Nipah virus outbreak in West Bengal, India: 5 people infected, international community highly vigilant
A seemingly fresh cup of date palm juice may be hiding a deadly virus. During the rainy season in this South Asian region, residents of West Bengal, India, are forced to face a mysterious killer with a mortality rate of up to 75%.

01 Epidemic outbreak
The Nipah virus is quietly spreading in a community in the Marda region of West Bengal. A local fruit grower suddenly developed symptoms such as fever and headache, and passed away shortly after. Subsequent epidemiological investigations revealed that the patient may have consumed date palm juice contaminated with fruit bats during their lifetime.
The epidemic is spreading like a chain reaction, with medical staff in the community experiencing similar symptoms one after another. As of now, West Bengal has confirmed 5 cases of Nipah virus infection, including several healthcare workers.
The number of deaths continues to rise, and according to local media citing internal data from medical institutions, there have been several deaths reported from suspected cases in the Marda region of West Bengal.
02 Virus Characteristics
Nipah virus is a zoonotic virus, and its natural host is fruit bats. The interpersonal transmission route of this virus is relatively limited, usually requiring close and prolonged contact with the body fluids or secretions of infected individuals.
The incubation period of the virus is usually 4 to 14 days, but according to the World Health Organization's records, the longest can reach 45 days. This characteristic makes it particularly difficult to track close contacts and cut off the transmission chain.
The initial symptoms of infection are similar to influenza, including fever, headache, muscle pain, and fatigue. As the virus spreads within the body, patients may experience symptoms such as difficulty breathing, pneumonia, and encephalitis. Severely ill patients may fall into a coma and eventually die due to multiple organ failure.

03 Government Response
The Indian central government quickly activated the emergency response mechanism and dispatched a central team composed of epidemiologists, virologists, and clinical experts to West Bengal to assess the epidemic and provide guidance on prevention and control.
The local health department has required nearly 100 close contacts to undergo home quarantine and health monitoring. Anyone who experiences symptoms such as fever, headache, nausea, etc. will be immediately sent to a designated medical institution for isolation and treatment.A dedicated Nipah virus isolation ward has been established in the Marda region, equipped with emergency equipment such as ventilators. Local health workers have also begun a systematic investigation of bat habitats, collecting bat samples for virus testing.
04 International Response
The high mortality rate of Nipah virus has aroused high vigilance from the international community. The Thai disease control department announced that a dedicated checkpoint will be set up at Phuket International Airport to conduct health screening for all passengers from India.
The Nepalese government has also strengthened border control and implemented temperature monitoring and health declaration systems at all ports of entry, with a particular focus on individuals from India.
The World Health Organization's Nipah virus expert pointed out that although the virus is currently mainly transmitted through close contact, given its high mortality rate, any international traveler should remain vigilant.
05 Spread Risk
Fruit bats, as natural hosts of Nipah virus, are widely distributed in South Asia and Southeast Asia. These bats contaminate fruit trees and fruits, especially the sap of palm trees, through urine and saliva.
Local people are accustomed to collecting date palm juice in the early morning, which is naturally fermented and used as a beverage. Fruit bats may contaminate collection containers during nighttime activities, and humans may be infected with viruses by drinking unboiled date palm juice.
Research has confirmed that fruit bats infected with Nipah virus do not exhibit significant symptoms, which allows the virus to persist in bat populations and become a potential source of periodic outbreaks.
06 Historical Review
The Nipah virus is not the first to enter human vision. In 1998, the first case of this virus infection was discovered among workers at a pig farm in Negeri Sembilan, Malaysia.
The investigation found that pigs were infected with the virus through contact with fruit bats, and then transmitted to humans. The epidemic resulted in 105 deaths and over 1 million pigs being slaughtered.
Since the Nipah virus outbreak in Kerala in 2018, India has strengthened its monitoring system. There are now over 100 laboratories in the country with the ability to detect Nipah virus, and this rapid response capability is crucial for containing the epidemic.
07 Epidemic Prevention Challenge
The primary challenge facing the Nipah virus is the lack of effective vaccines and antiviral drugs. At present, treatment is limited to supportive care, including respiratory support and intravenous infusion.Another challenge is the long incubation period and diverse transmission routes of the virus. Research has shown that Nipah virus can be transmitted through contact with infected animals or patients' bodily fluids, and there may even be a possibility of aerosol transmission under specific conditions.
Due to the wide distribution range of fruit bats and their overlap with human living areas, it is difficult to completely cut off the transmission chain from the source. Environmentalists point out that deforestation and climate change have forced fruit bats to seek new habitats, increasing opportunities for human bat contact.
08 China's prevention measures
The General Administration of Customs of China has issued a warning to strengthen health checks for inbound personnel from countries affected by the epidemic, such as India. Temperature monitoring devices have been installed at the entry channels of major ports such as Shanghai and Guangzhou, and individuals exhibiting relevant symptoms will be isolated and screened.

Several domestic biotechnology companies have developed Nipah virus nucleic acid testing kits that can quickly detect suspected cases. The National Health Commission has also designated multiple infectious disease hospitals as designated treatment institutions for Nipah virus.
Epidemiological experts from the Chinese Center for Disease Control and Prevention have stated that although the risk of Nipah virus entering China is relatively low, we must not take it lightly. Given the increasing population mobility in the context of global integration, any newly emerging infectious disease may spread across borders.A study by the Wuhan Institute of Virology, Chinese Academy of Sciences found that the oral nucleoside drug VV116 has high inhibitory activity against Nipah virus
On the streets of West Bengal, epidemic prevention personnel are disinfection and sterilization bat habitats. The government has banned residents from collecting and drinking untreated date palm juice in an attempt to cut off the transmission route of the virus from fruit bats to humans.The World Health Organization has listed Nipah virus as one of the pathogens that requires priority research, and over 10 research institutions worldwide are urgently developing vaccines and antiviral drugs against the virus. However, these studies still have some distance to go before they can be applied clinically.
During this rainy season, the Nipah virus once again sounded the alarm for the global public health system.
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