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Thiruvananthapuram, May 2, 2025 – In a decisive move to curb the threat of amoebic encephalitis, the Kerala government has released updated guidelines focusing on prevention, early diagnosis, and effective treatment of this rare but often fatal brain infection. Health Minister Veena George announced the new measures, emphasizing a ‘One Health’ approach that integrates human, animal, and environmental health strategies.

Key Elements of the New Action Plan

The comprehensive plan, prepared in collaboration with multiple state departments and scientific institutions, includes:

  • Awareness Campaigns: Targeted outreach to students and communities interacting with water bodies, with awareness boards to be installed near previously affected pools.

  • Enhanced Diagnostics: All patients with suspected brain fever will now be tested for amoebic encephalitis. The state’s Public Health (PH) Lab and Thonnakkal Institute of Advanced Virology (IAV) have been designated as apex centers for molecular and genomic diagnosis, with PCR testing already underway.

  • Specialized Centers: The microbiology departments at Thiruvananthapuram and Kozhikode medical colleges will be developed into specialized diagnostic centers for amoebic encephalitis.

  • Environmental Monitoring: The State Pollution Control Board (SPCB) and Kerala University’s environmental science department have crafted plans to address environmental factors that promote amoeba growth.

  • Drug Availability: The Kerala Medical Services Corporation Ltd. will ensure the availability of miltefosine, a key drug used in treatment.

  • Research and Training: Ongoing research collaborations with PGIMER, Chandigarh, and AVM Institute, Pondicherry, will study the factors influencing amoeba growth. An online module for treatment protocols will be launched for healthcare professionals.

Coordinated Effort Across Departments

Minister George instructed all hospitals to strictly adhere to the new guidelines and called for coordinated awareness efforts among the health, local self-government, and education departments, especially before the onset of summer-a period when cases typically rise.

Impact and Caution Ahead

Kerala has seen a concerning number of amoebic encephalitis cases: 38 cases with 8 deaths in 2024, and 12 cases with 5 deaths reported so far in 2025. Globally, the disease carries a staggering 97% mortality rate. However, Kerala’s proactive measures have reduced the state’s mortality rate to 25%, largely due to early diagnosis and prompt treatment.

Minister George urged the public and healthcare workers to remain vigilant, particularly as summer approaches, to prevent further cases and fatalities.

Disclaimer:
This article is based on information reported by ET HealthWorld (Economic Times Health) as of May 2, 2025. The content is intended for informational purposes only and should not be considered as medical advice. For diagnosis, treatment, or more information about amoebic encephalitis, please consult qualified healthcare professionals or visit official government health sources.

Citations:

  1. https://health.economictimes.indiatimes.com/news/policy/kerala-releases-new-guidelines-for-prevention-and-treatment-of-amoebic-encephalitis/120785824

 

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