Nipah virus Outbreak: Bangladesh reports highest deaths in 7 years: IEDCR

More about Nipah virus infection:

This year in Bangladesh, the Nipah virus has claimed the lives of ten individuals, marking the highest death toll from the infection in seven years. With 71% death rate, Nipah is deadliest infectious disease in Bangladesh.

HIGHLIGHTS

Nipah virus has claimed the lives of ten individuals this year 

An additional 14 people have been diagnosed with the virus

Narsingdi recorded this year's first Nipah virus patient

For the first time this year, the virus has been detected in breast milk

Usually more than 70% of infected people die who being infected with the Nipah virus.

To prevent the spread of the virus, she advised against consuming raw date palm sap and not eating half-eaten fruits left exposed in the open.

To prevent Nipah virus, raw date juice should not be consumed under any circumstances.

Date juice, marketed online with enticing labels like "safe" and "boiled," is contributing to the spread of Nipah virus cases throughout the country.

However, date juice can be consumed after making it into jaggery.

In addition to date juice, this virus can also spread through various fruits.

We must wash fruits and vegetables that we eat unpeeled, such as tomatoes, plums, guavas, and strawberries, with soap.

Fruits that we peel, on the other hand, should be washed well with water. Fruits that have been eaten by bats should not be eaten.

During the winter, a festivity surrounding date juice contributes to the spread of a deadly disease across the country. 

“Consuming contaminated raw date palm sap can also lead to the transmission of this virus. Infected individuals can transmit the virus to members of their families or healthcare workers," said Professor Tahmina Shirin, director at the IEDCR.

People who drink raw date juice and fruits partially eaten by birds, especially bats, have the possibility of being infected with the virus.

Besides, healthy people who come in contact with the infected ones also have the possibility of being infected with the virus and it spreads from person to person quickly which is a matter of concern.

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What is Nipah virus?

The infection is a zoonotic illness that is transmitted to people from animals and can also be transmitted through contaminated food or directly from person to person, according to the World Health Organization (WHO).

How is the virus transmitted?

Nipah virus is commonly found in fruit bats (Pteropodidae), which feed on nectar and pollen. Nipah virus spreads through bat secretions or saliva. However, there are indications that both humans and animals can get infected by coming in contact with the contaminated saliva and urine of fruit bats.

What are the symptoms?

According to IEDCR, infected people initially develop symptoms such as fever, headaches, myalgia (muscle pain), vomiting and sore throat.

An undetected patient can fall into a coma within 24 to 48 hours of contracting the virus.

According to Centers for Disease Control Prevention (CDC), severe symptoms may include disorientation, drowsiness, or confusion, seizures, coma and brain swelling (encephalitis).

Why is the virus so dangerous?

The Nipah virus aggressively inflames the brain. The US Centers for Disease Control cites an incubation period of five days to two weeks.

Initial symptoms resemble those of the flu: fever, nausea and severe headache. Some patients experience respiratory problems. Later, disorientation, dizziness and confusion follow.

Within one to two days, patients can slip into a coma and die. The mortality rate for Nipah disease is 70%. 

Prevention

There is no vaccine available against the Nipah virus yet. So, as winter approaches, scientists every year issue cautions and recommends preventive measures for people to stay safe from the infection.

Some general measures to stay safe from the disease are:

1. Practice hand washing regularly with soap and water

2. Avoid contact with bats

3. Avoid areas where bats are known to roost

4. Avoid eating or drinking products that could be contaminated by bats, such as raw date palm sap, raw fruit, or fruit that is found on the ground

5. Avoid contact with the blood or body fluids of any person known to be infected with NiV

How can the disease be treated?

There is no vaccination or medication against the Nipah virus — neither for animals nor for humans. Medications have so far only been able to alleviate the symptoms.

In principle, patients must be immediately isolated and taken to an intensive care unit where vital body functions can be supported.

Contact persons or suspected cases must be quarantined to stop the spread of the infectious disease. 

Read In Details


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336337/
https://www.dhakatribune.com/bangladesh/health/333488/10-people-die-of-nipah-virus-in-2023
https://www.thedailystar.net/news/bangladesh/investigative-stories/health/news/evercare-hospital-chattogram-replants-amputated-hand-successfully-3231266

This is for informational purposes only. You should consult your clinical textbook for advising your patients.