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Coronavirus Outbreak

Kerala Health System On Heightened Alert With Advent Of Nipah Amid COVID Pandemic

The central government has rushed a team from the National Centre for Disease Control (NCDC) to provide support to Kerala, where a 12 year-old boy died due to Nipah on Sunday and two others displayed symptoms of the virus infection

As per experts supportive care is the only mode of treatment as there is no cure or vaccine for Nipah
Highlights
  • Nipah infections are usually confined to small clusters or areas: Experts
  • Risk of infection higher at hospitals than at community level: Experts
  • Kerala govt launches “Be the Warrior” campaign to tackle 3rd wave of COVID

Thiruvananthapuram/Kozhikode: As Kerala reeled under a daily increase of nearly 30,000 cases of COVID-19, the deadly Nipah virus has come as another thorn in its side, prompting the state to further heighten the alertness of its health machinery to prevent an outbreak of a different infection. The southern state, which already saw a localised outbreak of 63 cases of Zika virus in July that were mostly confined to Thiruvananthapuram, however, need not be concerned about the spread of Nipah infection as preventive measures like use of masks and PPE kits – are already in place due to COVID-19 and intensive contact tracing was going on, state health minister Veena George said on Sunday.

Meanwhile, the central government has rushed a team from the National Centre for Disease Control (NCDC) to provide support to the state, where a 12 year-old boy died due to Nipah on Sunday and two others displayed symptoms of the virus infection.

However, experts, like Dr Amar Fettle, Dr T S Anish and Dr T N Suresh, told PTI that there was less cause for concern at present as the state has already dealt with the Nipah virus twice in the past — when it reared its head in 2018 and 2019 — and the risk of transmission would be less this time round as protective measures, like wearing of masks and PPE kits, are already in place.

Also Read: Meet 24-Year-Old Asma Khan Who Is Leading The Youth Of Madhya Pradesh To Rise Up To Meet The Challenges of COVID-19 Pandemic

They also said that Nipah infections are usually confined to small clusters or areas. The experts said that “intensive contact tracing” and quarantine of all primary contacts were the two main steps to be taken to ensure effective control over spread of the infection. Dr Fettle, the nodal officer for H1N1, said that the Nipah infection is very pathogenic, but it is more likely to spread once the patient’s condition becomes severe — when he/she is hospitalised.

He said that risk of the infection spreading would, therefore, be higher in the hospital than at community level. Hence, while doing contact tracing, people who may have come into contact with the patient at the hospitals should be “meticulously traced”, he said.

He further said that steps taken by the state to tackle COVID-19, like preparing a time stamped route map of patients, would come in handy here also as it would help public health authorities inform people about the places visited by the infected person and at what times.

This will let people know as to who all need to quarantine themselves or come forward for testing if they exhibit symptoms and would avoid widespread panic in the district or state, he said. Dr Anish, a specialist in Community medicine, and Dr Suresh, general secretary of the Kerala Government Medical Officers Association, were also of a similar view that contact tracing and quarantine of primary contacts were the two most important steps presently.

Dr Anish said that Nipah usually remains confined to smaller areas or clusters and its numbers remain very few and hardly ever crosses even 50. Dr Suresh said that the state has already dealt with the virus twice in the past and therefore, it already has a model in place to “effectively” tackle it.

Also Read: Full Vaccination Prerequisite If Attending Mass Gathering Essential: Govt Ahead Of Festive Season

Moreover, due to the prevailing COVID-19 pandemic, people are already taking preventive steps like wearing masks and kits, and therefore, the spread of Nipah may be less. Also, due to COVID-19, the victim’s list of contacts would be limited, he said and added that local containment activities are already in motion.

He said the primary contacts would be kept in quarantine and if they display symptoms, they would be tested. Subsequently, based on the results, supportive medical care would be provided.

All of the experts said that supportive care was the only mode of treatment as there is no cure or vaccine for Nipah. They also said that the likelihood of both Nipah and COVID-19 infecting patients was less. The state health minister, earlier in the day, told the media that information regarding the infection status of the boy was received late, but as soon as they got to know about it, the department swung into action and held an emergency meeting Saturday night itself to formulate an action plan.

She said that a special team was formed on that night to carry out contact tracing and identify primary contacts and it was effectively carrying out that work. Preparations have been made to isolate or quarantine those in the primary contacts list and subsequently, after another meeting at Kozhikode Medical College, a treatment protocol would be decided, the minister said.

Later in the day, she told reporters that two more people have displayed symptoms of Nipah infection and were being monitored. The two, both health workers in the hospitals where the victim was taken, are among the 20 high risk contacts of the deceased 12-year-old child, she said.

Also Read: How Prepared Is India For COVID-19 Third Wave

The nearby districts of Kannur and Malappuram have also been directed to be on the alert for any cases of Nipah, she had said earlier. The Minister had also said that it was being examined why the case was again reported in Kozhikode as had happened in 2018 when the first infection was recorded in the same district.

The first Nipah virus disease outbreak in South India was reported from Kozhikode district in Kerala on May 19, 2018. There have been 17 deaths and 18 confirmed cases as of June 1, 2018. The outbreak was contained and declared over by June 10, 2018.

Thereafter, in June 2019, a new case of Nipah was reported from Kochi and the sole patient was a 23-year-old student, who later recovered. With this year’s reporting of a case, it is the fifth time the virus has been detected in India and the third in Kerala.

Kerala govt launches “Be the Warrior” campaign to tackle third wave of pandemic

“Be the Warrior” campaign, part of the health department’s COVID-19 mitigation programme to fight the expected third wave of the pandemic, was launched here on Saturday by Kerala Chief Minister Pinarayi Vijayan.

The Chief Minister said the aim of the campaign was to reduce the severity of the third wave and also to speed up the vaccination. “Everyone must safeguard themselves from COVID-19.

The campaign aims to ensure that everyone wears a proper mask, washes their hands frequently with soap, water or sanitizer, maintain physical distancing and take two doses of vaccine in order to fight the pandemic,” he said after launching the logo of the campaign.

Later, speaking to reporters, Vijayan said the current lockdowns on Sundays and the night curfew would continue in the state, but further decisions would be taken only after another evaluation meet on Tuesday.

Also Read: With An Aim To Increase People’s Access To Healthcare, Delhi Launches New Compact ‘Mohalla Clinics’

“After the Onam festivities, the cases in Kerala did not go up as we feared. The number of hospitalisations also did not increase during this period,” Vijayan said.

He said cases would be registered against those who violate quarantine norms.

“Police will ensure that those affected will remain under quarantine and also whether people have facilities at their residences to follow room quarantine procedure. Or else they will be shifted to Covid First Line Treatment Centres,” he said.

Vijayan also said that in the last 24 hours, Rs 15,14,100 was collected as fines from those who violated COVID-19 health protocol and cases were registered against 9,614 people for not wearing masks. Kerala reported 29,682 COVID-19 cases and 142 deaths on Saturday.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

22,95,44,435Cases
19,20,52,504Active
3,27,83,741Recovered
47,08,190Deaths
Coronavirus has spread to 195 countries. The total confirmed cases worldwide are 22,95,44,435 and 47,08,190 have died; 19,20,52,504 are active cases and 3,27,83,741 have recovered as on September 22, 2021 at 3:49 am.

India

3,35,31,498 26,964Cases
3,01,9897,586Active
3,27,83,741 34,167Recovered
4,45,768 383Deaths
In India, there are 3,35,31,498 confirmed cases including 4,45,768 deaths. The number of active cases is 3,01,989 and 3,27,83,741 have recovered as on September 22, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

65,27,629 3,131

44,269 960

63,44,744 4,021

1,38,616 70

Kerala

45,39,926 15,768

1,61,765 5,813

43,54,264 21,367

23,897 214

Karnataka

29,69,361 818

13,769 617

29,17,944 1,414

37,648 21

Tamil Nadu

26,48,688 1,647

16,993 9

25,96,316 1,619

35,379 19

Andhra Pradesh

20,40,708 1,179

13,905 483

20,12,714 1,651

14,089 11

Uttar Pradesh

17,09,693 13

194 0

16,86,612 13

22,887

West Bengal

15,62,710 537

7,741 69

15,36,291 592

18,678 14

Delhi

14,38,556 39

400 21

14,13,071 18

25,085

Odisha

10,21,216 462

4,844 103

10,08,226 560

8,146 5

Chhattisgarh

10,05,120 26

297 0

9,91,260 26

13,563

Rajasthan

9,54,275 12

99 8

9,45,222 4

8,954

Gujarat

8,25,751 14

133 0

8,15,536 14

10,082

Madhya Pradesh

7,92,410 8

90 6

7,81,803 14

10,517

Haryana

7,70,754 8

328 12

7,60,618 20

9,808

Bihar

7,25,907 6

60 9

7,16,188 15

9,659

Telangana

6,63,906 244

4,938 53

6,55,061 296

3,907 1

Punjab

6,01,359 36

304 3

5,84,554 37

16,501 2

Assam

5,98,864 441

5,081 97

5,87,970 338

5,813 6

Jharkhand

3,48,139 14

65 10

3,42,941 4

5,133

Uttarakhand

3,43,405 12

249 18

3,35,765 29

7,391 1

Jammu And Kashmir

3,28,214 145

1,450 11

3,22,345 154

4,419 2

Himachal Pradesh

2,17,403 263

1,715 99

2,12,033 162

3,655 2

Goa

1,75,690 107

886 76

1,71,507 29

3,297 2

Puducherry

1,25,618 101

922 55

1,22,864 46

1,832

Manipur

1,18,870 197

2,174 9

1,14,861 203

1,835 3

Tripura

83,956 51

353 7

82,794 44

809

Mizoram

82,815 1,355

15,363 223

67,184 1,127

268 5

Meghalaya

79,817 150

1,878 18

76,558 167

1,381 1

Chandigarh

65,195 7

44 3

64,333 4

818

Arunachal Pradesh

54,190 64

413 3

53,504 60

273 1

Sikkim

31,014 43

627 27

30,007 70

380

Nagaland

30,959 52

470 3

29,832 46

657 3

Ladakh

20,743 6

144 6

20,392

207

Dadra And Nagar Haveli

10,670

0 0

10,666

4

Lakshadweep

10,360 1

9 1

10,300

51

Andaman And Nicobar Islands

7,607 7

17 4

7,461 3

129

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