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Discovered in _____ - outbreak in ___ and
people in _______ and ______
Discovered in 1999 - outbreak in pigs and
people in Malaysia and Singapore
source of nipah virus
bats
nipah virus is rare but ___
deadly
in the philippines, last outbreak was in ____
2014
in philippines, __ confirmed cases with an _ fatality
case
17 confirmed cases with an 82% fatality case
in philippines, 10 had a history of close contact with
____/ ____ meat consumption
10 had a history of close contact with
horses/ horse meat consumption
in philippines, how many death of horses?
10
(pathogenesis)
hepinaviruses - only _______
_________
zoonotic
paramyxoviruses
transmission?
oro-nasal route
suspected site of initial replication?
lymphoid and respiratory tissues
secondary site of initial replication?
endothelium
CNS invasion
haematogenous route
high lethality - attributed to its evasion of the _________________
innate immune response
virus type?
henipavirus family
transmission?
animal-to-human
human-to-human
first identified?
malaysia, 1999
outbreak?
bangladesh, india, singapore
severity
rare but deadly
pathways of transmission
animal-to-human contact’
human-to-human contact
contaminated food
prevention
Avoid _________
● Practice ____
● Stay alert in _______
● ______ of surrounding and habitats
Avoid sick animals
● Practice hygiene
● Stay alert in outbreak zones
● Awareness of surrounding and habitats
Signs and Symptoms
● Mild to chronic disease
● ______ days
- Fever
- Severe headache
- Sore throat
- Nausea and vomiting
- Fatigue
- Cough / Breathing difficulty
- ______ / ______ / ______
Signs and Symptoms
● Mild to chronic disease
● 3 - 14 days
- Fever
- Severe headache
- Sore throat
- Nausea and vomiting
- Fatigue
- Cough / Breathing di culty
- Dizziness / Confusion / Seizures
who are the high-risk groups?
farmer, pig handler, healthcare worker, traveler
early warning signs?
1) fever, severe headache and sore threat
2) nausea, vomiting and fatigue
3) breathing difficulty (serious)
4) neurological symptoms (critical)
(specimen collection)
__________ - symptomatic patients or post-mortem examination
Viral detection - symptomatic patients or post-mortem examination
(specimen collection)
serological testing - _____________(days= ___)
late course of infection (days 10-14)
NDC, India, recommends for diagnosis?
NDC, India, recommends for diagnosis:
1. Throat swabs (viral transport medium)
2. Urine
3. Blood
4. CSF ( Cerebrospinal Fluid)
samples must be collected safely and transported?
triple container packing
2 - 8 degree celcius
recommended storage beyond 48 hours of collection
-20 degree celcius
what level of bsl facility needed
bsl 4
NiV - negative single-stranded __ virus
RNA
WHAT TESTS CAN BE USED TO DETECT ACTIVE INFECTION>
molecular tests and antigen tests
NiV RNA can be detected for ________ of illness
2 weeks post onset
__ serological assays means active infection
IGM
________ in serum peak 20 days to 1 month
post exposure
Anti-NiV IgM in serum peak 20 days to 1 month
post exposure
Anti-NiV IgM in serum peak ____________
post exposure
Anti-NiV IgM in serum peak 20 days to 1 month
post exposure
Anti-NiV IgM in serum peak 20 days to 1 month
post exposure
- Can persist for up to a ___
- More commonly used for __________ studies and ________
Anti-NiV IgM in serum peak 20 days to 1 month
post exposure
- Can persist for up to a year
- More commonly used for epidemiological studies and surveillance
test for early detection?
real time pcr
ELISA = IgM (day __ = ___)
= IgG (day ___ = ____)
ELISA = IgM (day 1 = 50%)
= IgG (day 18 = 100%)
WOW SMILE MEDIA SERVICES
The Department of Health (DOH) has reassured
the public that the Nipah virus is "___" in the
__________ and hasn't been seen in the country
since ___, when 17 cases were reported in
_________. The DOH is monitoring airports
and implementing health protocols, including
passenger screenings and thermal checks, to
prevent the virus's entry and spread
The Department of Health (DOH) has reassured
the public that the Nipah virus is "rare" in the
Philippines and hasn't been seen in the country
since 2014, when 17 cases were reported in
Sultan Kudarat. The DOH is monitoring airports
and implementing health protocols, including
passenger screenings and thermal checks, to
prevent the virus's entry and spread
WOW SMILE MEDIA SERVICES
The Nipah virus is currently being reported in
India, specifically in _________, with __
confirmed cases and ___ contacts tested
negative. The _________________
considers the risk of further spread low and
doesn't recommend travel or trade restrictions
The Nipah virus is currently being reported in
India, specifically in West Bengal, with two
confirmed cases and 196 contacts tested
negative. The World Health Organization (WHO)
considers the risk of further spread low and
doesn't recommend travel or trade restrictions
WOW SMILE MEDIA SERVICES
The virus is ______, meaning it can spread
from animals to humans, and is primarily
carried by ___. Symptoms include fever,
headache, _________, and sore throat, which
can progress to severe _______ and
_______ issues.
The virus is zoonotic, meaning it can spread
from animals to humans, and is primarily
carried by bats. Symptoms include fever,
headache, muscle pain, and sore throat, which
can progress to severe respiratory and
neurological issues.
PHILIPPINE NEWS AGENCY
Arrival areas have Bureau of Quarantine (BOQ)
stations with infrared thermal scanners and
nurses who monitor passengers’ temperatures
and look for symptoms such as ____ or
____. Passengers with __ temperatures
(above 37.5 °C) may be referred to hospitals like
the __________________
Arrival areas have Bureau of Quarantine (BOQ)
stations with infrared thermal scanners and
nurses who monitor passengers’ temperatures
and look for symptoms such as rashes or
wounds. Passengers with high temperatures
(above 37.5 °C) may be referred to hospitals like
the Research Institute for Tropical Medicine.
PHILIPPINE NWS AGENCY
Globally, ____ reported __ confirmed NiV
cases, both nurses from West Bengal. According
to the World Health Organization, the risk of the
virus spreading beyond India is __. The virus
spreads through contact with infected animals
(like __ or __), contaminated food, or
infected people’s ________
Globally, India reported two confirmed NiV
cases, both nurses from West Bengal. According
to the World Health Organization, the risk of the
virus spreading beyond India is low. The virus
spreads through contact with infected animals
(like bats or pigs), contaminated food, or
infected people’s bodily fluids.