Understanding the dynamics of nipah virus (NiV) transmission and outbreaks in India from Kerala’s perspective

Abstract

This comprehensive analysis delves into the series of Nipah virus (NiV) outbreaks across India, with a particular focus on occurrences in Kerala. NiV, which belongs to the Paromyxoviridae family and Henipavirus genus, originated in Malaysia in 1998 and has consistently posed significant global health threats. In India, NiV outbreaks have sporadically emerged since the initial case in West Bengal in 2001, often with alarming mortality rates. The 2018 resurgence in Kerala exhibited an astonishing case fatality rate of 89%, emphasizing the need for tailored diagnostic and management strategies due to substantial variability in the incubation period and clinical manifestations. Understanding the predominant person-to-person transmission underscores the importance of comprehending transmission dynamics. Early detection, facilitated by the Integrated Disease Surveillance Program (IDSP), remains vital, as treatment options are currently confined to supportive care, necessitating the exploration of more effective therapeutics. The sporadic nature of NiV outbreaks, exemplified by the recent Kerala episode, emphasizes the urgency for robust response mechanisms, while collaborative efforts and capacity-building initiatives are essential for effectively managing these occurrences. Continued focus on prompt detection, advanced laboratory testing, accessibility to cutting-edge facilities, and heightened infection control measures remains imperative to mitigate future incidents.