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Battling a rare brain-eating disease in an Indian state

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This single-celled brain-eating amoeba can enter the nose during swimming [BBC]

On the eve of Onam, the most joyous festival in India’s Kerala state, 45-year-old Sobhana lay shivering in the back of an ambulance, drifting into unconsciousness as her family rushed her to a medical college hospital.

Just days earlier, the Dalit (formerly known as untouchables) woman, who earned her living bottling fruit juices in a village in Malappuram district, had complained of nothing more alarming than dizziness and high blood pressure. Doctors prescribed pills and sent her home. But her condition spiralled with terrifying speed: uneasiness gave way to fever, fever to violent shivers, and on 5 September – the main day of the festival – Sobhana was dead.

The culprit was Naegleria fowleri – commonly known as the brain-eating amoeba – an infection usually contracted through the nose in freshwater and so rare that most doctors never encounter a case in their entire careers. “We were powerless to stop it. We learnt about the disease only after Sobhana’s death,” says Ajitha Kathiradath, a cousin of the victim and a prominent social worker.

In Kerala this year, more than 70 people have been diagnosed and 19 have died from the brain-eating amoeba. Patients have ranged from a three-month-old to a 92-year-old man.

Normally feeding on bacteria in warm freshwater, this single-cell organism causes a near-fatal brain infection, known as primary amoebic meningoencephalitis (PAM). It enters through the nose during swimming and rapidly destroys brain tissue.

Kerala began detecting cases in 2016, just one or two a year, and until recently nearly all were fatal. A new study has found only 488 cases have been reported globally since 1962 – mostly in the US, Pakistan and Australia. And 95% of the victims have died from the disease.

Universal Images Group via Getty Images Naegleria fowleri is an amoeba (one-celled living organism) that lives in soil and warm freshwater, such as lakes, rivers, and hot springs. It is commonly called the brain-eating amoeba because it can cause brain infection when water containing the amoeba rises in the nose. Only about three people in the United States are infected each year, but these infections are usually fatal. (Photo by: CDC/IMAGE POINT FR/BSIP/Universal Images Group via Getty Images)
Naegleria fowleri, or the brain-eating amoeba, lives in lakes, rivers and hot springs [BBC]

But in Kerala, survival appears to be improving: last year there were 39 cases with a 23% fatality rate and this year, nearly 70 cases have been reported with about 24.5% mortality. Doctors say the rise in numbers reflects better detection, thanks to state-of-the-art labs.

“Cases are rising but deaths are falling. Aggressive testing and early diagnosis have improved survival – a strategy unique to Kerala,” said Aravind Reghukumar, head of infectious diseases at the Medical College and Hospital in Thiruvananthapuram, the state’s capital. Early detection allows customised treatment: a drug cocktail of antimicrobials and steroids targeting the amoeba can save lives.

Scientists have identified around 400 species of free-living amoebae, but only six are known to cause disease in humans – including Naegleria fowleri and Acanthamoeba, both of which can infect the brain. In Kerala, public health laboratories can now detect the five major pathogenic types, officials say.

The southern state’s heavy reliance on groundwater and natural water bodies makes it particularly vulnerable, especially as many ponds and wells are polluted. A small cluster of cases last year, for example, was linked to young men vaping boiled cannabis mixed with pond water – a risky practice that underscores how contaminated water can become a conduit for infection.

Kerala has nearly 5.5 million wells and 55,000 ponds – and millions draw their daily water from wells alone. That sheer ubiquity makes it impossible to treat wells or ponds as simple “risk factors” – they are the backbone of life in the state.

“Some infections have occurred in people bathing in ponds, others from swimming pools, and even through nasal rinsing with water which is a religious ritual. Whether in a polluted pond or a well, the risk is real,” says Anish TS, a leading epidemiologist.

Nebula NP This pond is located in Sobhana’s village in Malappuram district. The health department’s notice says swimming and bathing in the pond are prohibited until further notice. A warning sign board, preventing people from entering the pond, placed in front of Pathiriyal Valiya Pond in Thiruvali grama panchayat in Malappuram district following the death of a woman due to Amoebic Meningoencephalitis.
A warning sign at a Kerala pond prohibiting swimming after a woman’s death from amoebic meningoencephalitis [BBC]

So public health authorities have tried to respond at scale: in a single campaign at the end of August, 2.7 million wells were chlorinated.

Local governments have put up sign boards around ponds warning against bathing or swimming and evoked the Public Health Act to enforce regular chlorination of swimming pools and water tanks. But even with such measures, ponds cannot realistically be chlorinated – fish would die – and policing every village water source in a state of more than 30 million people is unworkable.

Officials now stress awareness over prohibition: households are urged to clean tanks and pools, use clean warm water for nasal ablutions, keep children away from garden sprinklers and avoid unsafe ponds. Swimmers are advised to protect their noses by keeping their heads above water, using nose plugs and avoiding stirring up sediment in stagnant or untreated freshwater.

Yet, striking a balance between educating the public about real risks – of using untreated freshwater – and avoiding fear that could disrupt daily life is challenging. Many say despite guidelines issued for more than a year, enforcement remains patchy.

“This is a difficult problem. In some places [hot springs], signs are posted to warn of the possibility of the amoebae in the water source. This is not practical in most situations since the amoebae can be present in any source of untreated water [lakes, ponds, pools],” Dennis Kyle, a professor of infectious diseases and cellular biology at the University of Georgia, told the BBC.

“In more controlled environments, frequent monitoring for proper chlorination can significantly reduce chances of infection. These include pools, splash pads and other man-made recreational water activities,” he said.

Abhishek Chinnappa/Getty Images Boys use a makeshift raft to cross a canal in Kerala.
Kerala has nearly 5.5 million wells and 55,000 ponds [BBC]

Scientists warn climate change is amplifying the risk: warmer waters, longer summers and rising temperatures create ideal conditions for the amoeba. “Even a 1C rise can trigger its spread in Kerala’s tropical climate and water pollution fuels it further by feeding bacteria the amoeba consumes,” says Prof Anish.

Dr Kyle adds a note of caution, noting that some past cases may simply have gone unrecognised, with the amoeba not identified as the cause.

That uncertainty can make treatment even harder. Current drug cocktails are “sub-optimal,” Dr Kyle explains, adding that in rare survivors, the regimen becomes the standard. “We lack sufficient data to determine if all the drugs are actually helpful or needed.”

Kerala may be catching more patients and saving more lives, but the lesson reaches far beyond its borders. Climate change may be rewriting the map of disease – and even the rarest pathogens may not stay rare for long.

[BBC]



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One ant for $220: the new frontier of wildlife trafficking

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Giant African harvester ants - seen here in Kenya - are popular with hobby collectors around the world (BBC

The ants are flying in Kenya at the moment

During this rainy season, swarms can be seen leaving the thousands of anthills in and around Gilgil, a quiet agricultural town in Kenya’s Rift Valley that has emerged as the centre of a booming illegal trade.

The mating ritual sees winged males leave the nest to impregnate queens, who also take flight at this time. This makes it the perfect time to chase down queen ants to sell on to smugglers who are at the heart of a growing global black market, that taps into the pet craze for keeping ants in transparent enclosures designed to observe the insects as they busily build a colony.

It is the giant African harvester ant queens, which are large and coloured red, that are most prized by international ant collectors – one can fetch up to £170 ($220) on the black market, which tends to operate online.

A single fertilised queen is able to create a whole colony and can live for decades – and can be easily posted as scanners do not tend to detect organic material.

“At first, I did not even know it was illegal,” a man, who asked not to be named, told the BBC about how he had once acted as a broker, linking foreign buyers with local collection networks.

Also known as Messor cephalotes, these ants are native to East Africa and known for their distinctive seed-gathering behaviour making them popular with ant collectors.

“A friend told me a foreigner was paying good money for queen ants – the big red ones which are easily seen around here,” the former broker said.

“You look for the mounds near open fields, usually early morning before the heat. The foreigners never came to the fields themselves – they would wait in town, in a guest house or a car, and we would bring the ants to them packed in small tubes or syringes they supplied us with.”

The scale of the illicit trade in Kenya became apparent last year when 5,000 giant harvester ant queens – mainly collected around Gilgil – were found alive at a guest house in Naivasha, a nearby lakeside town popular with tourists.

The suspects – from Belgium, Vietnam and Kenya – had packed the test tubes and syringes with moist cotton wool, which would enable each ant to survive for two months, according to the Kenya Wildlife Service (KWS).

The plan was to take them to Europe and Asia and put them up for sale.

This trade in ants has caught scientists and the authorities by surprise.

The East African nation is more accustomed to high-profile wildlife crimes involving elephant tusks and rhino horns.

UK based retailer Ants RbUs described the giant African harvester ant as “many peoples dream species”  – though the queens are currently out of stock, with the site explaining that it is very hard for retailers to source them.

“Even I, as an entomologist, have been surprised at the extent of the apparent trade,” Dino Martins, a biologist based in Kenya, where there are around 600 kinds of ants, told the BBC.

However, he can understand the fascination with East Africa’s harvester, with colonies created by a “foundress queen”, who can grow up to 25mm (0.98 inches) and who produces eggs throughout her life.

“They are one of the most enigmatic species of ants – they form large colonies, engage in interesting behaviours and are easy to keep. They are not aggressive.”

During the swarming he says the queens mate with several males.

“Then that is it for the males – their job is done… most are eaten by predators or die,” the entomologist says, going on to explain how the queen then scurries away to dig a small burrow and begin laying eggs to start her empire.

Her workers and soldier ants, those that protect the nest, are all female and will eventually number in the hundreds of thousands.

“Nests can live for over 50 years, perhaps even up to 70 years. I personally know of nests near Nairobi that are at least 40 years old as I’ve been visiting them for that long,” said Martins.

This means the queens live that long too – because as soon as she dies, the colony collapses and any surviving workers will look for another nest.

Kenyans who have had to deal with ants raiding their crops or invading their houses know this well – and to get rid of a colony someone is sent in to locate the queen, often hidden deep in one of the tunnels or chambers of an ant mound.

The former broker said ants could also be harvested by gently disturbing the mound and collecting them as they tried to escape.

“It was only when I saw the arrests on the news that I realised what I had been part of – and I immediately quit,” he said.

Those arrested were convicted on charges of biopiracy and ordered to pay fines or serve 12 months in jail – they opted to pay the $7,700 fee and the foreign nationals left the country.

Two weeks ago, a Chinese national –  the alleged mastermind behind last year’s ring and who is said to have escaped using a different passport, was arrested at Nairobi’s Jomo Kenyata International Airport with another 2,000 queen ants packed in test tubes and tissue rolls.

For Zhengyang Wang, who was part of a team of researchers who published a report on the ant trade in 2023 focusing on China, this is a worry and could “wreak havoc” with local ecosystems.

“Initially, we were very excited when we learnt that many people have taken up keeping ants,” Wang, assistant professor at Sichuan University, told the BBC.

“A colony of pet ants are often kept in a formicarium, which is basically a transparent plastic box so that keepers can observe colonies at work, digging tunnels, collecting food, and guarding their queen. I’d say it’s quite charming and… can be a good way of educating people about insects and their behaviour.

“But then we realised, wait, isn’t keeping invasive species incredibly dangerous?”

Monitoring online sales – of more than 58,000 colonies – in China over six months, the researchers found that more than a quarter of the traded species were not native to China – despite it being illegal to import them.

“If the trade volume of invasive ants continues to grow, it’s only a matter of time before a few escape from their formicaria and become established in the wild,” said Wang.

The study he worked on, published in the journal Biological Conservation, explained what could happen in the case of giant African harvester, one of the most traded species in China: “For example, Messor cephalotes, an East African native, is among the largest seed harvesters in the world and could potentially disrupt predominantly grain-based agriculture in south-eastern China.”

The environmental consequences are also a concern in Kenya.

“Harvester ants are both keystone species and ecosystem engineers. They harvest seeds of grasses, and other plants and in so doing also help to disperse the seeds,” said Martins, adding that the insects “create a more healthy and dynamic grassland”.

Mukonyi Watai, a senior scientist at Kenya’s Wildlife Research and Training Institute, shares these fears.

“Unsustainable harvesting – particularly the removal of queen ants – can lead to colony collapse, disrupting ecosystems and threatening biodiversity,” he told the BBC.

It is possible to collect ants legally in Kenya – in line with various international treaties – with a special permit, which would require the buyer to sign a benefit-sharing agreement with the local community involved to split any profits.

But, according to the KWS, so far none have been applied for – with the paperwork also requiring details of how many ants are being collected and their destination.

Getty Images A young man holds tweezers as he places something in a formicarium formicarium allows collectors to see the workings of an ant colony (BBC)

Some conservationists are now calling for greater trade protections for all ant species under the Convention on International Trade in Endangered Species (Cites), the global wildlife trade treaty.

“The reality is that no ant species is currently listed under Cites,” Sérgio Henriques, a researcher into the global ant trade, told the BBC.

“Without international treaties monitoring these movements, the scale of the trade remains largely invisible to policy makers and the global community,” he said.

But for the KWS the real problem is more immediate – how to monitor and clamp down on “under-reported” insect trafficking, with the agency suggesting better surveillance equipment at airports and others border points would be a good start.

Martins agrees: “It is likely only a fraction of the actual ants being traded that are being detected, so one can only guess at the scale for now.”

Journalist Charles Onyango-Obbo argues that Kenya is overlooking a significant global revenue opportunity.

“The ants are not finite items like gold or diamonds. They are biological assets that can be bred and farmed, and their production can be scaled up to thousand a day. Yet we treat them like stolen artefacts,” he recently wrote in Kenya’s Daily Nation newspaper.

In fact, Kenya’s cabinet did approve policy guidelines last year aimed at commercialising the wildlife economy, including the ant trade.

“The guidelines seek to promote sustainable use trade of wild species such as ants to generate jobs, wealth and community livelihoods across all the counties,” said Watai.

With careful monitoring in place, it could be that future farmers around Gilgil will have special formicaria on their land expanding the yields from their fields and orchards – full of vegetables and fruits – to include lucrative queen ants.

But the debate over the dangers of exporting ants to hobby collectors in different parts of the world is yet to be settled.

 

Getty Images A giant orange-coloured ant mound in Kenya
Ants can often be found in mounds like this (BBC)(BBC)

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Two killed when Air Canada jet hits fire truck at NYC’s LaGuardia Airport

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An Air Canada Express CRJ-900 sits on the runway after colliding with a Port Authority fire truck at LaGuardia Airport in New York on March 23, 2026 [Aljazeera]

At least two people have been killed when an Air Canada Express flight from Montreal struck a ground vehicle while landing at New York’s LaGuardia Airport, according to several United States media outlets. The airport has been closed and flights diverted.

Kathryn Garcia, the executive ⁠director of the Port Authority of New York and New Jersey, said 32 of the 41 people who were injured had been released on Monday while nine remained in hospital with “serious injuries”. Those injured included passengers, crew members and the two officers on the fire truck. Both officers remained hospitalised with non-life-threatening injuries.

The aircraft, operated by Jazz Aviation, a regional partner of Air Canada, struck a firefighting truck on Runway 4 about 11:40pm on Sunday (03:40 GMT on Monday) as the vehicle drove to a separate incident, the Port Authority said.

A preliminary passenger list showed 76 people on board Flight AC8646, including four crew members, Jazz Aviation said in a statement.

The CRJ-900 aircraft ⁠struck the vehicle at a speed of 39 kilometres per hour (24 miles per hour), the flight tracking website Flightradar24 said.

“The airport is currently closed to facilitate the response and allow for a thorough investigation,” the Port Authority said in a statement to the AFP news agency.

Emergency response protocols were “immediately activated”, it said.

A Port Authority aircraft rescue and firefighting vehicle lays on its side off of runway 4 after colliding with an Air Canada jet after it landed at LaGuardia Airport, Monday
A Port Authority aircraft rescue and firefighting vehicle lies on its side off Runway 4 after colliding with an Air Canada jet after it landed at LaGuardia Airport in New York [Aljazeera]

The US Federal Aviation Administration (FAA) issued a ground stop for all departures to LaGuardia due to the aircraft emergency with the airport closure in effect until 05:30 GMT. The probability of an extension was listed as high.

[Aljazeera]

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Eid celebrations dimmed by war and displacement across Middle East

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Shireen Shreim says that Palestinians in Gaza are struggling to find the joy in Eid [Al Jazeera]

Along Beirut’s downtown waterfront, Alaa is looking for somewhere to rest his head.

The Syrian refugee, originally from the occupied Golan Heights, is now homeless. He explained that he had already spent the day wandering around the Lebanese capital trying to find shelter.

He used to live in Dahiyeh – the southern suburbs of Beirut that have been pummelled by Israeli attacks, which have now killed MORE THAN 1,000 across Lebanon.

Now, he’s just looking for somewhere he can be safe. And in that context, Eid al-Fitr, the Muslim festival that began on Friday, is far from his mind.

When asked if he had any plans for Eid, he replied in the negative. Instead, his focus was on getting a tent.

“I got rejected from staying in a school, then I went to sleep on the corniche,” Alaa said. “Then people from the municipality told me to come here to downtown Beirut’s waterfront.”

Alaa wasn’t able to find a tent and is sleeping in the open air for now. But others in the area have, transforming a downtown more famous for its expensive restaurants and bars into a tent city for those displaced by the fighting. Across Lebanon, more than a million people have been displaced.

Lebanese are uncertain when this war will end, particularly as they have barely recovered from the conflict with Israel that ran between October 2023 and November 2024.

It makes celebrations difficult – a common theme across the countries affected by the current conflict.

In Iran, now in its third week of US-Israeli attacks – with no sign of an immediate end and an economic crisis that preceded the conflict, people are struggling to afford any of the items typically bought during the holiday season.

And it is potentially dangerous for people to shop at places like Tehran’s grand bazaar, which has been damaged by the bombing.

The religious element of Eid adds an extra sensitivity for antigovernment Iranians, some of whom now see any sign of religiosity as support for the Islamic Republic. The fact that Nowruz – the Persian New Year – falls on Friday this year means that some in the antigovernment camp will be focused on that celebration instead, and eschewing any events to mark Eid.

[Aljazeera]

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