Travel to India during the Nipah virus outbreak



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I am travelling to Kerala, India, from New Zealand in June. Considering the current Nipah virus outbreak I am worried about air travel restriction, quarantine, etc.



How likely are these things to happen? What is the usual response with regard to travel when an epidemic breaks out?







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    Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
    – Jan Doggen
    May 25 at 14:15










  • Try the US State Department advisory for India.
    – xuq01
    May 26 at 5:41
















up vote
0
down vote

favorite












I am travelling to Kerala, India, from New Zealand in June. Considering the current Nipah virus outbreak I am worried about air travel restriction, quarantine, etc.



How likely are these things to happen? What is the usual response with regard to travel when an epidemic breaks out?







share|improve this question


















  • 1




    Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
    – Jan Doggen
    May 25 at 14:15










  • Try the US State Department advisory for India.
    – xuq01
    May 26 at 5:41












up vote
0
down vote

favorite









up vote
0
down vote

favorite











I am travelling to Kerala, India, from New Zealand in June. Considering the current Nipah virus outbreak I am worried about air travel restriction, quarantine, etc.



How likely are these things to happen? What is the usual response with regard to travel when an epidemic breaks out?







share|improve this question














I am travelling to Kerala, India, from New Zealand in June. Considering the current Nipah virus outbreak I am worried about air travel restriction, quarantine, etc.



How likely are these things to happen? What is the usual response with regard to travel when an epidemic breaks out?









share|improve this question













share|improve this question




share|improve this question








edited May 25 at 13:20









dda

14.4k32850




14.4k32850










asked May 25 at 4:20









Riyonguroshya

11




11







  • 1




    Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
    – Jan Doggen
    May 25 at 14:15










  • Try the US State Department advisory for India.
    – xuq01
    May 26 at 5:41












  • 1




    Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
    – Jan Doggen
    May 25 at 14:15










  • Try the US State Department advisory for India.
    – xuq01
    May 26 at 5:41







1




1




Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
– Jan Doggen
May 25 at 14:15




Doesn't one of your government agencies issue warnings/give advice about travelling to individual countries? Your question What is the usual response is a bit vague - usual for/from who?
– Jan Doggen
May 25 at 14:15












Try the US State Department advisory for India.
– xuq01
May 26 at 5:41




Try the US State Department advisory for India.
– xuq01
May 26 at 5:41










1 Answer
1






active

oldest

votes

















up vote
2
down vote













I am unfamiliar with the Nipah virus, however the WHO knows a fair bit about it.



Also I found this (unofficial) link that states:




Nipah virus: Kerala govt issues travel advisory, asks visitors to avoid 4 districts



If travellers wish to be extra cautious, they may avoid visiting the
districts of Kozhikode, Malappuram, Wayanad and Kannur when travelling
to Kerala, the advisory says.




But back to the WHO:



See Nipah virus infection for an overview, and this fact sheet for a more detailed description.



From the fact sheet it says (in part):




Transmission



Limited human to human transmission of NiV has also been reported
among family and care givers of infected NiV patients. During the
later outbreaks in Bangladesh and India, Nipah virus spread directly
from human-to-human through close contact with people's secretions and
excretions. In Siliguri, India, transmission of the virus was also
reported within a health-care setting (nosocomial), where 75% of cases
occurred among hospital staff or visitors. From 2001 to 2008, around
half of reported cases in Bangladesh were due to human-to-human
transmission through providing care to infected patients.



Signs and symptoms



The incubation period (interval from infection to the onset of
symptoms) is believed to range between from 4-14 days. However an
incubation period as long as 45 days has been reported.



Treatment



There are currently no drugs or vaccines specific for NiV infection
although this is a priority disease on the WHO R&D Blueprint.
Intensive supportive care is recommended to treat severe respiratory
and neurologic complications.



Reducing the risk of infection in people



In the absence of a licensed vaccine, the only way to reduce infection in people is by raising awareness of the risk factors and educating people about the measures they can take to reduce exposure to and decrease infection from NiV.



Public health educational messages should focus on the following:



  • Reducing the risk of bat-to-human transmission: Efforts to prevent transmission should first focus on decreasing bat access to
    date palm sap and to other fresh food products. Keeping bats away
    from sap collection sites with protective coverings (e.g., bamboo
    sap skirts) may be helpful.Freshly collected date palm juice should
    be boiled and fruits should be thoroughly washed and peeled before
    consumption.


  • Reducing the risk of animal-to-human transmission: Gloves and other protective clothing should be worn while handling sick
    animals or their tissues, and during slaughtering and culling
    procedures. As much as possible, people should avoid being in
    contact with infected pigs.


  • Reducing the risk of human-to-human transmission: Close unprotected physical contact with Nipah virus-infected people should

    be avoided. Regular hand washing should be carried out after caring

    for or visiting sick people.




My best guess1 is that if you are determined to be infected you will be quarantined - but that will be the least of your worries.



However I would also guess that unless you are in a farming community in the aforementioned districts you are are unlikely to be at risk.



Ultimately it is up to you whether you want to travel to Kerala and you need to assess your personal health risk. If you are concerned I would consult with a doctor experienced in travel medicine.




  1. I am not a doctor of any sort and I didn't stay in a motel 6 last night.





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    1 Answer
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    1 Answer
    1






    active

    oldest

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    oldest

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    active

    oldest

    votes








    up vote
    2
    down vote













    I am unfamiliar with the Nipah virus, however the WHO knows a fair bit about it.



    Also I found this (unofficial) link that states:




    Nipah virus: Kerala govt issues travel advisory, asks visitors to avoid 4 districts



    If travellers wish to be extra cautious, they may avoid visiting the
    districts of Kozhikode, Malappuram, Wayanad and Kannur when travelling
    to Kerala, the advisory says.




    But back to the WHO:



    See Nipah virus infection for an overview, and this fact sheet for a more detailed description.



    From the fact sheet it says (in part):




    Transmission



    Limited human to human transmission of NiV has also been reported
    among family and care givers of infected NiV patients. During the
    later outbreaks in Bangladesh and India, Nipah virus spread directly
    from human-to-human through close contact with people's secretions and
    excretions. In Siliguri, India, transmission of the virus was also
    reported within a health-care setting (nosocomial), where 75% of cases
    occurred among hospital staff or visitors. From 2001 to 2008, around
    half of reported cases in Bangladesh were due to human-to-human
    transmission through providing care to infected patients.



    Signs and symptoms



    The incubation period (interval from infection to the onset of
    symptoms) is believed to range between from 4-14 days. However an
    incubation period as long as 45 days has been reported.



    Treatment



    There are currently no drugs or vaccines specific for NiV infection
    although this is a priority disease on the WHO R&D Blueprint.
    Intensive supportive care is recommended to treat severe respiratory
    and neurologic complications.



    Reducing the risk of infection in people



    In the absence of a licensed vaccine, the only way to reduce infection in people is by raising awareness of the risk factors and educating people about the measures they can take to reduce exposure to and decrease infection from NiV.



    Public health educational messages should focus on the following:



    • Reducing the risk of bat-to-human transmission: Efforts to prevent transmission should first focus on decreasing bat access to
      date palm sap and to other fresh food products. Keeping bats away
      from sap collection sites with protective coverings (e.g., bamboo
      sap skirts) may be helpful.Freshly collected date palm juice should
      be boiled and fruits should be thoroughly washed and peeled before
      consumption.


    • Reducing the risk of animal-to-human transmission: Gloves and other protective clothing should be worn while handling sick
      animals or their tissues, and during slaughtering and culling
      procedures. As much as possible, people should avoid being in
      contact with infected pigs.


    • Reducing the risk of human-to-human transmission: Close unprotected physical contact with Nipah virus-infected people should

      be avoided. Regular hand washing should be carried out after caring

      for or visiting sick people.




    My best guess1 is that if you are determined to be infected you will be quarantined - but that will be the least of your worries.



    However I would also guess that unless you are in a farming community in the aforementioned districts you are are unlikely to be at risk.



    Ultimately it is up to you whether you want to travel to Kerala and you need to assess your personal health risk. If you are concerned I would consult with a doctor experienced in travel medicine.




    1. I am not a doctor of any sort and I didn't stay in a motel 6 last night.





    share|improve this answer
























      up vote
      2
      down vote













      I am unfamiliar with the Nipah virus, however the WHO knows a fair bit about it.



      Also I found this (unofficial) link that states:




      Nipah virus: Kerala govt issues travel advisory, asks visitors to avoid 4 districts



      If travellers wish to be extra cautious, they may avoid visiting the
      districts of Kozhikode, Malappuram, Wayanad and Kannur when travelling
      to Kerala, the advisory says.




      But back to the WHO:



      See Nipah virus infection for an overview, and this fact sheet for a more detailed description.



      From the fact sheet it says (in part):




      Transmission



      Limited human to human transmission of NiV has also been reported
      among family and care givers of infected NiV patients. During the
      later outbreaks in Bangladesh and India, Nipah virus spread directly
      from human-to-human through close contact with people's secretions and
      excretions. In Siliguri, India, transmission of the virus was also
      reported within a health-care setting (nosocomial), where 75% of cases
      occurred among hospital staff or visitors. From 2001 to 2008, around
      half of reported cases in Bangladesh were due to human-to-human
      transmission through providing care to infected patients.



      Signs and symptoms



      The incubation period (interval from infection to the onset of
      symptoms) is believed to range between from 4-14 days. However an
      incubation period as long as 45 days has been reported.



      Treatment



      There are currently no drugs or vaccines specific for NiV infection
      although this is a priority disease on the WHO R&D Blueprint.
      Intensive supportive care is recommended to treat severe respiratory
      and neurologic complications.



      Reducing the risk of infection in people



      In the absence of a licensed vaccine, the only way to reduce infection in people is by raising awareness of the risk factors and educating people about the measures they can take to reduce exposure to and decrease infection from NiV.



      Public health educational messages should focus on the following:



      • Reducing the risk of bat-to-human transmission: Efforts to prevent transmission should first focus on decreasing bat access to
        date palm sap and to other fresh food products. Keeping bats away
        from sap collection sites with protective coverings (e.g., bamboo
        sap skirts) may be helpful.Freshly collected date palm juice should
        be boiled and fruits should be thoroughly washed and peeled before
        consumption.


      • Reducing the risk of animal-to-human transmission: Gloves and other protective clothing should be worn while handling sick
        animals or their tissues, and during slaughtering and culling
        procedures. As much as possible, people should avoid being in
        contact with infected pigs.


      • Reducing the risk of human-to-human transmission: Close unprotected physical contact with Nipah virus-infected people should

        be avoided. Regular hand washing should be carried out after caring

        for or visiting sick people.




      My best guess1 is that if you are determined to be infected you will be quarantined - but that will be the least of your worries.



      However I would also guess that unless you are in a farming community in the aforementioned districts you are are unlikely to be at risk.



      Ultimately it is up to you whether you want to travel to Kerala and you need to assess your personal health risk. If you are concerned I would consult with a doctor experienced in travel medicine.




      1. I am not a doctor of any sort and I didn't stay in a motel 6 last night.





      share|improve this answer






















        up vote
        2
        down vote










        up vote
        2
        down vote









        I am unfamiliar with the Nipah virus, however the WHO knows a fair bit about it.



        Also I found this (unofficial) link that states:




        Nipah virus: Kerala govt issues travel advisory, asks visitors to avoid 4 districts



        If travellers wish to be extra cautious, they may avoid visiting the
        districts of Kozhikode, Malappuram, Wayanad and Kannur when travelling
        to Kerala, the advisory says.




        But back to the WHO:



        See Nipah virus infection for an overview, and this fact sheet for a more detailed description.



        From the fact sheet it says (in part):




        Transmission



        Limited human to human transmission of NiV has also been reported
        among family and care givers of infected NiV patients. During the
        later outbreaks in Bangladesh and India, Nipah virus spread directly
        from human-to-human through close contact with people's secretions and
        excretions. In Siliguri, India, transmission of the virus was also
        reported within a health-care setting (nosocomial), where 75% of cases
        occurred among hospital staff or visitors. From 2001 to 2008, around
        half of reported cases in Bangladesh were due to human-to-human
        transmission through providing care to infected patients.



        Signs and symptoms



        The incubation period (interval from infection to the onset of
        symptoms) is believed to range between from 4-14 days. However an
        incubation period as long as 45 days has been reported.



        Treatment



        There are currently no drugs or vaccines specific for NiV infection
        although this is a priority disease on the WHO R&D Blueprint.
        Intensive supportive care is recommended to treat severe respiratory
        and neurologic complications.



        Reducing the risk of infection in people



        In the absence of a licensed vaccine, the only way to reduce infection in people is by raising awareness of the risk factors and educating people about the measures they can take to reduce exposure to and decrease infection from NiV.



        Public health educational messages should focus on the following:



        • Reducing the risk of bat-to-human transmission: Efforts to prevent transmission should first focus on decreasing bat access to
          date palm sap and to other fresh food products. Keeping bats away
          from sap collection sites with protective coverings (e.g., bamboo
          sap skirts) may be helpful.Freshly collected date palm juice should
          be boiled and fruits should be thoroughly washed and peeled before
          consumption.


        • Reducing the risk of animal-to-human transmission: Gloves and other protective clothing should be worn while handling sick
          animals or their tissues, and during slaughtering and culling
          procedures. As much as possible, people should avoid being in
          contact with infected pigs.


        • Reducing the risk of human-to-human transmission: Close unprotected physical contact with Nipah virus-infected people should

          be avoided. Regular hand washing should be carried out after caring

          for or visiting sick people.




        My best guess1 is that if you are determined to be infected you will be quarantined - but that will be the least of your worries.



        However I would also guess that unless you are in a farming community in the aforementioned districts you are are unlikely to be at risk.



        Ultimately it is up to you whether you want to travel to Kerala and you need to assess your personal health risk. If you are concerned I would consult with a doctor experienced in travel medicine.




        1. I am not a doctor of any sort and I didn't stay in a motel 6 last night.





        share|improve this answer












        I am unfamiliar with the Nipah virus, however the WHO knows a fair bit about it.



        Also I found this (unofficial) link that states:




        Nipah virus: Kerala govt issues travel advisory, asks visitors to avoid 4 districts



        If travellers wish to be extra cautious, they may avoid visiting the
        districts of Kozhikode, Malappuram, Wayanad and Kannur when travelling
        to Kerala, the advisory says.




        But back to the WHO:



        See Nipah virus infection for an overview, and this fact sheet for a more detailed description.



        From the fact sheet it says (in part):




        Transmission



        Limited human to human transmission of NiV has also been reported
        among family and care givers of infected NiV patients. During the
        later outbreaks in Bangladesh and India, Nipah virus spread directly
        from human-to-human through close contact with people's secretions and
        excretions. In Siliguri, India, transmission of the virus was also
        reported within a health-care setting (nosocomial), where 75% of cases
        occurred among hospital staff or visitors. From 2001 to 2008, around
        half of reported cases in Bangladesh were due to human-to-human
        transmission through providing care to infected patients.



        Signs and symptoms



        The incubation period (interval from infection to the onset of
        symptoms) is believed to range between from 4-14 days. However an
        incubation period as long as 45 days has been reported.



        Treatment



        There are currently no drugs or vaccines specific for NiV infection
        although this is a priority disease on the WHO R&D Blueprint.
        Intensive supportive care is recommended to treat severe respiratory
        and neurologic complications.



        Reducing the risk of infection in people



        In the absence of a licensed vaccine, the only way to reduce infection in people is by raising awareness of the risk factors and educating people about the measures they can take to reduce exposure to and decrease infection from NiV.



        Public health educational messages should focus on the following:



        • Reducing the risk of bat-to-human transmission: Efforts to prevent transmission should first focus on decreasing bat access to
          date palm sap and to other fresh food products. Keeping bats away
          from sap collection sites with protective coverings (e.g., bamboo
          sap skirts) may be helpful.Freshly collected date palm juice should
          be boiled and fruits should be thoroughly washed and peeled before
          consumption.


        • Reducing the risk of animal-to-human transmission: Gloves and other protective clothing should be worn while handling sick
          animals or their tissues, and during slaughtering and culling
          procedures. As much as possible, people should avoid being in
          contact with infected pigs.


        • Reducing the risk of human-to-human transmission: Close unprotected physical contact with Nipah virus-infected people should

          be avoided. Regular hand washing should be carried out after caring

          for or visiting sick people.




        My best guess1 is that if you are determined to be infected you will be quarantined - but that will be the least of your worries.



        However I would also guess that unless you are in a farming community in the aforementioned districts you are are unlikely to be at risk.



        Ultimately it is up to you whether you want to travel to Kerala and you need to assess your personal health risk. If you are concerned I would consult with a doctor experienced in travel medicine.




        1. I am not a doctor of any sort and I didn't stay in a motel 6 last night.






        share|improve this answer












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        answered May 25 at 15:46









        Peter M

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