Pakistan

Nipah Virus Alert: Heightened Risks and Precautionary Measures in Pakistan

In the wake of recent concerns regarding the Nipah virus, health authorities in Pakistan have issued a nationwide alert, urging citizens to take necessary precautions. The alert comes after reports of Nipah virus outbreaks in neighboring countries, raising fears of a possible spread into Pakistan..

Nipah virus is a highly contagious and often fatal zoonotic pathogen that can be transmitted from animals to humans, primarily through bats (Pteropus medius, commonly known as Indian flying foxes) and pigs. The virus can cause severe respiratory and neurological symptoms, posing a significant public health risk. While human-to-human transmission is rare, the mortality rate in infected individuals is alarmingly high, making early detection and prevention crucial.

Indian flying foxes Under the Spotlight

Indian flying foxes are reservoir of Nipah virus have come under increased scrutiny. These nocturnal creatures are essential for ecosystems as they pollinate plants, and disperse seeds. However, their potential to harbor and transmit diseases to humans has raised concerns globally.

Pakistan, home to diverse bat species including Indian flying foxes, has intensified its monitoring efforts to track any signs of the virus in these bat populations. Researchers and wildlife experts are collaborating with health officials to understand the transmission patterns and mitigate the risks associated with these flying mammals.

Precautionary Measures

Do Not Consume Raw Date Palm Sap and Discarded Half-Eaten Fruits by Animals:  In light of the alarming Nipah virus transmission through contaminated date palm sap (In Urdu, RUS) in neighboring Bangladesh and India, concerns are escalating in Pakistan’s date-producing regions, notably Sindh and Punjab provinces.

Nipah virus, an emerging zoonotic disease causing fatal encephalitis | RCP Journals

Mode of transmission of Nipah Virus CC by Alam, Ali M. “Nipah virus, an emerging zoonotic disease causing fatal encephalitis.” Clinical Medicine 22.4 (2022): 348.

The potential for a similar mode of transmission necessitates immediate action. It is imperative that people in these areas refrain from consuming raw date palm sap and be aware of the risks associated with this practice.

Boiling the sap before consumption can significantly reduce the transmission risk and should be diligently practiced.

Using bamboo skirts to cover date palm sap receptacles has helped prevent the spillover of Nipah virus to humans.

Similarly, use of bamboo skirts prevent bats from drinking and urinating in the receptacles, thereby, reduces the exposure to Nipah virus.

Raw Date Palm Sap Harvesting

Raw Date Palm Sap Harvesting

Additionally, a concerning factor is the presence of half-eaten fruits in orchards and public parks, where Indian flying foxes, known carriers of the virus, frequently roam and roosts. These discarded fruits could serve as potential sources of infection. Therefore, it is strongly recommended that the government ensures daily cleaning and sanitization of these areas to eliminate potential risks.

To enhance public awareness and safety, the installation of precautionary boards in these public spaces is crucial. These boards, displaying vital information in both Urdu and English, can educate visitors about the dangers associated with eating fruit from the ground.

Taking proactive measures, such as thorough cleaning of fruits and implementing educational initiatives, is pivotal in preventing the spread of the Nipah virus in Pakistan. By promoting awareness and ensuring the implementation of proper hygiene practices, the nation can safeguard its citizens and curb the potential threat posed by this deadly virus.

Avoid Direct Contact: By refraining from handling or touching Indian flying foxes, individuals not only protect themselves from potential infection but also contribute to the broader goal of disease prevention at the crossroads of animal and human well-being.

Practice Good Hygiene: Wash hands frequently with soap and water, and avoid close contact with anyone showing symptoms of respiratory illness.

Bamboo skirt method to block fruit bats contamination date palm sap.

Bamboo skirt method to block fruit bats contamination date palm sap. CC by Islam, SM Rashed Ul, and Munira Jahan. “Kampung Sungai to Kerala: A deadly zoonotic trail encroaching diverse geography.” Science 9.2 (2021): 43-48.

Use Personal Protective Equipment (PPE): Individuals working closely with bats, particularly Indian flying foxes, are advised to wear appropriate PPE to minimize the risk of exposure.

Seek Medical Attention: If anyone exhibits symptoms such as fever, headache, dizziness, or respiratory issues, it is imperative to seek medical attention promptly.

Stay Informed, Stay Safe

As the nation remains on high alert, it is essential for citizens to stay informed through credible sources and follow the recommended guidelines. By remaining vigilant and taking necessary precautions, Pakistanis can contribute significantly to mitigating the potential threat of Nipah virus and ensuring the safety and well-being of their communities.

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Indian flying fox Thermoregulatory behaviors: Visual Guide

Explore our Indian flying foxes (Pteropus medius) thermoregulatory behavior guide.

Pteropus medius are often vulnerable to high temperatures as they have exposed open roosting structures and are devoid of sweat glands, contributing toward their lower thermal tolerance than similar size mammals. Thermal or thermodynamic tolerance is an animal’s ability to balance thermogenesis and heat dissipation under ambient temperatures that exceed the thermoneutral zone. As a result, Pteropus have adopted various thermoregulatory behaviors and strategies, such as increasing the exposed surface area of their wings or enhancing evaporative cooling by salivation. The intensity, frequency and duration of the thermoregulatory behaviors increases in a sequential manner, starting with wing fanning to induce forced convection, followed by clumping and clustering to reduce exposure to solar radiation exposure, lastly, salivation (wrist licking), belly soaking and panting to induce evaporative cooling.

These flying foxes eventually collapse due to hyperthermia when ambient temperatures exceed 43°C. In hotter season, Indian flying foxes spend less time sleeping and resting because they engage in more thermoregulation. This sleep deprivation is known to negatively affect cognitive responses, physiological traits, and overall alertness. Ultimately, continued exposure to extreme heat results in early deaths.

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