Spurt in 'brain-eating' amoeba infections in Kerala; 8

confirmed cases, two deaths this year

The lone relief for the state is that it could bring down the death rate to
around 25 per cent while it is 97 percent globally.

: 19 August 2025,

Thiruvananthapuram: Even as amoebic meningoencephalitis is generally
considered a very rare

disease with hardly one or two cases being reported annually, Kerala is now
witnessing a spurt with

eight confirmed cases and two deaths so far this year.

While a conclusive reason for the source of the infection couldn't be
figured out, contamination of water bodies due to unscientific garbage
disposal, climate changes, increasing flow of migrant workers and even the
enhanced diagnosis facilities are being considered responsible for the
figures going up.

The lone relief for the state is that it could bring down the death rate to
around 25 per cent while it is97 per cent globally. Experts are stressing
the urgent need to initiate research to find out the reason for the spurt
in the cases in the state.

Amoebic meningoencephalitis is a rare brain infection caused by a
free-living amoeba found in contaminated waters. It is commonly found in
contaminated waters and mostly infects children.

However, among those infected in Kerala included many adults too and the
infection was also found to be caused from well water rather than
contaminated ponds.All the three recent cases are from various parts of
Kozhikode district. While a nine-year-old girl died last week, her two
siblings are also showing symptoms. Another three-month-old child and a
49-year old male were found to be infected and are under treatment. The
deceased girl was found to be infected from a pond near her house and the
49-year-old man was found to have got infected from the

water in his well at his house. The source of infection of the
three-year-old child was yet to be traced.

WHO former technical officer Dr S S Lal points out that the general
perceptions that the infection mostly affected children were being proved
false and the actual sources of the infection couldn't be traced
conclusively yet. Hence a detailed research to determine the variants was
necessary.

The state government had earlier announced that research in collaboration
with ICMR and the IndianInstitute of Science would be carried out.

Kerala managed to bring down the death rate of the infection through early
detection and preparation of a treatment protocol that involved the
administration of Miltefosine medicine. . The first recovery from amoebic
meningoencephalitis in Kerala was reported in July 2024.Out of the 36 cases
reported in the state in 2024, nine persons died whereas the two persons
infected in 2023 had died.

Dr. Lal said that the key strength of the state's health system should be
surveillance at the grassroot level. "We do have a system that provides two
health workers for every 5,000 people. But how effective they are now is a
matter of question. The key issue is too much political and bureaucratic
interventions that prevent experienced doctors from performing their duties
freely," he said

KR IRS 23825

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