A<unk>  is a viral infection caused by the<unk><unk> . Symptoms from infection vary from none to fever, cough, headache, shortness of breath, and confusion. This may worsen into a coma over a day or two, and 50 to 75% of those infected die. Complications can include inflammation of the brain and seizures following recovery. The<unk><unk>  (NiV) is a type of RNA<unk>  in the genus Henipavirus. The<unk>  normally circulates among some fruit bats. It can both spread between people and from other animals to people. Spread typically requires direct contact with an infected source. Diagnosis is based on symptoms and confirmed by laboratory testing. Management is restricted to supportive care; there is neither vaccine nor specific treatment. Preventive measures include avoiding exposure to bats and sick pigs, and not drinking raw date palm sap. As of May 2018 about 700 human cases of<unk><unk>  were estimated to have occurred, and 50 to 75 percent of those infected died. In May 2018, an outbreak of the disease caused 17 deaths in the Indian state of Kerala. The disease was first identified in 1998 by a team of researchers at the Faculty of Medicine, University of Malaya during an outbreak in Malaysia. The majority of the patients in Malaysia diagnosed with the disease were referred to and treated at the University of Malaya Medical Centre. The<unk>  was isolated and identified in 1999. The disease is named after a village in Malaysia, Sungai<unk> . Pigs may also be infected, and millions were killed by Malaysian authorities in 1999 to stop the spread of disease, a measure which proved to be successful.
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