Alerts in Indian Subcontinent

Zika - India

A total of 7 more employees of the district court in Thalassery [city in Kannur district, Kerala state] tested positive for Zika virus on 5 Nov 2023.

India

Leptospirosis - India

The health department in Kozhikode has issued an alert against leptospirosis in the district in the wake of a rise in the number of patients and deaths in October [2023]. Kallai, Beypore, and Nadakkavu are some of the places where the number of patients is high. Those venturing out into muddy waters should take doxycycline, the preventive tablet, as they are at high risk of contracting the infection. The District Medical Officer said the tablets were available for free at all government hospitals. Those who have symptoms such as high fever, headache, severe body pain, joint pain, and redness in eyes should immediately consult a doctor.

India

Rabies - India

An 8-year-old girl died in Agra, Uttar Pradesh, on 25 Oct 2023 after being bitten by a stray dog about 2 weeks ago. The girl was attacked by a stray dog 15 days ago while she was playing in a village in Pinahat.

India

Dengue, Malaria - India

Dengue cases in Delhi have seen a sharp rise this year, with nearly 5000 cases (4965) reported till 21 Oct 2023 -- more than double that of cases seen in the same period in 2022 and the highest in the last 5 years. The spike in cases was the highest in the month of September with 2141 cases. The highest number of dengue cases is usually reported in 2 months, October and November. A sudden dip is usually seen in December. A significant increase has also been observed in malaria cases, with over 300 cases being reported so far.

India

XDR Typhoid fever - Pakistan

Extensively drug-resistant (XDR) Salmonella was first reported in Sindh, Pakistan, in 2016. Since then, several districts have reported cases caused by multiple XDR S. enterica serovar typhi variants belonging to clade H58 and carrying multiple novel genomic integrations of the extended-spectrum beta-lactamase gene. Most cases are managed with meropenem and azithromycin, and most national guidelines recommend those drugs for treating cases of Salmonella typhi in Pakistan. We report a case of carbapenem-resistant Salmonella typhi infection that required treatment with a last-resort antimicrobial drug.

Pakistán

Nipah Virus - India

A 39-year-old man in Kerala has tested positive for the Nipah virus, bringing the total number of infections to 6. The man contracted the virus after coming into contact with a previously infected patient who later died. The Nipah virus is highly pathogenic and often fatal, causing brain swelling and respiratory distress. There is currently no cure or vaccine for the virus. The Indian government is working to evaluate preventive measures to tackle the outbreak. Of the 6 cases, 2 patients died on 30 Aug and 11 Sep 2023, and the remaining 4 are undergoing treatment, officials aware of the matter said.

India

Japanese encephalitis - India

So far in 2023 a total of 432 people in the entire state of Assam (India) have been infected with Japanese encephalitis and 24 people have lost their lives. The increase in cases is assumed to be related to the floods suffered last month.

India

Dengue - Bangladesh

Dengue is endemic in Bangladesh. However, from 1 January to 7 August 2023 a total of 69483 confirmed dengue cases and 327 related deaths were reported. The current outbreak is unusual in its early sharp increase and seasonality.

Bangladesh

Measles - Nepal

Between 24 November 2022 and 10 March 2023, 690 measles cases, including one associated death (case fatality ratio: 0.14 %), have been reported from 7 districts in western Nepal, and 3 districts in eastern Nepal. The majority of the cases (86%) have been reported in children aged less than 15 years.

Nepal

Nipah Virus - Bangladesh

There is an outbreak of Nipah virus disease in several districts in Bangladesh (see map). This outbreak is related to the consumption of date palm sap.

Bangladesh

Dengue - Bangladesh

Dengue is endemic in Bangladesh. However, a surge of cases started in June 2022, with a total of 52807 confirmed dengue cases and 230 related deaths so far. The current outbreak is unusual in its scale and seasonality.

Bangladesh

Malaria - Pakistan

From January to August 2022, more than 3.4 million suspected cases of malaria were reported in Pakistan compared to 2.6 million suspected cases reported in 2021. Most were reported as Plasmodium vivax.

Pakistán

Dengue - Pakistan

Between 1 January and 27 September 2022, a total of 25932 confirmed dengue cases and 62 deaths were reported in Pakistan, with 74% of these cases reported in the month of September alone. The current surge in cases follows unprecedented flooding that began in mid-June 2022.

Pakistán

Dengue - Nepal

Dengue is endemic in Nepal. Between January to 28 September 2022, a total of 28109 confirmed and suspected dengue cases and 38 confirmed deaths due to dengue have been recorded, affecting all seven provinces.

Nepal