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1998–1999 Malaysia Nipah virus outbreak

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people not to worry, it said the disease was coming from mosquitoes and it had it under control because it was spraying for mosquitoes. Both C. T. Tan and Kaw Bing Chua thought the government was wrong and there was one big clue: No Muslims were getting sick, mosquitoes don't care which religion you practice so if the disease was coming from mosquitoes, you would have Muslims, Hindus and Christians getting sick. But only Chinese Malaysians were catching the disease β€” and even more specifically, only Chinese farmers raising pigs. As you know, Muslims don't handle pigs.
448: 326:. This was supported by several findings, including that all of the infected people had had direct physical contact with pigs, and all of the infected pigs had developed severe symptoms of a "barking cough" before dying. Despite the evidence gathered from autopsy results, with new findings among local researchers, the federal government, especially the health authorities, insisted that it was solely caused by JE, which delayed further appropriate action taken for outbreak control. 472: 460: 31: 496: 484: 861:
The disease was as deadly as Ebola, but instead of attacking blood vessels, it attacked the brain. Young men would be healthy one day, the next day their brains would swell up. They couldn't walk or talk. They'd become comatose and some of them became paralysed. Yet the Malaysian government told
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of over a million pigs was undertaken, and the last human fatality occurred on 27 May 1999. The outbreak in neighbouring Singapore also ended with immediate prohibition of pig importation to the country and the subsequent closure of abattoirs. The virus discovery received the attention from the
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and vaccination of pigs against JE were deployed to the affected area, which proved to be ineffective, with more cases emerging despite these early measures. With the increasing deaths reported from the outbreak, this caused nationwide fear from the public and the near-collapse of the local
289:, Nipah River Village and Pelandok Hill in Negeri Sembilan, when farmers impacted by the control measures began to sell their infected pigs to these areas. This resulted 180 patients infected by the virus and 89 deaths. With further movement of infected pigs, more cases emerged from around 318:
pig-farming industry. Most healthcare workers who were taking care of their infected patients had been convinced that the outbreak was not caused by JE, since the disease affected more adults than children, including those who had been vaccinated earlier against JE. Through further
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Until the 2010s, the pig farming ban on Pelandok Hill was still in force to prevent the recurrence of the outbreak, despite some farmers having quietly restarted their businesses after being encouraged by community leaders. Most of the surviving pig farmers have turned to
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played a major role in serving as a major referral centre for the outbreak, treating majority of the Nipah patients and was instrumental in isolating the novel virus and researched on its features.
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The virus is named after the Malaysian village where it was first discovered. This virus along with Hendra virus comprises a new genus designated Henipavirus in the subfamily Paramyxovirinae.
422:(cempedak) cultivation. Since the virus has been named Nipah from the sample taken in Nipah River Village of Pelandok Hill, the latter area has become synonyms with the deadly virus. 182:(JE) was the cause of the infection. This misunderstanding hampered the deployment of effective measures to prevent the spread, before the disease was identified by a local 396: 2605: 2770: 237:
sector of the animal industry in Malaysia. The country became the origin of the virus, but had no more cases since 1999. Further outbreaks continue to occur in
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Yob, J. M.; Field, H.; Rashdi, A. M.; Morrissy, C.; van der Heide, B.; Rota, P.; bin Adzhar, A.; White, J.; Daniels, P.; Jamaluddin, A.; Ksiazek, T. (2001).
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Banerjee, Sayantan; Gupta, Nitin; Kodan, Parul; Mittal, Ankit; Ray, Yogiraj; Nischal, Neeraj; Soneja, Manish; Biswas, Ashutosh; Wig, Naveet (2019).
1161: 2882: 2648: 2550: 2268: 1796: 1408: 1066: 1721: 1801: 1736: 1751: 2568: 1633: 2740: 2411: 1476: 827: 392: 1681: 403:(SGH) which gave swift assistance towards the characterisation of the virus and the development of surveillance and control measures. 2764: 818:(2). Department of Pathology, University of Malaya and National Public Health Laboratory of the Ministry of Health, Malaysia: 63–67. 215: 187: 1696: 1666: 1651: 2704: 2612: 2532: 2364: 2680: 1706: 2982: 2710: 2274: 1856: 1816: 1791: 1786: 1781: 1776: 1771: 1766: 1761: 1731: 1726: 1701: 1676: 1656: 1092: 2674: 2058: 1831: 1643: 1426: 1276: 2977: 2399: 2304: 2232: 2177: 1811: 1661: 1182: 1716: 2654: 2598: 2423: 2370: 1360: 2429: 3002: 2997: 2538: 2334: 2328: 2310: 2208: 2128: 1929: 1154: 350:), where it was unknown in available scientific records at the time. The virus origin was determined to be from a native 2592: 2352: 2238: 1671: 1471: 1385: 1551: 885: 386:
and diagnosis of NiV infection. Following the findings, widespread surveillance of pig populations, together with the
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on the victims, the findings were inconsistent with the earlier results, and suggested it may have come from another
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with 105 deaths caused by the virus were reported in the three states throughout the outbreak. At first, the
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finally found the root cause of the infection. The infection was found to be caused by a new agent named
226: 285:. A total of 15 infected people died during the ensuing outbreak, before the virus began to spread into 2520: 2189: 2159: 1617: 1599: 1594: 1508: 1302: 438: 400: 2992: 2987: 2244: 1907: 1268: 1258: 1253: 1243: 1238: 1233: 1228: 1223: 1213: 1191: 1118: 278: 625:
Hughes, James M.; Wilson, Mary E.; Luby, Stephen P.; Gurley, Emily S.; Hossain, M. Jahangir (2009).
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Since the cause was initially wrongly identified, early control measures such as mosquito
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and encephalitis among the pigs, where it was initially believed to have been caused by
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Enserink, Martin (2000). "Malaysian Researchers Trace Nipah Virus Outbreak to Bats".
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samples from 28 infected humans in the area which tested positive for JE-specific
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Department of Medical Microbiology, Faculty of Medicine, University of Malaya
270: 207: 68: 713:"Diagnostics for Nipah virus: a zoonotic pathogen endemic to Southeast Asia" 685: 1043: 1000: 937: 874: 823: 748: 703: 660: 617: 584: 549: 531: 355: 294: 254: 234: 171: 44: 30: 2876: 2064: 919: 516:"Nipah virus infection in bats (order Chiroptera) in peninsular Malaysia" 452: 363: 359: 98: 1139: 2441: 2289: 1538: 238: 183: 119: 1937: 596:
Lam, S. K. (2003). "Nipah virus--a potential agent of bioterrorism?".
342:(NiV), taken from the investigation area name of Nipah River Village ( 39:
in 1998 and later occurrence to other places with the virus extent in
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caused major losses to both animal and human lives, affecting
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Ang, Brenda S. P.; Lim, Tchoyoson C. C.; Wang, Linfa (2018).
875:"Manual on the Diagnosis of Nipah Virus Infection in Animals" 784: 782: 780: 778: 776: 774: 772: 770: 768: 766: 242: 203: 155: 112: 495: 397:
Commonwealth Scientific and Industrial Research Organisation
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Doucleff, Michaeleen; Greenhalgh, Jane (25 February 2017).
258: 108: 36: 1067:"1998 ban on pig farming in Bukit Pelanduk still in force" 763: 706:– via National Center for Biotechnology Information. 620:– via National Center for Biotechnology Information. 305:
who had handled the infected pigs imported from Malaysia.
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occurred from September 1998 to May 1999 in the states of
842: 840: 667: 849:"A Taste For Pork Helped A Deadly Virus Jump To Humans" 334:
In early March 1999, a local medical virologist at the
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Effect of the 2004 Indian Ocean earthquake on Malaysia
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in Selangor, with 11 cases and 1 death reported among
837: 670:"Nipah virus disease: A rare and intractable disease" 436: 308: 277:(IgM) which is also confirmed by the findings of the 233:
trade. It also created a significant setback to the
805:"Lessons from the Nipah virus outbreak in Malaysia" 711:Mazzola, Laura T.; Kelly-Cirino, Cassandra (2019). 710: 281:(WHO) Collaborating Centre for Tropical Disease at 846: 627:"Transmission of Human Infection with Nipah Virus" 382:for NiV antibodies which helped in the subsequent 2954: 1497:2014–15 floods in Southeast Asia and South Asia 884:. Food and Agriculture Organization: v . 2002. 559:"Nipah Virus Encephalitis Outbreak in Malaysia" 1409:2014 Negeri Sembilan and Selangor water crisis 940:– via American Society for Microbiology. 2928: 1923: 1155: 1093:"Nipah virus outbreak memorialised in museum" 1084: 1343:COVID-19 pandemic in Malaysia (2020–present) 362:was subsequently recognised as a new genus, 75:is the origin source of the virus while the 67:The 1998–1999 Nipah virus outbreak areas in 1634:Peninsula Malaysia tornado outbreak of 2014 979:. World Health Organization. Archived from 1930: 1916: 1477:2010 floods in Thailand and north Malaysia 1162: 1148: 901: 393:Centers for Disease Control and Prevention 2111:"Cocoliztli" epidemics in colonial Mexico 1169: 927: 738: 693: 650: 574: 539: 330:Identification of the source of infection 188:Faculty of Medicine, University of Malaya 1021: 954:. World Health Organization. 30 May 2018 802: 198:(NiV). The disease was as deadly as the 1308:1998–1999 Malaysia Nipah virus outbreak 803:Looi, Lai-Meng; Chua, Kaw-Bing (2007). 556: 152:1998–1999 Malaysia Nipah virus outbreak 24:1998–1999 Malaysia Nipah virus outbreak 2955: 1328:Sarawak rabies outbreak (2017–present) 1277:1982 Bukit Merah radioactive pollution 674:Intractable and Rare Diseases Research 2178:Great Plague in the late Ming dynasty 1911: 1143: 1064: 557:Lam, Sai Kit; Chua, Kaw Bing (2002). 1318:2009 flu pandemic in Malaysia (H1N1) 1090: 891:from the original on 30 August 2019. 833:from the original on 30 August 2019. 1797:Severe Tropical Storm Sonamu (2013) 1682:Severe Tropical Storm Irving (1985) 595: 220:University of Malaya Medical Centre 13: 1386:2019 Kim Kim River toxic pollution 1116: 812:The Malaysian Journal of Pathology 507: 370:family. NiV and HeV shared enough 309:Response and further investigation 14: 3014: 1697:Tropical Depression BOB 03 (1993) 1667:Severe Tropical Storm Judy (1971) 1652:Tropical Depression Gloria (1965) 1590:2008 Bukit Antarabangsa landslide 1487:2014 Cameron Highlands mud floods 1482:2013 Cameron Highlands mud floods 2883:encephalitis lethargica epidemic 1892:Environmental issues in Malaysia 1722:Tropical Depression Hilda (1999) 1529:2022 Malaysian east coast floods 1361:2015–16 Kuantan bauxite disaster 908:Journal of Clinical Microbiology 494: 482: 470: 458: 446: 261:in Perak with the occurrence of 170:. A total of 265 cases of acute 61: 29: 2661:Gorakhpur Japanese encephalitis 1958:List of epidemics and pandemics 1707:Tropical Depression Greg (1996) 1338:2019 Kuala Koh measles outbreak 1110: 35:The first site of the virus in 2983:Disease outbreaks in Singapore 1857:Tropical Depression 29W (2021) 1817:Tropical Depression 29W (2017) 1802:Tropical Storm Shanshan (2013) 1792:Tropical Depression 25W (2012) 1787:Tropical Depression 26W (2011) 1782:Tropical Depression 25W (2011) 1777:Tropical Depression 19W (2010) 1772:Tropical Depression 01W (2010) 1767:Tropical Depression 01W (2008) 1752:Tropical Depression 25W (2005) 1737:Tropical Depression 29W (2001) 1732:Tropical Depression 32W (1999) 1727:Tropical Depression 31W (1999) 1702:Tropical Depression 34W (1995) 1472:2006–07 Southeast Asian floods 1404:1998 Klang Valley water crisis 1058: 1015: 993: 966: 944: 895: 867: 1: 1986: 1827:Tropical Storm Kai-tak (2017) 1692:Tropical Storm Forrest (1992) 1580:2002 Taman Hillview landslide 1552:2024 Southeast Asia heat wave 1091:Yong, Yimie (14 April 2018). 1065:Singh, Sarban (3 July 2014). 756: 610:10.1016/s0166-3542(02)00204-8 248: 2978:Health disasters in Malaysia 1832:Tropical Storm Toraji (2018) 1807:Tropical Storm Jangmi (2014) 1585:2006 Kampung Pasir landslide 1209:1997 Indonesian forest fires 1036:10.1126/science.289.5479.518 663:– via Oxford Academic. 631:Clinical Infectious Diseases 563:Clinical Infectious Diseases 520:Emerging Infectious Diseases 406: 176:Malaysian health authorities 16:Disease outbreak in Malaysia 7: 1837:Tropical Storm Pabuk (2019) 1742:Tropical Storm Vamei (2001) 1712:Tropical Storm Linda (1997) 1570:1993 Pantai Remis landslide 1333:2018 Malaysia HFMD outbreak 1323:2015–16 Zika virus epidemic 425: 354:species. Together with the 79:are further affected areas. 10: 3019: 3003:1999 disasters in Malaysia 2998:1998 disasters in Malaysia 2771:2024 Latin American dengue 2551:Western African meningitis 2365:Pacific Northwest smallpox 1812:Tropical Depression (2016) 1662:Tropical Storm Ruth (1970) 1618:2024 Kuala Lumpur sinkhole 1600:2022 Batang Kali landslide 1595:2011 Hulu Langat landslide 1524:2021–2022 Malaysian floods 1509:2015 East Malaysian floods 1303:1997 Sarawak HFMD outbreak 1119:"Bukit Pelandok revisited" 401:Singapore General Hospital 378:to be used in a prototype 2795: 2471: 2392: 2377:Buenos Aires yellow fever 2297: 2288: 2275:Philadelphia yellow fever 2245:Great Plague of Marseille 2239:Great Northern War plague 2233:Iceland smallpox epidemic 2225: 2146: 2091: 2080: 2017: 1973: 1966: 1953: 1887: 1865: 1717:Tropical Storm Gil (1998) 1642: 1626: 1608: 1560: 1537: 1457: 1434: 1425: 1394: 1376: 1369: 1351: 1289: 1269:Radioactive contamination 1267: 1259:2019 Southeast Asian haze 1254:2017 Southeast Asian haze 1244:2015 Southeast Asian haze 1239:2013 Southeast Asian haze 1234:2010 Southeast Asian haze 1229:2009 Southeast Asian haze 1224:2006 Southeast Asian haze 1214:1997 Southeast Asian haze 1199: 1190: 1181: 1117:Yi, Chang (27 May 2018). 731:10.1136/bmjgh-2018-001118 279:World Health Organization 253:The virus firstly struck 138: 128: 118: 104: 94: 84: 60: 28: 23: 2941:Mpox (clade Ib) epidemic 2935:Mpox (clade II) outbreak 2895:Seventh cholera pandemic 1575:Highland Towers collapse 1519:2020–21 Malaysian floods 1467:1971 Kuala Lumpur floods 366:(Hendra + Nipah) in the 257:-farms in the suburb of 202:(EVD), but attacked the 2853:Fourth cholera pandemic 2835:Second cholera pandemic 2681:Γ‰quateur province Ebola 2269:North American smallpox 2184:Great Plague of Seville 1502:2014–15 Malaysia floods 1492:Early 2014 Sabah floods 974:"Nipah Virus Infection" 904:"Nipah Virus Infection" 686:10.5582/irdr.2018.01130 2968:1999 disease outbreaks 2963:1998 disease outbreaks 2871:Sixth cholera pandemic 2859:Fifth cholera pandemic 2841:Third cholera pandemic 2829:First cholera pandemic 2811:Second plague pandemic 2371:Barcelona yellow fever 2216:Great Plague of Vienna 2202:Great Plague of London 2172:Massachusetts smallpox 1762:Typhoon Hagibis (2007) 532:10.3201/eid0703.010312 347: 206:system instead of the 190:as a newly discovered 2847:Third plague pandemic 2805:First plague pandemic 2599:Western African Ebola 2509:Chikungunya outbreaks 2461:Malaysian Nipah virus 2329:Great Plains smallpox 1852:Typhoon Molave (2020) 1847:Typhoon Saudel (2020) 1842:Typhoon Lekima (2019) 1822:Typhoon Tembin (2017) 1514:2016 Malaysian floods 1449:2015 Sabah earthquake 1444:1976 Sabah earthquake 1313:Global spread of H5N1 267:Japanese encephalitis 180:Japanese encephalitis 89:Nipah virus infection 51:, both belong to the 2907:Russian flu pandemic 2649:Angolan yellow fever 2400:San Francisco plague 2353:Broad Street cholera 2251:Great Plague of 1738 1747:Typhoon Muifa (2004) 1677:Typhoon Percy (1983) 1672:Typhoon Sally (1972) 1657:Typhoon Sally (1967) 920:10.1128/JCM.01875-17 348:Kampung Sungai Nipah 336:University of Malaya 212:University of Malaya 2813:(1348–19th century) 2741:New Zealand measles 2569:Darfur yellow fever 2412:LA pneumonic plague 2029:Plague of Justinian 1757:Typhoon Utor (2006) 1547:2023 Asia heat wave 1249:2016 Malaysian haze 1219:2005 Malaysian haze 1001:"Nipah Virus (NiV)" 986:on 30 August 2019. 283:Nagasaki University 263:respiratory illness 216:Faculty of Medicine 200:Ebola virus disease 2823:Influenza pandemic 2817:Influenza pandemic 2765:Bangsamoro measles 2747:Singaporean dengue 2711:Pacific NW measles 2705:Philippine measles 2693:Madagascar measles 2675:Kerala Nipah virus 2668:Saudi Arabian MERS 2581:Singaporean dengue 2527:Zimbabwean cholera 2497:Singaporean dengue 2341:Copenhagen cholera 2323:Groningen epidemic 2117:Influenza pandemic 2099:Influenza pandemic 1897:Health in Malaysia 1687:Typhoon Gay (1989) 419:Artocarpus integer 269:(JE), due to four 2950: 2949: 2791: 2790: 2787: 2786: 2723:Kuala Koh measles 2637:South Korean MERS 2625:Polio declaration 2613:Madagascar plague 2545:Gujarat hepatitis 2533:Madagascar plague 2485:Midwest monkeypox 2436:Yugoslav smallpox 2406:Manchurian plague 2347:Stockholm cholera 2284: 2283: 2071:Sweating sickness 2059:Japanese smallpox 2008:Plague of Cyprian 1947:disease outbreaks 1905: 1904: 1883: 1882: 1427:Natural disasters 1421: 1420: 1417: 1416: 1285: 1284: 637:(11): 1743–1748. 148: 147: 3010: 2993:1999 in Malaysia 2988:1998 in Malaysia 2930: 2717:New York measles 2671: 2631:Indian swine flu 2619:Odisha hepatitis 2609: 2563:Pakistani dengue 2515:Pakistani dengue 2464: 2430:WrocΕ‚aw smallpox 2383:Hong Kong plague 2317:Caragea's plague 2295: 2294: 2212: 2105:Mexican smallpox 2089: 2088: 2041:Plague of Sheroe 1996:Plague of Athens 1991: 1988: 1971: 1970: 1932: 1925: 1918: 1909: 1908: 1432: 1431: 1374: 1373: 1197: 1196: 1188: 1187: 1183:Health disasters 1164: 1157: 1150: 1141: 1140: 1134: 1133: 1131: 1129: 1114: 1108: 1107: 1105: 1103: 1088: 1082: 1081: 1079: 1077: 1062: 1056: 1055: 1019: 1013: 1012: 1010: 1008: 997: 991: 990: 985: 978: 970: 964: 963: 961: 959: 948: 942: 941: 931: 914:(6): e01875-17. 899: 893: 892: 890: 879: 871: 865: 864: 858: 856: 844: 835: 834: 832: 809: 800: 752: 742: 707: 697: 664: 654: 621: 592: 578: 553: 543: 499: 498: 487: 486: 485: 475: 474: 473: 463: 462: 451: 450: 442: 380:serological test 275:Immunoglobulin M 227:emerging disease 131: 78: 74: 65: 50: 42: 33: 21: 20: 3018: 3017: 3013: 3012: 3011: 3009: 3008: 3007: 2973:Paramyxoviridae 2953: 2952: 2951: 2946: 2783: 2666: 2604: 2587:Swansea measles 2539:Bolivian dengue 2467: 2459: 2448:Indian smallpox 2418:Croydon typhoid 2388: 2280: 2221: 2207: 2142: 2083: 2076: 2047:Plague of Amwas 2020: 2013: 2002:Antonine Plague 1989: 1962: 1949: 1936: 1906: 1901: 1879: 1861: 1644:Tropical storms 1638: 1622: 1604: 1556: 1533: 1453: 1413: 1390: 1365: 1347: 1281: 1263: 1177: 1168: 1138: 1137: 1127: 1125: 1123:The Borneo Post 1115: 1111: 1101: 1099: 1089: 1085: 1075: 1073: 1063: 1059: 1030:(5479): 518–9. 1020: 1016: 1006: 1004: 999: 998: 994: 983: 976: 972: 971: 967: 957: 955: 950: 949: 945: 900: 896: 888: 882:RAP Publication 877: 873: 872: 868: 854: 852: 845: 838: 830: 807: 801: 764: 759: 589:Oxford Academic 510: 508:Further reading 505: 493: 483: 481: 471: 469: 457: 445: 437: 432:Paramyxoviridae 428: 409: 368:Paramyxoviridae 332: 311: 291:Sepang District 251: 194:. It was named 160:Negeri Sembilan 141: 130:Confirmed cases 129: 80: 76: 72: 56: 53:Paramyxoviridae 48: 40: 17: 12: 11: 5: 3016: 3006: 3005: 3000: 2995: 2990: 2985: 2980: 2975: 2970: 2965: 2948: 2947: 2945: 2944: 2938: 2932: 2922: 2916: 2915:(1981–present) 2910: 2904: 2898: 2892: 2886: 2880: 2874: 2868: 2862: 2856: 2850: 2844: 2838: 2832: 2826: 2820: 2814: 2808: 2801: 2799: 2793: 2792: 2789: 2788: 2785: 2784: 2782: 2781: 2780: 2779: 2768: 2767:(2023–present) 2762: 2759:Jamaica dengue 2756: 2750: 2744: 2738: 2732: 2726: 2720: 2714: 2708: 2702: 2696: 2690: 2684: 2678: 2672: 2664: 2658: 2655:Yemeni cholera 2652: 2646: 2640: 2634: 2628: 2622: 2616: 2610: 2606:DR Congo Ebola 2602: 2596: 2590: 2584: 2578: 2572: 2566: 2560: 2554: 2548: 2542: 2536: 2530: 2524: 2518: 2512: 2506: 2500: 2494: 2488: 2482: 2475: 2473: 2469: 2468: 2466: 2465: 2457: 2451: 2445: 2439: 2433: 2427: 2421: 2415: 2409: 2403: 2396: 2394: 2390: 2389: 2387: 2386: 2380: 2374: 2368: 2362: 2356: 2350: 2344: 2338: 2332: 2326: 2320: 2314: 2311:Maltese plague 2308: 2305:Ottoman plague 2301: 2299: 2292: 2286: 2285: 2282: 2281: 2279: 2278: 2272: 2266: 2263:Persian Plague 2260: 2257:Russian plague 2254: 2248: 2242: 2236: 2229: 2227: 2223: 2222: 2220: 2219: 2213: 2209:Maltese plague 2205: 2199: 2193: 2190:Maltese plague 2187: 2181: 2175: 2169: 2166:Italian plague 2163: 2160:Maltese plague 2157: 2150: 2148: 2144: 2143: 2141: 2140: 2138: 2132: 2129:Maltese plague 2126: 2120: 2114: 2108: 2102: 2095: 2093: 2086: 2078: 2077: 2075: 2074: 2068: 2062: 2056: 2050: 2044: 2038: 2032: 2025: 2023: 2015: 2014: 2012: 2011: 2005: 1999: 1993: 1983:Hittite plague 1979: 1977: 1968: 1964: 1963: 1961: 1960: 1954: 1951: 1950: 1935: 1934: 1927: 1920: 1912: 1903: 1902: 1900: 1899: 1894: 1888: 1885: 1884: 1881: 1880: 1878: 1877: 1871: 1869: 1863: 1862: 1860: 1859: 1854: 1849: 1844: 1839: 1834: 1829: 1824: 1819: 1814: 1809: 1804: 1799: 1794: 1789: 1784: 1779: 1774: 1769: 1764: 1759: 1754: 1749: 1744: 1739: 1734: 1729: 1724: 1719: 1714: 1709: 1704: 1699: 1694: 1689: 1684: 1679: 1674: 1669: 1664: 1659: 1654: 1648: 1646: 1640: 1639: 1637: 1636: 1630: 1628: 1624: 1623: 1621: 1620: 1614: 1612: 1606: 1605: 1603: 1602: 1597: 1592: 1587: 1582: 1577: 1572: 1566: 1564: 1558: 1557: 1555: 1554: 1549: 1543: 1541: 1535: 1534: 1532: 1531: 1526: 1521: 1516: 1511: 1506: 1505: 1504: 1494: 1489: 1484: 1479: 1474: 1469: 1463: 1461: 1455: 1454: 1452: 1451: 1446: 1440: 1438: 1429: 1423: 1422: 1419: 1418: 1415: 1414: 1412: 1411: 1406: 1400: 1398: 1392: 1391: 1389: 1388: 1382: 1380: 1371: 1367: 1366: 1364: 1363: 1357: 1355: 1353:Soil pollution 1349: 1348: 1346: 1345: 1340: 1335: 1330: 1325: 1320: 1315: 1310: 1305: 1299: 1297: 1295:Viral diseases 1287: 1286: 1283: 1282: 1280: 1279: 1273: 1271: 1265: 1264: 1262: 1261: 1256: 1251: 1246: 1241: 1236: 1231: 1226: 1221: 1216: 1211: 1205: 1203: 1194: 1185: 1179: 1178: 1167: 1166: 1159: 1152: 1144: 1136: 1135: 1109: 1083: 1057: 1014: 992: 965: 943: 894: 866: 836: 761: 760: 758: 755: 754: 753: 725:(2): e001118. 708: 665: 643:10.1086/647951 622: 604:(1–2): 113–9. 593: 576:10.1086/338818 569:(2): S48–S51. 554: 526:(3): 439–441. 509: 506: 504: 503: 491: 479: 467: 455: 435: 434: 427: 424: 408: 405: 331: 328: 310: 307: 250: 247: 146: 145: 142: 139: 136: 135: 132: 126: 125: 124:September 1998 122: 116: 115: 106: 105:First outbreak 102: 101: 96: 92: 91: 86: 82: 81: 66: 58: 57: 34: 26: 25: 15: 9: 6: 4: 3: 2: 3015: 3004: 3001: 2999: 2996: 2994: 2991: 2989: 2986: 2984: 2981: 2979: 2976: 2974: 2971: 2969: 2966: 2964: 2961: 2960: 2958: 2942: 2939: 2936: 2933: 2927:(2019–present 2926: 2923: 2920: 2917: 2914: 2911: 2908: 2905: 2902: 2901:Hong Kong flu 2899: 2896: 2893: 2890: 2887: 2884: 2881: 2878: 2875: 2872: 2869: 2866: 2863: 2860: 2857: 2854: 2851: 2848: 2845: 2842: 2839: 2836: 2833: 2830: 2827: 2824: 2821: 2818: 2815: 2812: 2809: 2806: 2803: 2802: 2800: 2798: 2794: 2777: 2774: 2773: 2772: 2769: 2766: 2763: 2760: 2757: 2754: 2751: 2748: 2745: 2742: 2739: 2736: 2733: 2730: 2729:Tonga measles 2727: 2724: 2721: 2718: 2715: 2712: 2709: 2706: 2703: 2700: 2699:Samoa measles 2697: 2694: 2691: 2688: 2685: 2682: 2679: 2676: 2673: 2669: 2665: 2662: 2659: 2656: 2653: 2650: 2647: 2644: 2641: 2638: 2635: 2632: 2629: 2626: 2623: 2620: 2617: 2614: 2611: 2607: 2603: 2600: 2597: 2594: 2591: 2588: 2585: 2582: 2579: 2576: 2573: 2570: 2567: 2564: 2561: 2558: 2557:Haiti cholera 2555: 2552: 2549: 2546: 2543: 2540: 2537: 2534: 2531: 2528: 2525: 2522: 2521:Iraqi cholera 2519: 2516: 2513: 2510: 2507: 2504: 2503:Indian dengue 2501: 2498: 2495: 2492: 2489: 2486: 2483: 2480: 2477: 2476: 2474: 2470: 2462: 2458: 2455: 2452: 2449: 2446: 2443: 2440: 2437: 2434: 2431: 2428: 2425: 2422: 2419: 2416: 2413: 2410: 2407: 2404: 2401: 2398: 2397: 2395: 2391: 2384: 2381: 2378: 2375: 2372: 2369: 2366: 2363: 2360: 2359:Guam smallpox 2357: 2354: 2351: 2348: 2345: 2342: 2339: 2336: 2333: 2330: 2327: 2324: 2321: 2318: 2315: 2312: 2309: 2306: 2303: 2302: 2300: 2296: 2293: 2291: 2287: 2276: 2273: 2270: 2267: 2264: 2261: 2258: 2255: 2252: 2249: 2246: 2243: 2240: 2237: 2234: 2231: 2230: 2228: 2224: 2217: 2214: 2210: 2206: 2203: 2200: 2197: 2196:Naples Plague 2194: 2191: 2188: 2185: 2182: 2179: 2176: 2173: 2170: 2167: 2164: 2161: 2158: 2155: 2154:London plague 2152: 2151: 2149: 2145: 2139: 2136: 2135:London plague 2133: 2130: 2127: 2124: 2123:London plague 2121: 2118: 2115: 2112: 2109: 2106: 2103: 2100: 2097: 2096: 2094: 2090: 2087: 2085: 2079: 2072: 2069: 2066: 2063: 2060: 2057: 2054: 2053:Plague of 664 2051: 2048: 2045: 2042: 2039: 2036: 2033: 2030: 2027: 2026: 2024: 2022: 2016: 2009: 2006: 2003: 2000: 1997: 1994: 1984: 1981: 1980: 1978: 1976: 1972: 1969: 1965: 1959: 1956: 1955: 1952: 1948: 1944: 1940: 1933: 1928: 1926: 1921: 1919: 1914: 1913: 1910: 1898: 1895: 1893: 1890: 1889: 1886: 1876: 1873: 1872: 1870: 1868: 1864: 1858: 1855: 1853: 1850: 1848: 1845: 1843: 1840: 1838: 1835: 1833: 1830: 1828: 1825: 1823: 1820: 1818: 1815: 1813: 1810: 1808: 1805: 1803: 1800: 1798: 1795: 1793: 1790: 1788: 1785: 1783: 1780: 1778: 1775: 1773: 1770: 1768: 1765: 1763: 1760: 1758: 1755: 1753: 1750: 1748: 1745: 1743: 1740: 1738: 1735: 1733: 1730: 1728: 1725: 1723: 1720: 1718: 1715: 1713: 1710: 1708: 1705: 1703: 1700: 1698: 1695: 1693: 1690: 1688: 1685: 1683: 1680: 1678: 1675: 1673: 1670: 1668: 1665: 1663: 1660: 1658: 1655: 1653: 1650: 1649: 1647: 1645: 1641: 1635: 1632: 1631: 1629: 1625: 1619: 1616: 1615: 1613: 1611: 1607: 1601: 1598: 1596: 1593: 1591: 1588: 1586: 1583: 1581: 1578: 1576: 1573: 1571: 1568: 1567: 1565: 1563: 1559: 1553: 1550: 1548: 1545: 1544: 1542: 1540: 1536: 1530: 1527: 1525: 1522: 1520: 1517: 1515: 1512: 1510: 1507: 1503: 1500: 1499: 1498: 1495: 1493: 1490: 1488: 1485: 1483: 1480: 1478: 1475: 1473: 1470: 1468: 1465: 1464: 1462: 1460: 1456: 1450: 1447: 1445: 1442: 1441: 1439: 1437: 1433: 1430: 1428: 1424: 1410: 1407: 1405: 1402: 1401: 1399: 1397: 1393: 1387: 1384: 1383: 1381: 1379: 1375: 1372: 1368: 1362: 1359: 1358: 1356: 1354: 1350: 1344: 1341: 1339: 1336: 1334: 1331: 1329: 1326: 1324: 1321: 1319: 1316: 1314: 1311: 1309: 1306: 1304: 1301: 1300: 1298: 1296: 1292: 1288: 1278: 1275: 1274: 1272: 1270: 1266: 1260: 1257: 1255: 1252: 1250: 1247: 1245: 1242: 1240: 1237: 1235: 1232: 1230: 1227: 1225: 1222: 1220: 1217: 1215: 1212: 1210: 1207: 1206: 1204: 1202: 1198: 1195: 1193: 1192:Air pollution 1189: 1186: 1184: 1180: 1176: 1172: 1165: 1160: 1158: 1153: 1151: 1146: 1145: 1142: 1124: 1120: 1113: 1098: 1094: 1087: 1072: 1068: 1061: 1053: 1049: 1045: 1041: 1037: 1033: 1029: 1025: 1018: 1002: 996: 989: 982: 975: 969: 953: 952:"Nipah virus" 947: 939: 935: 930: 925: 921: 917: 913: 909: 905: 898: 887: 883: 876: 870: 863: 850: 843: 841: 829: 825: 821: 817: 813: 806: 799: 797: 795: 793: 791: 789: 787: 785: 783: 781: 779: 777: 775: 773: 771: 769: 767: 762: 750: 746: 741: 736: 732: 728: 724: 720: 719: 714: 709: 705: 701: 696: 691: 687: 683: 679: 675: 671: 666: 662: 658: 653: 648: 644: 640: 636: 632: 628: 623: 619: 615: 611: 607: 603: 599: 594: 590: 586: 582: 577: 572: 568: 564: 560: 555: 551: 547: 542: 537: 533: 529: 525: 521: 517: 512: 511: 502: 497: 492: 490: 480: 478: 468: 466: 461: 456: 454: 449: 444: 443: 440: 433: 430: 429: 423: 421: 420: 415: 404: 402: 398: 394: 389: 385: 381: 377: 373: 369: 365: 361: 357: 353: 349: 345: 341: 337: 327: 325: 321: 316: 306: 304: 300: 296: 292: 288: 284: 280: 276: 272: 268: 264: 260: 256: 246: 244: 240: 236: 232: 228: 223: 221: 217: 213: 209: 208:blood vessels 205: 201: 197: 193: 189: 185: 181: 178:thought that 177: 173: 169: 165: 161: 157: 153: 143: 137: 133: 127: 123: 121: 117: 114: 110: 107: 103: 100: 97: 93: 90: 87: 83: 70: 69:West Malaysia 64: 59: 54: 46: 38: 32: 27: 22: 19: 2753:Uganda Ebola 2472:21st century 2460: 2454:Surat plague 2424:NYC smallpox 2393:20th century 2298:19th century 2226:18th century 2147:17th century 2113:(1545, 1576) 2092:16th century 2035:Roman Plague 2004:(165–180 AD) 1998:(429–426 BC) 1945:and notable 1370:Water issues 1307: 1126:. Retrieved 1122: 1112: 1100:. Retrieved 1096: 1086: 1074:. Retrieved 1070: 1060: 1027: 1023: 1017: 1005:. Retrieved 995: 987: 981:the original 968: 956:. Retrieved 946: 911: 907: 897: 881: 869: 860: 853:. Retrieved 815: 811: 722: 716: 677: 673: 634: 630: 601: 597: 587:– via 566: 562: 523: 519: 417: 410: 399:(CSIRO) and 356:Hendra virus 333: 312: 295:Sungai Buloh 252: 224: 172:encephalitis 151: 149: 95:Virus strain 45:Hendra virus 18: 2943:(2023–2024) 2937:(2022–2023) 2921:(2009–2010) 2909:(1977–1979) 2903:(1968–1970) 2897:(1961–1975) 2891:(1957–1958) 2885:(1919–1930) 2879:(1918–1920) 2877:Spanish flu 2873:(1899–1923) 2867:(1889–1890) 2865:Russian flu 2861:(1881–1896) 2855:(1863–1879) 2849:(1855–1860) 2843:(1852–1860) 2837:(1829–1851) 2831:(1816–1826) 2825:(1557–1559) 2755:(2022–2023) 2743:(2019–2020) 2737:(2019–2020) 2735:DRC measles 2689:(2018–2020) 2657:(2016–2022) 2645:(2015–2016) 2601:(2013–2016) 2595:(2013–2014) 2593:Chikungunya 2559:(2010–2019) 2553:(2009–2010) 2535:(2008–2017) 2529:(2008–2009) 2493:(2003–2005) 2481:(2002–2004) 2463:(1998–1999) 2444:(1972–1973) 2408:(1910–1911) 2402:(1900–1904) 2367:(1862–1863) 2337:(1847–1848) 2331:(1837–1838) 2313:(1813–1814) 2307:(1812–1819) 2277:(1793–1798) 2271:(1780–1782) 2259:(1770–1772) 2247:(1720–1722) 2241:(1710–1712) 2235:(1707–1708) 2211:(1675–1676) 2204:(1665–1666) 2186:(1647–1652) 2180:(1633–1644) 2168:(1629–1631) 2137:(1592–1593) 2131:(1592–1593) 2125:(1563–1564) 2119:(1557–1559) 2073:(1485–1551) 2067:(1346–1353) 2065:Black Death 1990: 1330 1436:Earthquakes 364:Henipavirus 360:novel virus 358:(HeV), the 340:Nipah virus 301:workers in 196:Nipah virus 99:Nipah virus 2957:Categories 2687:Kivu Ebola 2442:London flu 1562:Landslides 1539:Heat waves 1291:Contagious 757:References 680:(1): 1–8. 249:Background 239:Bangladesh 184:virologist 120:Index case 2919:Swine flu 2889:Asian flu 2807:(541–767) 2776:Argentina 2061:(735–737) 2055:(664–689) 2049:(638–639) 2043:(627–628) 2031:(541–542) 2021:classical 2010:(250–266) 1943:epidemics 1939:Pandemics 1627:Tornadoes 1610:Sinkholes 1378:Pollution 1171:Disasters 1128:31 August 1102:31 August 1076:31 August 1007:30 August 958:30 August 855:30 August 407:Aftermath 391:American 384:screening 352:fruit bat 320:autopsies 303:Singapore 231:livestock 186:from the 2925:COVID-19 2913:HIV/AIDS 2491:Bird flu 1867:Tsunamis 1396:Scarcity 1175:Malaysia 1097:The Star 1071:The Star 1044:10939954 938:29643201 886:Archived 828:Archived 824:19108397 749:30815286 704:30881850 661:19886791 618:12615307 585:11938496 550:11384522 489:Medicine 477:Malaysia 426:See also 414:palm oil 376:antigens 374:for HeV 372:epitopes 315:foggings 299:abattoir 218:and the 168:Malaysia 164:Selangor 1975:Ancient 1052:3166643 1024:Science 929:5971524 740:6361328 718:The BMJ 695:6409114 652:2784122 541:2631791 501:Viruses 465:Biology 439:Portals 395:(CDC), 388:culling 287:Sikamat 85:Disease 55:family. 2819:(1510) 2797:Global 2778:(2024) 2761:(2023) 2749:(2020) 2731:(2019) 2725:(2019) 2719:(2019) 2713:(2019) 2707:(2019) 2701:(2019) 2695:(2018) 2683:(2018) 2677:(2018) 2670:(2018) 2663:(2017) 2651:(2016) 2639:(2015) 2633:(2015) 2627:(2014) 2621:(2014) 2615:(2014) 2608:(2014) 2589:(2013) 2583:(2013) 2577:(2012) 2571:(2012) 2565:(2011) 2547:(2009) 2541:(2009) 2523:(2007) 2517:(2006) 2511:(2006) 2505:(2006) 2499:(2005) 2487:(2003) 2456:(1994) 2450:(1974) 2438:(1972) 2432:(1963) 2426:(1947) 2420:(1937) 2414:(1924) 2385:(1894) 2379:(1871) 2373:(1870) 2361:(1856) 2355:(1854) 2349:(1853) 2343:(1853) 2335:Typhus 2325:(1829) 2319:(1813) 2290:Modern 2265:(1772) 2253:(1738) 2218:(1679) 2198:(1656) 2192:(1655) 2174:(1633) 2162:(1623) 2156:(1603) 2107:(1520) 2101:(1510) 2084:modern 1459:Floods 1050:  1042:  936:  926:  822:  747:  737:  702:  692:  659:  649:  616:  583:  548:  538:  140:Deaths 43:while 2082:Early 2037:(590) 2019:Post- 1967:Local 1048:S2CID 984:(PDF) 977:(PDF) 889:(PDF) 878:(PDF) 851:. NPR 831:(PDF) 808:(PDF) 344:Malay 324:agent 271:serum 243:India 235:swine 225:This 204:brain 192:agent 156:Perak 113:Perak 2643:Zika 2575:MERS 2479:SARS 1201:Haze 1130:2019 1104:2019 1078:2019 1040:PMID 1009:2019 960:2019 934:PMID 857:2019 820:PMID 745:PMID 700:PMID 657:PMID 614:PMID 581:PMID 546:PMID 453:Asia 416:and 293:and 259:Ipoh 241:and 162:and 150:The 109:Ipoh 73:blue 41:blue 37:Ipoh 1992:BC) 1173:in 1032:doi 1028:289 924:PMC 916:doi 735:PMC 727:doi 690:PMC 682:doi 647:PMC 639:doi 606:doi 571:doi 536:PMC 528:doi 255:pig 214:'s 166:in 144:105 134:265 77:red 49:red 47:in 2959:: 1987:c. 1941:, 1121:. 1095:. 1069:. 1046:. 1038:. 1026:. 932:. 922:. 912:56 910:. 906:. 880:. 859:. 839:^ 826:. 816:29 814:. 810:. 765:^ 743:. 733:. 721:. 715:. 698:. 688:. 676:. 672:. 655:. 645:. 635:49 633:. 629:. 612:. 602:57 600:. 579:. 567:34 565:. 561:. 544:. 534:. 522:. 518:. 346:: 245:. 210:. 158:, 111:, 71:, 2931:) 2929:* 1985:( 1931:e 1924:t 1917:v 1293:/ 1163:e 1156:t 1149:v 1132:. 1106:. 1080:. 1034:: 1011:. 962:. 918:: 751:. 729:: 723:4 684:: 678:8 641:: 608:: 591:. 573:: 552:. 530:: 524:7 441::

Index


Ipoh
Hendra virus
Paramyxoviridae

West Malaysia
Nipah virus infection
Nipah virus
Ipoh
Perak
Index case
Perak
Negeri Sembilan
Selangor
Malaysia
encephalitis
Malaysian health authorities
Japanese encephalitis
virologist
Faculty of Medicine, University of Malaya
agent
Nipah virus
Ebola virus disease
brain
blood vessels
University of Malaya
Faculty of Medicine
University of Malaya Medical Centre
emerging disease
livestock

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