DiYES International School – Brain-Eating Amoeba infections have claimed 19 lives in India this year, alarming health experts and raising global concern. Kerala, a southern state in India, has emerged as the epicenter of the outbreak. So far, 69 confirmed cases have been recorded in 2025. The infection, known medically as Primary Amoebic Meningoencephalitis or PAM, spreads through a free-living microorganism called Naegleria fowleri. Officials in Kerala have responded with emergency health protocols and ramped up monitoring in high-risk areas. Most fatalities occurred within days of exposure, as the infection aggressively destroys brain tissue. Health authorities continue to warn citizens about the dangers of warm freshwater sources. Families who lost loved ones have demanded more action from the government. Meanwhile, concern is growing across Asia as countries like Indonesia assess the risk of a possible spread. The World Health Organization has acknowledged the situation and is observing the progression of the outbreak.
Indonesia has started evaluating its risk level due to similarities in climate and geography with Kerala. Health experts from the Faculty of Medicine at Universitas Airlangga issued warnings related to Brain-Eating Amoeba exposure. Naegleria fowleri thrives in warm freshwater bodies such as lakes, rivers, and untreated pools. Indonesia, with its abundance of hot springs and tropical temperatures, provides a perfect environment for the amoeba to survive. Although no local cases have been reported yet, authorities advise the public to exercise caution during water-based recreational activities. Researchers emphasized the importance of nose protection when swimming and avoiding water entering the nasal passages. Many public swimming facilities still lack proper chlorination systems, which heightens the potential risk. The Ministry of Health is reviewing surveillance protocols to detect any early signs of infection. Efforts are underway to improve public awareness and sanitation around water sources across the country.
Naegleria fowleri ranks among the most lethal microorganisms affecting humans. This single-celled organism enters through the nasal cavity and travels to the brain, where it destroys brain tissue. Unlike many infections, this amoeba does not spread from person to person. Instead, it thrives in bodies of warm, stagnant freshwater. Once inside the brain, it causes swelling, seizures, and rapid death. The mortality rate is an alarming 97 percent, with only a few survivors ever documented worldwide. Most victims die within five days of experiencing symptoms. Early-stage signs often mimic common flu or meningitis, leading to misdiagnosis and delayed treatment. The United States Centers for Disease Control and Prevention recorded only a handful of survivors since the pathogen was first identified. The challenge lies in early detection and effective intervention, both of which remain difficult due to the rapid progression and limited awareness surrounding the infection.
In most cases, the infection takes just a few days to become fatal. The incubation period ranges from one to twelve days, with symptoms starting as mild headaches, nausea, and fever. These initial signs are often mistaken for routine illnesses. As the disease progresses, victims experience confusion, hallucinations, and loss of balance. Eventually, the brain begins to swell, triggering seizures and leading to coma or death. Doctors struggle to identify the infection in its early stages due to its rare nature and overlapping symptoms with more common diseases. Definitive diagnosis usually involves extracting cerebrospinal fluid through a lumbar puncture, a procedure often delayed until symptoms escalate. Medical experts call for better training for healthcare workers to identify PAM more effectively. Delays in diagnosis and treatment remain key factors contributing to the high fatality rate. The speed at which the infection destroys brain tissue leaves very little room for error.
With no reliable cure available for PAM, prevention becomes the best defense against Naegleria fowleri. Health officials urge people to avoid swimming in untreated freshwater bodies, particularly during hot weather. Recreational water facilities must maintain proper chlorine levels and conduct routine testing to ensure water safety. Nose clips can also reduce the risk by preventing contaminated water from entering the nasal cavity. Public education plays a vital role in raising awareness about the amoeba’s threat. Communities living near lakes or hot springs must receive guidance on safe water practices. Government authorities are developing protocols for monitoring freshwater quality, especially in tourist areas. Travel advisories and safety notices have started appearing in high-risk zones. Until scientists discover an effective treatment, avoiding exposure remains the only viable strategy. The global health community continues researching potential therapies, but progress remains slow. Awareness and caution remain the most powerful tools for survival.
This article is sourced from www.netralnews.com and for more details you can read at diyesinternational
Writer: Sarah Azhari
Editor: Anisa