Could the Nipah virus lead to another global lockdown?
Any news of an outbreak of a virus can bring many of us back to 2020, when the then novel coronavirus sparked a years-long pandemic.
Now with ‘Nipah virus’ in the headlines, should people in the UK be worried?
India has seen a rise of confirmed cases of the rare, brain-damaging virus, even prompting neighbouring countries to bring back health checks.
What is the Nipah virus?
The Nipah virus lives in fruit bats across South and Southeast Asia.
It spreads to humans through contact with the animals’ bodily fluids, such as eating fruit or sap contaminated with the bats’ urine or saliva.
There is evidence it can infect other animals, including pigs, dogs, cats, goats, horses and sheep.
Symptoms can develop between four and 21 days after infection. They include flu-like symptoms, such as fevers, body aches and vomiting.
Overtime, however, it can cause respiratory syndrome and encephalitis, or brain inflammation.
Between 45% and 70% the people who are infected die. There is no vaccine and no cure.
About 20% of survivors suffer neurological effects, such as seizures or personality changes, according to the World Health Organization.
Outbreaks of the virus happen almost every year in Bangladesh, but also Malaysia, Singapore and the Philippines.
The virus was first identified during an outbreak in 1998 among pig farmers in Malaysia, where it killed over 100 people.
Where is the virus now?
Only in West Bengal, the fourth most populated state in India.
Two laboratory-confirmed cases of Nipah have been seen – two nurses employed at the same private hospital in Barasat, Katoya.
Health experts in India have been repeatedly stressing that it’s only these two confirmed cases amid reports there were five.
The nurses – a man and a woman, both 25 – began feeling unwell in December, before their conditions spiralled and were taken to emergency care.
The man is recovering while the woman remains in a coma.
Indian health officials aren’t sure how the pair became infected, but suspect they may have sap while visiting the village of Ghughragachhi.
Nearly 200 people who were in contact with the patients have been tested for the virus – all came back negative, the WHO said.
Around 100 people were briefly quarantined in a hospital.
The WHO said today: ‘India has demonstrated its capacity to manage Nipah outbreaks during previous events and recommended public health measures are being implemented jointly by national and state health teams.
‘At this time, there is no evidence of increased human-to-human transmission.’
Thailand, Nepal and Taiwan are now monitoring passengers for Nipah virus symptoms.
Some airports are screening travellers before they can enter the main terminals, while others are handing out ‘Health Beware Cards’ to passengers upon landing.
Could Nipah virus lead to a global lockdown in future?
No need to stock up on toilet roll just yet, says Ian Jones, a professor of virology at the University of Reading.
Jones said that the Nipah virus is very different from the coronavirus, which is spread by the viral droplets sneezed and coughed by patients.
‘It’s frightening as the death rate is high, but the virus does not transmit effectively person to person, so following a case, it’s really only close family members and healthcare workers who are at risk,’ he said.
‘Following Covid, any new virus is treated with alarm – could it become pandemic? – but for Nipah this cannot happen as the virus does not transmit by air and has never shown any sign of doing so.’
WHO considers Nipah as a possible epidemic candidate, a regional outbreak of an illness that spreads unexpectedly.
A pandemic, meanwhile, is a disease that spreads worldwide.
‘The short answer is that Nipah is a deadly localised virus whose cases can be minimised by strict hygiene and education,’ Jones added.
‘But it is not a pandemic threat.’
What is the UK’s current guidance around Nipah virus?
The UK Health Security Agency updated its Nipah virus guidance yesterday.
Agency officials stress that this isn’t a sign that people should panic – it’s just always a good idea to understand what a virus is.
No cases have been found in the UK.
There is no mention of Nipah virus in the Foreign Office’s travel advice for India.
To travellers, the UKHSA recommends people:
- Avoid contact with bats and their environments, especially sick bats
- Don’t consume raw or partially fermented date palm sap – always boil date palm juice first
- Wash all fruit thoroughly with clean water and peel before eating
- Wear protective clothing and gloves when handling sick animals and during slaughter and culling procedures
- Practice good hand hygiene.
The agency stresses that the risk for tourists visiting endemic countries is ‘very low’ if safety recommendations are followed.
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