Abstract
Kerala's first Nipah virus outbreak occurred in 2018. It being in the pre-covid era presented major challenges to the public health authorities highlighting the need for rapid response and improved preparedness. This article provides an in-depth analysis of the outbreak, its epidemiology, clinical presentation, public health response, challenges faced, and the crucial lessons learned. Being a third-year medical student in a Nipah-affected area was an unsettling experience. The fear was palpable as we grappled with the uncertainty of the virus's spread. The pay wards in our hospital were converted into Nipah isolation wards within a day. Hearing terms like "quarantine" and "isolation" became chilling reminders of the dire situation, emphasizing the importance of strict protocols and safety measures to protect patients and healthcare workers
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