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Although deaths from amoebic meningoencephalitis are rare, they could become more common because of climate change. After three children in Kerala, India, died, and a fourth was infected, the 'brain-eating amoeba' Naegleria fowleri is back in the spotlight. Each year, sporadic cases are reported in hot and humid areas of the world, and they are frequently fatal. Usually, these infections are in people who have been swimming in lakes, rivers or underchlorinated pools, although clusters of infections have also been linked to contaminated water supplies. For now, infection with N. Free-living amoebas are tiny single-celled organisms that mostly live in fresh water. There are four main types that can cause human disease, of which N. They can enter the body through the nose, and travel to the brain, where they start to destroy tissue and cause the brain to swell, triggering a condition called primary amoebic meningoencephalitis PAM. Although PAM is extremely rare, with just cases reported in the medical literature up until , it is also extremely deadly: of these cases, just seven individuals survived. It is also likely that many cases go unreported, as medical awareness of the condition is low and symptoms mimic those of bacterial and viral meningitis — infections that occur in some of the same regions where Naegleria thrives. Patients usually report swimming, diving, bathing, or playing in warm fresh water over the previous nine days, although some recent cases in Pakistan and the US — countries with the highest number of cases each year — have been linked to nasal cleansing with a neti pot or similar device containing contaminated tap water. Symptoms include fever, severe headache, nausea, vomiting, sensitivity to light, seizures and an altered mental state. Because the condition is difficult to diagnose and progresses very quickly, identifying effective treatments has been very different. In the USA, there have been five documented survivors , who were treated with a combination of antibiotics, anti-fungals and steroid drugs. So far, three children in Kerala have died since May: a five-year-old girl from Malappuram, a year-old girl from Kannur, and a year-old boy from Kozhikode. A year-old boy from Payyoli is also reportedly receiving treatment for the infection. Naegleria was also detected at a popular freshwater swimming spot in Western Australia earlier this year, prompting its closure. Local officials believe unusually high temperatures may have bolstered amoeba numbers. Increasingly though, infections are being reported in cooler areas, such as the northern US state of Minnesota. The amoeba was also recently detected at wastewater treatment plants in parts of the UK, although this was before the water had been treated. According to a recent review by Sutherland Maciver and colleagues at the University of Edinburgh, UK, there has been a global increase in cases over the past two decades, although whether this is due to increased awareness of the condition is unclear. However, they and other scientists are concerned that such infections could become more common because of climate change. This is believed to be the cause of the alarming increase in the incidence of PAM in cities such as Karachi. However, it is very likely that other cities are also experiencing silent outbreaks and that Karachi has become a known hotspot for PAM solely because of local expertise in PAM diagnoses. Extreme weather events such as droughts and flooding may also enhance its spread, by concentrating the amoeba in swimming spots and encouraging the use of roof-harvested rainwater systems or artesian wells during dry weather; and moving the amoeba to new areas during flood events. Although amoebic meningoencephalitis is extremely rare, and the chances of catching it are unlikely, there are measures that people can take to reduce their risk. In the US, which typically sees fewer than ten cases of PAM each year, the Centers for Disease Control and Prevention CDC recommends holding your nose or wearing a nose clip if you are jumping or diving into fresh water; always keeping your head above water in hot springs; avoiding digging in shallow water because the amoeba is more likely to live there; and using distilled or boiled tap water when rinsing your sinuses or cleansing your nasal passages. Thank you for visiting our website. Your input and time is valuable in helping us improve your experience. Please take less than a minute to provide feedback on your visit. Your input is important in helping us improve your experience. Please take a moment to answer a few questions about your visit. Emerging threats. Climate change. Republish this article. Copy html. 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Everything you need to know about the brain-eating amoeba that’s killed three children in Kerala

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Thiruvananthapuram: The authorities are unable to rein in the drugs mafia, even as contrabands are liberally available in popular tourist hubs in Thiruvananthapuram district. The shady deals of the narcotic gangs were once again exposed as a Latvian tourist was found murdered in a remote location that is regarded as a haven for drug peddlers and users. The excise department, which is supposed to crack down on drugs trade, is groping in the dark. Apart from a shortage of personnel, the department is crippled by an ineffective intelligence wing. Since intelligence reports are not regular, many a times excise officials have to return empty handed. The role of excise department has come under the lens after the death of Latvian national Liga Skromane at Thiruvallam, near Kovalam, revealed the role of the drugs cartel in the murder. From this, only one involved ganja, while the other two were for selling illicit liquor. About grams of ganja was caught in the case. In Varkala, another tourist destination in Thiruvananthapuram district, 18 NDPS cases were registered -- all of them in connection with ganja sales and possession. Official sources say that it is the non-cooperation of the intelligence department that has stymied the efforts of the excise department in reining in the drugs mafia that target foreign tourists. Earlier, drugs like heroin, brown sugar and cocaine were smuggled into the state capital from Goa. A Goan drug peddler was arrested from Kovalam last year. Now, officials say that drugs are increasingly coming from Chennai. Andhra is the main source of ganja, which is routed through Chennai to Thiruvananthapuram. Thiruvananthapuram taluk has two excise ranges -- Kazhakoottam and Thiruvananthapuram. In both these ranges, the department has only less than 20 officials. Vacancies are yet to be filled. From the existing strength, some officials are deployed at check posts and for other duties. This has forced the department to register petty cases to meet their target. Local residents point out that drugs usage is on the rise on the Kovalam beach. Ganja, hashish and brown sugar are easily available. Drugs trade is facilitated by unregistered tourist guides, massage centres and locals with criminal background. Since it is a tourist spot, the excise department's hands are tied. Since raids and other actions could affect the business, they mostly turn a blind eye to the flourishing drugs trade. There were instances of drug peddlers coming together to fend off excise and police teams. In the s, following a surge in drug trade, the excise department and cops had carried out a major crack down on narcotics trade at Kovalam. When raids continued, shop owners moved courts and obtained orders favouring them. The department was told that raids would be conducted only under the leadership of an assistant excise commissioner rank officer. Again, in , the excise department zeroed in on Kovalam, armed with accurate intelligence reports. It could file 12 cases despite a move by the locals to attack the officials by disconnecting electricity supply. The drugs trade started thriving again in Kovalam when top officials backed out of raids and intelligence department became ineffective. Read more Kerala news. Home News Kerala Latvian tourist's death exposes the vice-like grip of drugs mafia on tourism. The shady deals of the narcotic gangs were once again exposed as a Latvian tourist, Liga Skromane left , was found murdered in a remote location that is regarded as a haven for drug peddlers and users. File photo. Tags: Liga death. Email ID:. News Letter News Alert Please anyone option.

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