Rare Brain Infection Rises in Kerala
Kerala health officials are raising alarm bells after seeing more cases of Primary Amoebic Meningoencephalitis (PAM), which is also called the “brain-eating amoeba” disease. This is serious. The infection is very dangerous, and many people have died recently.
What’s happening now
- This year, Kerala has already confirmed 61 cases of PAM, and 19 people have died. Many of those deaths happened just in the past few weeks.
- The illness used to appear in clusters—in certain districts like Kozhikode and Malappuram. But now, doctors are seeing very isolated, single cases spread across the state.
- People affected range from a 3-month-old baby to a 91-year-old. The wide age range makes it harder to predict.
State Health Minister Veena George says this change—isolated cases instead of big clusters—makes investigations more difficult. The team can’t always link the cases to one water source anymore.
What is PAM & How Do People Get It?
PAM is an infection of the brain that causes swelling and damage. If caught late, it is often fatal.
- The cause is Naegleria fowleri, a tiny amoeba found in warm, still (or slow-moving) fresh water—like ponds, lakes, or unchlorinated water bodies.
- The amoeba enters through the nose (not by drinking). It travels up the nasal passages through specialized tissue (olfactory mucosa and cribriform plate) to the brain.
- Rising water temperatures (due to climate change) have likely made such infections more frequent. More people use lakes, ponds, and other natural water bodies during heat waves.
Symptoms & Risk
It is hard to spot PAM early. The symptoms often look like bacterial meningitis.
- Early signs: headache, fever, nausea, vomiting. These are common in many infections, so doctors often mistake them.
- Then things can get worse fast: confusion, stiff neck, seizures, brain swelling. Within 1 to 9 days, symptoms may come on sharply.
- People who have recently been swimming, diving, or bathing in warm freshwater—especially stagnant water—are at biggest risk.
Treatment & Prevention
Because symptoms show up late and the disease moves fast, early detection is extremely important.
- Treatment needs to start quickly and includes a mix of anti-amoebic drugs that can cross into the brain effectively.
- Doctors stress that recognizing PAM early is what can save lives. Waiting until later stages with brain swelling usually means it’s too late.
To prevent PAM:
- Avoid swimming or bathing in warm, untreated, or stagnant freshwater like ponds, lakes, or poorly maintained wells.
- Use nose clips during water activities to stop water entering the nasal passages.
- Ensure water sources like wells and tanks are properly cleaned, chlorinated, or treated.
Kerala’s PAM History & What’s New
- First recorded PAM case in Kerala was in 2016. From then up to 2023, only a few cases (about 8) were confirmed.
- Last year saw a big jump: 36 cases, 9 deaths. This year the number has nearly doubled: ~61-69 cases and 19 deaths.
- Earlier, many cases were clustered around the same water sources. Now, they are spread out and harder to trace.
- The health department is doing environmental testing with help from the National Centre for Disease Control. They want to find water bodies where the amoeba might be present.
- They are pushing awareness: messages to public, health centres, doctors, to watch for early symptoms.
Why This is Important: Daily News Highlights
This spike is one of Kerala’s serious public health challenges. It is in the Latest News because the numbers are rising fast. It’s breaking news whenever another case is reported. Many people depend on news outlets to get Daily News Highlights about health threats like this, so they can stay safe and avoid risky water sources.
Kerala is now at a crossroads: more vigilance, faster diagnosis, and better water safety are needed. If people, governments, and doctors work together, more lives can be saved. But ignoring the signs or delaying treatment will cost more than just health—it could cost lives.
Stay tuned for more updates. If you see symptoms after swimming in warm water, get medical help immediately. This is part of our ongoing coverage of the Latest News, Breaking News, and Daily News Highlights in Kerala and India.






























