Nipah Virus Infection Outbreak with Nosocomial and Corpse-to-Human Transmission, Bangladesh
Published Date:Feb 2013
Source:Emerg Infect Dis. 19(2):210-217.
Health Care Workers
Infectious Disease Transmission, Patient-to-Professional
Personal Protective Equipment
Funding:2R01-TW005869/TW/FIC NIH HHS/United States
5U01CI000628-01/CI/NCPDCID CDC HHS/United States
R01 GM100471/GM/NIGMS NIH HHS/United States
Description:Active Nipah virus encephalitis surveillance identified an encephalitis cluster and sporadic cases in Faridpur, Bangladesh, in January 2010. We identified 16 case-patients; 14 of these patients died. For 1 case-patient, the only known exposure was hugging a deceased patient with a probable case, while another case-patient's exposure involved preparing the same corpse for burial by removing oral secretions and anogenital excreta with a cloth and bare hands. Among 7 persons with confirmed sporadic cases, 6 died, including a physician who had physically examined encephalitis patients without gloves or a mask. Nipah virus-infected patients were more likely than community-based controls to report drinking raw date palm sap and to have had physical contact with an encephalitis patient (29% vs. 4%, matched odds ratio undefined). Efforts to prevent transmission should focus on reducing caregivers' exposure to infected patients' bodily secretions during care and traditional burial practices.
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