Nipah Virus Infection Outbreak with Nosocomial and Corpse-to-Human Transmission, Bangladesh

Sazzad, Hossain M.S.; Hossain, M. Jahangir; Gurley, Emily S.; Ameen, Kazi M.H.; Parveen, Shahana; Islam, M. Saiful; Faruque, Labib I.; Podder, Goutam; Banu, Sultana S.; Lo, Michael K.; Rollin, Pierre E.; Rota, Paul A.; Daszak, Peter; Rahman, Mahmudur; Luby, Stephen P.

doi:10.3201/eid1902.120971

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Nipah Virus Infection Outbreak with Nosocomial and Corpse-to-Human Transmission, Bangladesh

Published Date:

Feb 2013

Publisher's site:

http://dx.doi.org/10.3201/eid1902.120971 New Site Icon

Source:

Emerg Infect Dis. 19(2):210-217.

[PDF-881.25 KB]

Details:

Personal Authors:

Sazzad, Hossain M.S. ; Hossain, M. Jahangir ; Gurley, Emily S. ; Ameen, Kazi M.H. ; Parveen, Shahana ; ... More ▼

Keywords:

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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.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases
CDC Public Access

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

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Supporting Files:

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