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A woman identified as a high-risk contact of a recent Nipah virus victim has died at a state-run hospital near Malappuram, Kerala, intensifying concerns over the ongoing outbreak in the region. The deceased had been admitted to the same hospital ward as an earlier Nipah-positive patient who succumbed to the disease last month. Following her death, health officials have instructed her family to postpone funeral arrangements until final test results from the National Institute of Virology (NIV), Pune, are received.

The incident comes as another Nipah-positive patient remains in critical condition at Kozhikode Medical College and Hospital. Kerala, which has experienced six Nipah outbreaks since 2018, continues to be the most affected state in India, with 17 deaths attributed to the virus since the first outbreak in Perambra, Kozhikode, in 2018.

Currently, 482 individuals are on the Nipah contact list in Kerala, with 192 in Malappuram, 114 in Kozhikode, and 176 in Palakkad. Health authorities in all three districts are on high alert, implementing strict surveillance and containment measures. In Palakkad, the home district of the critically ill patient, a three-kilometre radius around the patient’s residence has been declared a containment zone. Field teams are collecting retrospective data from the past six months, and veterinary inspections are underway to identify potential sources of the virus.

The Nipah virus is a highly fatal zoonotic pathogen, primarily transmitted from animals such as fruit bats (flying foxes) to humans, but it can also spread through contact with infected animals like pigs, consumption of contaminated fruit or palm sap, and direct human-to-human transmission via bodily fluids or contaminated surfaces. The virus can cause acute encephalitis, severe respiratory illness, and often leads to death.

Health authorities urge the public to remain vigilant and adhere to safety protocols, including avoiding contact with sick animals, practicing good hygiene, and following official advisories.

Disclaimer:
This article is based on information available as of July 10, 2025. Details regarding the cause of death for the recently deceased patient are pending confirmation from the National Institute of Virology, Pune. Public health recommendations and containment measures may change as new information emerges. Readers are advised to follow updates from official health authorities for the latest guidance.

  1. https://gulfnews.com/world/asia/india/nipah-high-risk-contact-patient-dies-in-kerala-1.500192645
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