Nipah virus is an animal-borne virus transmitted by bats that can cause infection in humans and other animals, with a mortality rate as high as 40% to 75%. The outbreak of the virus in Southeast Asia continues to attract attention, especially in Malaysia and Bangladesh. Since the first outbreak in 1998, the emergence of Nipah virus has aroused global public health concerns, and many countries have strengthened their supervision and prevention measures.
Nipah virus belongs to the genus Henipavirus and has a non-segmented negative-single-stranded RNA genome of up to 18 kilobases in length, with variable shapes that may be filamentous or spherical. Its infection process involves the interaction of multiple proteins, among which G protein is the main component for the virus to attach to host cells and can bind to the host's B2/B3 receptors, allowing the virus to successfully enter the cell.
"Nipah virus is a complex virus with six structural proteins, and the special structure of its G protein makes it the focus of vaccine research and development."
Nipah virus has been isolated from flying fox bats in Cambodia and Thailand and has been found in environmental samples in Malaysia. Although human infection has not yet been detected in some areas, the risk factor for the virus is increasing with globalization and environmental change. In 2023, India reported at least five cases of infection and two deaths, reflecting that Nipah virus has once again become a public health threat.
After being infected with Nipah virus, patients may experience symptoms such as fever, headache, and muscle pain. If not treated promptly, it may lead to serious consequences such as coma, epilepsy, and acute encephalitis. Since the first outbreak in 1998, the pattern of symptoms associated with Nipah virus has revealed its potential to be deadly.
"Symptoms include fever, vomiting and difficulty breathing, which in some cases have resulted in high official mortality rates."
The Nipah virus is classified as a "Category C bioterrorism agent" by the U.S. Centers for Disease Control and Prevention (CDC), which means it still has the potential to cause a global epidemic in the future. Currently, there is no effective treatment or vaccine for Nipah virus, and only some emergency medicines have shown effectiveness. Research institutions around the world are actively developing it, with a particular focus on monoclonal antibodies and vaccine candidates.
"There are currently no specific treatments or vaccines for Nipah virus; only monoclonal antibodies have shown some protection."
High population density, climate change, and socioeconomic factors significantly influence the transmission of Nipah virus. With the expansion of human activities and frequent contact with the natural environment, the risk of virus transmission between humans and animals has increased significantly. In addition, the improvement of detection tools and the construction of early warning systems are also considered to be key to future epidemic prevention and control.
In future health crises, the world needs to strengthen joint cooperation to explore the public health challenges that may be faced in the future. Only by working together can the global community effectively respond to this potential public health threat and prevent tragedy from happening again. How can we ensure that public health responses can adapt in a timely manner as emerging threats change?