak
took place in 2018 also. Fruit bats from the area had tested positive then.
Extensive deforestation has brought people and wildlife closer and hence the
viral diseases are on the rise.
The second death of a 40-year-old man of the same district took place in the
same hospital on Monday. He contracted it in the hospital from the person who
died earlier but both have no connection.
All the cases had confusing symptoms of a viral infection starting with high
fever.
"Nipah virus infection has been confirmed in Kozhikode district. Two people
died due to the infection. Of the four people whose saliva was sent for testing
(Pune Virology Lab), two were Nipah positive and two were Nipah negative," Chief
Minister Pinarayi Vijayan said in a Facebook post on Wednesday. He appealed
to the people to not panic but take precaution.
A list of contacts of those infected has been made. However, the Government
is yet to make an announcement of Nipah viral epidemic in the State. The health
department has started preventive steps.
Seven village panchayats - Atanchery, Maruthonkara, Tiruvallur, Kuttiyadi,
Kayakkodi, Villyapalli and Kavilumpara - in Kozhikode district have been declared
as containment zones.
Travel in and out is barred in the containment areas from Wednesday. Schools
and offices were closed, transport services stopped and public gatherings barred.
The Government said on Wednesday that a team from the National Institute of
Virology (NIV) in Pune is rushing to Kerala to set up a mobile lab at the Kozhikode
Medical College and also study the bat behaviour.
It has been stated that the new Nipah is a Bangladesh variant with high mortality
rate but slow in transmission unlike covid.
The Central Government on Tuesday sent a team of health experts
to Kerala.
There were two outbreaks in the State in the past and both were in the same
Kozhikode district. The first was reported at Changaroth near Perambra in May
2018 which claimed 17 lives (of 18 infected). Second time a 12-year-old boy
from Chathamangalam died in September 2021.
Meanwhile, neighbouring Tamil Nadu has announced that travellers coming from
Kerala would be subjected to medical tests.The Government has alerted the hospitals
in the State.
Mode of transmission, symptoms and patient management
Nipah viral infection is zoonotic and is spread mainly by fruit bats - through
fruits bitten by infected bats. It is potentially fatal to animals as well as
humans. Fruit bats transmit the virus to other animals like pigs, and also dogs,
cats, goats, horses and sheep. They, especially pigs, also transmit the infection
to human beings. Pigs can die en masse. Although, any animal or bird is a potential
host and may spread the disease.
The infection takes place through bodily fluids like saliva or fomites or even
by person to person or animal contact or through contaminated food. Transmission
through drinking of raw date palm sap (local toddy), or fruits contaminated
by bat urine or saliva (bite), has also been identified.
The symptoms start with fever, muscular pain, headache, fever, dizziness and
nausea like in other viral infections and could easily go misdiagnosed. It almost
looks similar to covid. Nipah leads to fatal encephalitis or what is called
brain fever, progressing to coma and death. A new symptom that kills the patient
is acute respiratory problem.
Since there is no cure or any vaccine, the focus has to be on prevention. The
management of the infection includes supportive care with treatment of symptoms.
However, antiviral Ribavirin has been found to an extent helpful in reducing
mortality. The fatality rate of Nipah is globally estimated at 40% to 75%. Nipah
has an R-value of less than one.
In order to help prevent infection, there are some basic and simple tips: Wash
your hands frequently, especially before taking food; heat food before
consumption; be wary of fomites; avoid fruits contaminated by bats; avoid
physical contact with other people.
In India, apart from Kerala, there have been cases reported from Bengal where
in 2001 and later over 50 people died.
Nipah virus was first identified in 1998-99 in an outbreak among pig farmers
in Malaysia (of 265 infected, 105 died). Singapore also had an outbreak. In
Bangladesh there have been several outbreaks.
Delhi has recorded the hottest night (35+ deg C), unheard of since the beginning of time! For 30 consecutive days the maximum temp is above 40 deg C and in the nights too the mercury stayed high as there is hardly any earth around to absorb and dissipate the day's heat. Add on to the nightmare the acute water shortage in the national Capital due to the power-hungry, low-grade politicians squabbling for one-upmanship. More than 200 people died in Delhi-NCR in the past two days. Most of them are poor people, labourers, the homeless, beggars.
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A video shows the terrifying scene of the chopper swirling and dropping nose down mid-air around the helipad. In fact, the rear rotor had gone for a toss and the pilot was performing autorotation for a crash-landing. He pulled it off! Congrats!
True or false, Savitri claimed her husband had told her to throw Vinod into the canal as all that he does is eat. "How much torture can my son endure?" She picked him up when he was asleep.
Marking a decisive stage in the ongoing tussle between Governors and the Governments in some States, the Governor of Bengal has thrown down the gauntlet to the State police, asking the Raj Bhavan staff to refuse any enquiry from the cops in the sexual harassment case filed by a woman employee against him.
COMMENT: In many a case complaints can be frivolous, made under certain circumstances. So it is more in the interest of the accused that there is an investigation to clear his name. Denial may only mean acceptance of the guilt. Besides, quoting Constitutional immunity in sexual harassment cases is nothing short of a vulgarity of the feudal landlord. Nobody is above the law.
While the universal apprentice scheme will enable the educated youth to stand up (literally) in a country where the people are trampled by wretched politicians, and look about for avenues to earn a living confidently, the provision of student credit cards of up to Rs 10 lakh will ensure each and every student of this country receives equal opportunities to fulfil their aspirations of higher education irrespective of their financial conditions. It will be a game changer. These are on the lines of what US Vice-President Kamala Harris visualised to be happening to the Third World when she hailed Ajay Banga as a transformative World Bank President.
Peter Higgs is the father of the mysterious Higgs boson, otherwise called 'God Particle', which gives mass to all elementary particles, and created our universe. His contribution helped other scientists understand how the Big Bang created something out of nothing 13.8 billion years ago. The equations of particle physicists which did not have a leg to stand on till then, the 'God Particle' came as a Godsend. The theories so far to describe the universe did not hold water.
It was only by 2012, after 50 years of the boson discovery, that scientists at CERN could make the big announcement that they had finally found a Higgs boson using the Large Hadron Collider.
Higgs instantly broke into tears, tears of profound satisfaction, in the lecture hall where the announcement was made.
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The unprecedented step by the State may also establish that it always upholds the Constitution and the rule of law in order to pre-empt any eventuality of getting dismissed on flimsy grounds invoking provisions of the Constitution later on; and, also provide a thrust to an emerging platform of regional forces pitted against the ongoing centralisation of every subject and activity in the country under one umbrella where the States will ultimately 'wither' away (for some time).
OPINION: Made to happen as it does just weeks ahead of the general elections, the arrest may signal, if not the cause of, far-reaching consequences in the course of Indian politics. The Opposition charges that the ruling party at the Centre has unleashed the police to catch a leader every other day for corruption allegedly indulged in in the present or the remote past in order to incapacitate any concerted opposition to the ruling dispensation.
The “My way or the highway" man, Trump has predicted 'apocalypse' for Americans if he is not elected the President in the upcoming election. He sounds “extremism, affection for violence." As always, he is also seeing what others don't, and repetitively using words like "(2020) election was stolen"! And that's a symptom! Delivering a no-holds-barred speech at a rally in Ohio, he also predicted the US won't see another election if he did not win the November battle against the incumbent President. With his savage push against the God-fearing Catholic, and the heap of criminal cases pending in the courts, the unpredictable Trump's nomination exposes a season of drought of leadership of calibre in the United States.
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The manager has defended himself saying that dry ice got mixed with mouth freshener by the negligence of the staff...After taking the mouth freshener the customers felt a burning sensation and started vomiting blood. Five of them were hospitalised. Two are in critical condition.
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One of them is seen in CCTV being shot at close range. The motive is suspected to be personal enmity.
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It is not understood how undesirable elements are allowed to get so close to her
and play havoc with the artwork. Several times over this has happened in the
past, deranged minds masquerading as tourists and cultists venting their frustration.
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Tailpiece: Sometimes appearing to outnumnber men and women on the streets, the stray dogs are turning more and more daring with sections of anti-social elements out there to feed and protect them in order to find a window for their unfulfilled love! There is an all-pervading feeling of lack of authority.
Ankit Tiwari had told the employee that “instructions had been received
from the Prime Minister’s Office to conduct an enquiry” and reopen the
“already disposed of” case and asked him to appear before the ED office
at Madurai on October 30, DVAC said. The doctor was allegedly
threatened with arrest and told to pay a bribe of Rs 3 cr to avoid the ED
probe, which was later negotiated down to Rs 50 lakh.
Tailpiece: We are made to believe RBI, CBI, ED, Judiciary as sacrosanct
and all others like railways, transport, revenue, education, PWD
departments are composed of us the mortals, absolutely corrupt! As if in
the sacrosanct places the angels descend from the heavens to work in the
night and fly away before day-break! Let's be true to ourselves, we are all
cut from the same cloth.
Apart from cash, Gill had also taken three planes as bribe and two of them
were leased out to Redbird Aviation Academy. With the result, flying
schools compromised on safety requirements and trainers met with
accidents several times.