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OpinionAsia Opinion
Opinion
Kamala Thiagarajan

Nipah and mpox expose Asia’s urgent need for stronger disease surveillance

Many Asian countries face barriers in building effective disease surveillance networks, including relying on shrinking external funding

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A passenger is checked with a thermal imager at Indonesia’s Soekarno Hatta International Airport, after India confirmed two cases of the deadly Nipah virus, in Tangerang near Jakarta, Indonesia, on January 30. Photo: Reuters
Kamala Thiagarajan is a freelance journalist based in Madurai, southern India.
In a year already brimming with threats of war and unrest, 2026 has brought some health scares for Asia. In January, two cases of the deadly Nipah virus emerged among healthcare workers, both nurses, in West Bengal, India. One of the two nurses has since died.

The Nipah virus has one of the highest fatality rates of any known viral disease, typically ranging from 40 to 75 per cent, according to the World Health Organization (WHO). Since 1998, when the first outbreak of the disease was recorded in Malaysia, periodic outbreaks have been recorded almost every year in Bangladesh and India. The dreaded zoonotic disease is transmitted to humans through food contaminated by the excreta or saliva of an infected animal, primarily fruit bats or flying foxes, the natural hosts for the virus. It can be transmitted from person to person through close contact with someone who is infected. There is no known cure.

The recent cases triggered airport screening across Asia and placed health authorities on heightened alert. It raised fears of another pandemic and rekindled the unsettling memories of Covid-19 lockdowns.
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