100+ deaths in Bihar children under investigation; Monsoon season dengue, chikungunya count begins in India
24 June 2019
More than 100 children from Muzaffarpur in the NE state of Bihar have died from what is described as acute encephalitis syndrome (AES). ProMED provides comments on some of the recently proposed aetiologies (including Reye syndrome-like disease, enterovirus infection from polluted water, heatstroke, lychee fruit consumption, and scrub typhus).
The south-west monsoon may have crossed the coast, making progress over the rest of the country but pre-monsoon rains have been enough to kick-start dengue notifications in Mumbai (Maharashtra) and Bengaluru (Karnataka). Read more.