Overview

• Missouri health officials confirmed an adult died on Aug. 19 after a Naegleria fowleri infection likely linked to recent water skiing at the Lake of the Ozarks.
• In Kerala, three patients — a three‑month‑old, an 11‑year‑old, and a 40‑year‑old — are in critical care for primary amebic meningoencephalitis at Kozhikode Medical College after a 9‑year‑old died on Aug. 14.
• Investigators in Kozhikode detected N. fowleri in a well at an infant patient’s home, though officials say the environmental strain differs from the child’s, leaving the source unconfirmed.
• Queensland authorities reported N. fowleri in town water supplies for Charleville and Augathella and are collecting more samples, with officials saying the water remains safe to drink but advising against nasal exposure.
• Health agencies stress that infection occurs when contaminated water enters the nose, not from swallowing, note a fatality rate near 97%, and urge nose clips in warm freshwater, sterile or boiled water for nasal rinses, and proper chlorination of pools and wells.