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Kerala Reports 69 Amoebic Encephalitis Cases as Officials Urge Freshwater Caution

Health leaders attribute the rise to post‑Nipah testing that is detecting mostly Acanthamoeba instead of Naegleria fowleri.

Overview

  • Kerala’s health minister said the state has logged 69 cases and 19 deaths in 2025, with no clusters reported this year after a 2024 cluster tied to a shared water source.
  • Congress MP Shashi Tharoor urged people to avoid swimming in untreated freshwater, noting that seawater, household supplies and chlorinated pools are considered safe.
  • Officials credit routine CSF testing adopted after the 2023 Nipah response with earlier diagnosis of amoebic infections and improved survival.
  • Clinicians report that most recent cases involve Acanthamoeba and that many patients are immunocompromised, making sensational ‘brain‑eating amoeba’ framing misleading.
  • The state has intensified chlorination of waterbodies and expanded diagnostics, with NCDC monitoring and ICMR and research partners assisting in epidemiological analysis.