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On 19 May 2018, three deaths due to Nipah virus infection were reported in Kozhikode District, Kerala State, India. The three deaths occurred in a family cluster and a fourth death was subsequently reported in a health care worker who was involved in treatment of the family in the local hospital.

Laboratory testing of throat swabs, urine and blood samples collected from four suspected patients has been conducted by the National Institute of Virology in Pune; three of the four reported deaths were confirmed positive for Nipah virus (NiV) by real-time polymerase chain reaction (RT-PCR) and IgM Elisa for NiV.

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