Nipah Outbreak
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Nipah Infection in 2014
Update on February 11, 2014
Situation Update:
As of 11 february 2014, 18 cases of Nipah virus infection have been reported in Bangladesh since the beginning of 2014, of which 9 cases have died. These cases are from 11 different districts (Manikganj,Magura,Faridpur,Rangpur,Shaariatpur,Kushtia,Rajshahi,Natore,Dinajpur,Chapai Nawabganj, Naogaon).
Nipah
Human Nipah virus (NiV) infection, an emerging zoonotic disease, was first recognized in a large outbreak of 276 reported cases in Malaysia and Singapore from September 1998 through May 1999.
Agent
NiV is a highly pathogenic paramyxovirus belonging to genus Henipavirus. It is an enveloped RNA virus.
Incubation period
The median incubation period of the secondary cases who had a single exposure to Nipah case was nine days (range 6–11 days) but exposure to onset of illness varies from 6-16 days. The median incubation period following single intake of raw date palm sap to onset of illness is 7 days (range: 2-12 days) in Bangladesh.
Transmission:
- Drinking of raw date palm sap (kancha khejurer rosh) contaminated with NiV
- Close physical contact with Nipah infected patients
Surveillance
Nipah surveillance began in 2006, Institute of Epidemiology, Disease Control and Research (IEDCR) in collaboration with ICDDR,B established Nipah surveillance in 10 price District level Government hospitals of the country where Nipah outbreaks had been identified. Presently surveillance system is functioning in five hospitals of Nipah Belt.
Description of Nipah Patients in 2014
| Sl No | District | No of Cases | No of Death |
| 1 | Manikganj | 2 | 2 |
| 2 | Magura | 5 | 2 |
| 3 | Faridpur | 1 | 0 |
| 4 | Rangpur | 1 | 1 |
| 5 | Shaariatpur | 1 | 1 |
| 6 | Kushtia | 1 | 0 |
| 7 | Rajshahi | 1 | 0 |
| 8 | Natore | 1 | 0 |
| 9 | Dinajpur | 1 | 0 |
| 10 | Chapai Nawabganj | 1 | 0 |
| 11 | Naogaon | 1 | 1 |
Previous Update
All Update, 2013
23 February, 2013
12th March, 2013
02 April, 2013