Overview

• Missouri health officials said an adult diagnosed on Aug. 13 likely encountered Naegleria fowleri while water skiing at Lake of the Ozarks and died on Aug. 19 at a St. Louis–area hospital.
• Kerala’s Kozhikode Medical College is treating three critically ill patients—a 3‑month‑old, an 11‑year‑old and a 40‑year‑old—following the Aug. 14 death of a nine‑year‑old girl.
• Kozhikode investigators detected the amoeba in a well at the infant’s home, but the strain differed from the child’s sample, leaving the infection source unconfirmed.
• Queensland authorities and Murweh Shire Council reported the amoeba in town water supplies for Charleville and Augathella, began wider sampling, and said the water remains safe to drink.
• Public‑health guidance highlights the rarity yet lethality of PAM, advising people to keep warm freshwater out of the nose and to use sterile or boiled water for any nasal irrigation.