Preventing Nipah if you are a traveler to India or Malaysia or an expatriate living overseas –

 

Some advice on things you can do to prevent nipah

– First, know that the latest outbreak is not new, although the nipah virus is relatively unknown and has killed virtually all of its victims in India. Second, know that preventing nipah is possible because the virus is very rare in terms of health risk – if you know the following information and practice safe travel/eating habits.

 

Background on the nipah / henipah virus

The Nipah virus (aka Henipah virus or NiV) has not been around for very long.

It first gained worldwide attention in 1998 when an outbreak in Malaysia killed over 100 people. In that instance, transmission came through infected pigs but the suspected carrier worldwide are fruit bats. (Pigs just happen to be at risk of infection).

In 2004, the Nipah virus again broke out. This time in Bangladesh as humans became infected through date palm sap that had been contaminated by fruit bats.

The latest outbreak in 2018 in India is most likely due to infected well water due to fruit bats that were living in a well. Preventing nipah in this specific context could have been as easy as eradicating the bat population roosting in the well, and following safe water guidelines (boiling and filtration) – Get the accompanying .pdf at https://www.gninsurance.com/documents/travel-and-safe-drinking-water-whitepaper.pdf

 

 

Why preventing nipah is hard

Due to its similarity to a number of other flus and viruses, preventing nipah is hard since it is hard to diagnose.
While the incubation period is 4-14 days, once someone starts exhibiting symptoms, it can result in coma or seizures or swelling of the brain in 24-48 hours, giving doctors little time to diagnose or respond to individuals patients especially at the beginning of an outbreak.

There is no vaccine or cure of Nipah besides quarantine and intensive treatment of the symptoms. So far, the mortality rate is reported between 45-70% but is considered much higher outside of established outbreak areas, due to the difficulty to diagnose.

 

Outbreaks have also been reported in Africa. Due to transmission via fruit, farmers and sellers of fruit in markets have suffered lost sales due to fear of contagion via saliva or urine of bats.

 

 

Preventing Nipah for Travelers:

Nipah is RARE.

The World Health Organization has not issued any travel restrictions or warnings to travelers.

The regions at risk are quite large including Southeast Asia, South Asia, N. Australia and most of Africa. (Please note: There are much more common sicknesses and ways to protect yourself from them, and other high-risk diseases and prevention, that we cover in our free Travel Medical Guide, first published by Dr. John Askew and now completely updated and revised.)

 

Some ways you can protect yourself against nipah if traveling in infected regions:

• Do not care for patients/the sick, unless you are a trained professional following safe medical standards and procedures to prevent known infectious diseases, especially in rural areas. Human-to-human transmission of the Nipah virus has occurred in a hospital setting.
• Do not drink water from open sources without proper filtration and boiling. More here >>

• Be careful to only eat fruit you can inspect and properly sterilize beforehand. Avoid most pulpy/fleshy fruit (This is common sense for dealing with diarrhea which is a much higher risk for travelers affecting 40-70% depending on destination).

• Pork makes up about 38 percent of meat production worldwide. Eating pork that is properly prepared and cooked should be Nipah-free. However, avoid exposure to pig farms and handling raw pork.

• Always err on the side of caution when getting sick overseas. Having good international medical insurance is a must and most policies offered by GOOD NEIGHBOR INSURANCE have a toll-free number where someone 24/7 can direct you to the best local care clinic or hospital that follow “Western/European-quality standards” and have western trained doctors.

• DOWNLOAD our single-sheet travel update on Nipah here >> https://www.gninsurance.com/documents/TRAVEL-MEDICAL-Nipah-Extra-pages.pdfDOWNLOAD our free travel medical guide here >> https://www.gninsurance.com/resources/guides/travel-medical-guide/

• Take care in areas known for bats, fruit bats, when spelunking, cave exploring, etc. as bats are known for newly emerging zoonoses (infectious diseases that can be transmitted between animals and humans). Especially as humans penetrate into areas that were previously undisturbed, for adventure sports, exploration, spread of urban areas, spread of slums, and deforestation.Bats harbor more viruses than rodents and are capable of spreading disease over a wider geographic area due to their ability to fly as well as migration and roosting patterns. In addition, bats (like rats) live and breed in, and nearby, human structures/urban areas undisturbed.

  Some serious diseases spread by bats:
  Ebola
  Marburg
  SARS coronavirus (SARS-CoV)
  MERS coronavirus (MERS-CoV)
  Hantaviruses
  Rabies, and
  Nipah.

  https://en.wikipedia.org/wiki/Bat-borne_virus

  https://www.sciencedirect.com/science/article/pii/S016817021500177X

  http://time.com/4827511/bats-viruses-diseases-pandemic/

• Read more on zoonoses in Spillover” by David Quammen (https://www.amazon.com/Spillover-Animal-Infections-Human-Pandemic-ebook/dp/B00856PC4K)

 

 

 

 

 

More on Preventing Nipah – Popular News Sites:

• https://www.firstpost.com/india/nipah-virus-has-been-contained-last-persons-who-tested-positive-have-recovered-says-kerala-health-minister-4504665.html
• https://www.pbs.org/newshour/health/cdc-experts-examine-the-science-of-hollywoods-contagion
• https://www.youtube.com/watch?v=D8ZyfciZeeE
• https://www.youtube.com/watch?v=NqY5kp_rYac
• https://www.youtube.com/watch?v=KteREaFAPNE
• https://www.youtube.com/watch?v=8LLOoluVyfs
• https://en.wikipedia.org/wiki/Nipah_virus_infection

 

More on Preventing Nipah – From World Health Organizations:

• https://www.cdc.gov/vhf/nipah/index.html
• http://www.who.int/csr/disease/nipah/en/
• http://www.ncdc.gov.in/index4.php?lang=1&level=0&linkid=113&lid=228
• https://www.cdfa.ca.gov/ahfss/animal_health/pdfs/nipah.pdf
• http://www.fao.org/docrep/005/AC449E/ac449e04.htm