Foreign News
Battling a rare brain-eating disease in an Indian state
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.
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.
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.
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]
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.
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]
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]
King Charles has hosted a spectacular state banquet for the president and first lady of Nigeria, praising the strengths of Nigeria’s partnership with the UK.
After greeting the 160 guests in the Yoruba language, the King spoke of the “living bridge” of the Nigerian community in the UK, in a speech in St George’s Hall at Windsor Castle.
Famous figures at the banquet included England rugby union captain, Maro Itoje, Olympic athlete Christine Ohuruogu and poet Sir Ben Okri, alongside senior royals including Queen Camilla and the Prince and Princess of Wales.
There were special adaptations for Muslims, with the banquet taking place in the fasting month of Ramadan.
A prayer room was set aside in Windsor Castle and the usual lunch hosted by the King on such state visits did not take place.
It’s become a tradition to invent a cocktail for state visits – and in this case the “crimson bloom” was made from non-alcoholic ingredients, combining the Nigerian drink Zobo with English rose soda and hibiscus and ginger syrup.
There were also alcoholic drinks available for guests in St George’s Hall, including fine red and white wines, port and whisky.
The King’s speech reflected on the importance of religious tolerance, in which “people of different faiths can, do, and must live alongside one another in peace”.
He also told President Bola Ahmed Tinubu and First Lady Oluremi Tinubu of the importance of partners such as Nigeria and the UK standing together in difficult times “when rain clouds gather”.
As well as diplomatic ties, King Charles spoke of “Afrobeats filling our concert halls and Nollywood captivating our screens”.
There was also a reflection by the King on the “painful marks” of a shared history, in a reference to colonialism.
“I do not seek to offer words that dissolve the past, for no words can,” said the King, but he hoped for a more optimistic future “worthy of those who bore the pains of the past”.
The banquet, on an elaborately decorated table filled with spring flowers, saw a meat-free menu.
It included:
- Soft boiled quail egg tartlet with watercress and kale and a basil sabayon
- Fillet of turbot, lobster mousse wrapped in spinach, beurre blanc sauce, sprouting broccoli with hollandaise sauce, fricassee of peas and broad beans, Jersey Royal potatoes
- Iced blackcurrant souffle with red fruit coulis
The two-day state visit began on Wednesday morning with a ceremonial welcome at Windsor.
In warm spring sunshine, the president and first lady – wearing traditional robes – were given the ceremonial grandeur of a royal welcome.
There was a carriage procession, bringing the Nigerian visitors into the quadrangle inside Windsor Castle, where a military band, with careful symmetry, paraded on the chequerboard lawn.
There was a gun salute, national anthems were played, guards were inspected and the Household Cavalry kicked up dust as they paraded inside the castle, in front of a viewing stand for the King and Queen and their visitors.
Official gifts were exchanged. The president and Mrs Tinubu were given hand-crafted pottery, a silver photo frame containing a picture of the King and Queen and a silver and enamel bowl.
In return, the King and Queen were given a traditional Yoruba statuette and a jewellery box featuring the faces of important Nigerian women.
President Tinubu is a Muslim and his wife is a Christian and the couple attended an interfaith event at Windsor Castle, designed to build bridges between religions.
It’s at a time of tensions within Nigeria, with a series of suspected suicide bombings this week in the north-eastern state of Borno, in which at least 23 people were killed and 108 injured in attacks blamed on hard-line Islamist militants from the Boko Haram group.
This is Nigeria’s first state visit to the UK for 37 years and such visits are a way of building relationships with international partners.
The Nigeria visit will see a strengthening of business links, including financial services. And there are personal and family connections, with more than 270,000 Nigerian-born people living in the UK.
“This state visit is about turning a historic relationship into a modern economic partnership – transforming trust into opportunity,” said Nigeria’s government spokesman Mohammed Idris.
“Nigeria’s economic reforms are unlocking the potential of Africa’s largest consumer market. The United Kingdom is a natural partner in what comes next.”
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