Rare Amoebic Brain Infection Strikes Kerala Health Alert Issued

August 19, 2025

Kerala has recently witnessed a rare but lethal brain infection known as primary amoebic meningoencephalitis (PAM). With three active PAM cases having been confirmed in Kozhikode, the Kerala health department issued an alert on Thursday to sensitize people. The infection mostly occurs in individuals who are exposed to infected water and spreads quickly, and thus an early prevention and diagnosis become essential.

Here, Indian families will get to know the causes, symptoms, health effects, and crucial prevention measures to remain safe throughout Kerala’s hot season. Medstown Fastest Medicine Delivery app in India also provides professional medical assistance to assist you if you or your loved ones suffer from suspicious symptoms.

Why Primary Amoebic Meningoencephalitis Is a Health Concern in Kerala and India

Primary amoebic meningoencephalitis (PAM) is a lethal brain infection that is caused by the Naegleria fowleri amoeba, which is also found in warm, fresh water sources. Even though PAM is very rare, the tropical weather and water conditions of Kerala have made it applicable in 2025. The disease tends to cause quick damage to the brain and is fatal in over 97% of patients, as documented by the World Health Organization (WHO).

  • PAM is a rare but fatal disease, particularly in regions such as Kozhikode with excessive exposure to untreated freshwater.
  • Infection predominantly occurs among children and young adults who engage in swimming or bathing in infected water.
  • In India, deficiencies in water quality regulation and public enlightenment raise the risk factor, particularly in rural areas.
  • Current Kerala cases demonstrate the imminent need for awareness and prompt government intervention to safeguard vulnerable groups.

This disease requires a sense of urgency in India due to the rising incidence of waterborne illnesses associated with climate change and seasonal water safety issues.

Causes & Risk Factors: What Increases PAM Risk in Indian Settings

Primary amoebic meningoencephalitis develops when Naegleria fowleri enters the body by way of the nose while swimming, bathing, or performing nasal rinsing with infected water. The amoeba migrates to the brain, resulting in intense inflammation.

Major causes and risk factors in Kerala and throughout India are:

  • Swimming or bathing in warm freshwater lakes, rivers, or ponds that are not well-maintained or chlorinated.
  • Nasal irrigation with pond, well, or tube well water without boiling or chlorination.
  • Rural and semi-urban sectors with restricted access to treated drinking water.
  • Children and adolescents who tend to spend more time playing in water during summers.
  • Geographical reasons: Temperatures of water between 25°C-45°C in summer are conducive to the growth of amoeba, prevalent in Kerala and other tropical regions.

For instance, recent PAM cases in Kozhikode highlighted water bodies with contaminated water where local residents regularly bathe or swim, pointing towards the need for enhanced water treatment and surveillance.

Effects on Health: Identifying Symptoms and Knowing Severity

The symptoms of amoebic meningoencephalitis may begin within days of exposure but develop rapidly, so early recognition is crucial.

Typical symptoms to identify in children and adults are

  • High fever and severe headache  
  • Nausea or vomiting, stiff neck  
  • Irritability, hallucinations, and confusion  
  • Seizures, loss of balance, and partial paralysis  
  • Bacterial meningitis-like symptoms that develop more rapidly

The infection results in brain swelling, coma, and death unless immediate medical attention is provided. ICMR states that almost all untreated cases of PAM are fatal in one to two weeks after the development of symptoms.

Parents and caregivers in India must be particularly cautious if children show these signs after swimming or nasal rinsing with water.

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Solutions & Prevention Strategies: How to Save Your Family in Kerala and Beyond

Prevention of PAM can be achieved with vigilance and basic water hygiene measures. Here’s what Indian families can do:

  • Avoid swimming or bathing in stagnant, warm freshwater bodies with a history of contamination, especially during the hot weather season in Kerala.
  • Use boiled or suitably chlorinated water for nasal irrigation or rinsing.
  • Regularly inspect and treat home water sources, join government chlorination campaigns like the Kerala water chlorination campaign in Kozhikode.
  • Heed the Kozhikode health department warnings and hygiene tips strictly.
  • Immediately visit a medical facility if signs of PAM occur; prompt treatment significantly increases chances of survival.

Medstown provides consultations with infectious disease specialists and neurologists with experience in diagnosing and treating PAM and similar infections. Indian users can gain access to prompt medical assistance anywhere through telemedicine.

Government Guidelines and Expert Insights on PAM in India

Kerala health department, WHO, and Indian government agencies like ICMR have issued strict warnings and guidelines to counter PAM risk:

  • The Kozhikode health department advisory mandates water quality surveillance and encourages people to stay away from unsafe contact with water.
  • WHO advises vigorous water, sanitation, and prompt diagnostic awareness to minimize PAM mortality.
  • ICMR studies call forthe inclusion of PAM awareness in school health activities and community outreach programs in India.
  • The Food Safety and Standards Authority of India (FSSAI) supports the efforts by encouraging safe water supply standards across the country.

These rules are the basis for efforts to minimize PAM risk in both rural and urban areas, with a focus on particularly vulnerable communities such as children.

Frequently asked questions 

Q1: What is the amoebic meningoencephalitis alert Kerala about?

It warns residents after active PAM infections were detected in Kozhikode, alerting to this uncommon but deadly brain infection through contaminated water.

Q2: What are the typical symptoms of amoebic meningoencephalitis?

Common symptoms include high fever, severe headache, stiff neck, confusion, seizures, and rapid mental deterioration.

Q3: How can infection by PAM be avoided?

By avoiding swimming in warm freshwater, using boiled or chlorinated water for nasal cleansing, and following local water safety advisories.

Q4: Why is PAM often fatal?  

Because the infection targets brain tissue and progresses rapidly, early diagnosis and treatment are critical but difficult.

Q5: What is the Kerala water chlorination drive in Kozhikode?

A government program to sterilize drinking water and combat waterborne infections such as PAM through the addition of chlorine treatment in water supplies.

Q6: Can Medstown assist if someone develops amoebic meningoencephalitis symptoms?

Yes, Medstown’s qualified doctors offer consultations and can assist with immediate next steps such as hospital referrals.

Key Takeaways

  • Primary amoebic meningoencephalitis (PAM) is a lethal, uncommon brain infection reported very recently in Kerala, particularly in Kozhikode.
  • Infection primarily results from contact with warm, contaminated freshwater bodies that are prevalent during Indian summers.
  • Initial symptoms resemble meningitis but progress rapidly; prompt medical care is essential to survive.
  • Prevent infection by shunning hazardous water contact, employing boiled/chlorinated water for nasal lavage, and adhering to local health recommendations.
  • Government and health authorities such as the Kerala health department, WHO, and ICMR have laid out plain guidelines for preventing and controlling PAM.
  • Medstown offers reliable, affordable healthcare and counseling services to assist Indian families with health issues related to PAM and safety of water.

Conclusion: 

With the recent alert for amoebic meningoencephalitis issued by Kerala, vigilance and prevention are your best protection. Parents in India, particularly in Kerala, need to be watchful regarding water safety, be aware of early signs in kids, and move quickly by seeking advice from medical specialists. Medstown’s professional telemedicine services ensure it is easy to seek reliable healthcare guidance whenever you want. Be informed, be protected, and check out Medstown for preventive care assistance and professional advice on PAM and other waterborne illnesses.

Reference : 

https://www.thenewsminute.com/kerala/amoebic-meningoencephalitis-with-3-active-cases-health-dept-issues-alert-in-keralas-kozhikode


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