Sustaining Kerala's Progress against the Nipah virus: Operational strategies for long-term preparedness face to a recurrent zoonotic threat.
BACKGROUND Nipah virus (NiV), a highly pathogenic zoonotic henipavirus with case fatality rates ranging from 40 to 75%, remains a recurrent public health threat in Kerala, India. Despite rapid containment of previous outbreaks, repeated spillover events underscore persistent ecological and systemic vulnerabilities. M...