India & South Asia Microbiology and Infectious Disease report (ISAMID) 08/11/2026

This post is for educational and professional awareness purposes only. It does not constitute clinical advice. Readers should refer to the national health authority guidance for operational decisions.

India & South Asia Microbiology and Infectious Disease report (ISAMID) 08/11/2026

India & South AsiaMicrobiology & Infectious Disease

A broad-capture synthesis of public-health signals, AMR developments, outbreak intelligence and institutional activity across India and the South Asian region.

This report draws on public discussion on X.com, cross-checked against official, peer-reviewed and media sources. Non-X sources are labelled as such.

PERIOD 2 NOV – 8 NOV 2026WEEK 45, 2026SOURCE OPEN X / SOCIAL INTELLIGENCE + OFFICIAL, JOURNAL AND MEDIA CROSS-CHECKSFORMAT WEEKLY

Caveat: this reflects what was publicly reported or discussed in the window. If something was not discussed, that does not mean it did not happen. Dates are UK time (GMT) unless a source gives local time. Figures are as reported by the cited source, and differences between sources are flagged rather than reconciled. No clinical advice is given.

Overview

X coverage this week:

a full search of public posts on X (44 searches: 42 post searches returning about 670 unique posts, plus 2 news-story searches) in English, Hindi, Marathi, Bengali, Tamil, Malayalam, Urdu, Nepali, Telugu, Kannada, Odia and Sinhala, covering 00:00 GMT on 2 Nov to 18:40 GMT on 8 Nov. One further Sinhala search was rejected because of a malformed query on our side and was re-run successfully; no search failed on the X side. A Marathi search restricted by language tag returned no posts and was repeated without the filter. Kannada searches returned mostly unrelated content. Malayalam and English streams were dominated by the Kerala Shigella cases; Telugu by the Kurupam school fever cluster. Automated AI-generated replies were not used as sources.

Snapshot (top line)

  1. Kerala Shigella (NEW cluster): 23 confirmed cases in the first six days of November (13 on 6 Nov alone), including a wedding-feast cluster at Elamkulam, Malappuram (5 of 8 district cases) and a school-lunch cluster at Meppayil, Kozhikode; 583 cases and 8 deaths in 2026 to date. Previous state sheet: 564 / 8 (2 Nov). Mathrubhumi · The Hindu
  2. Bangladesh measles: DGHS combined toll NEW at 1,282 deaths (1,177 suspected + 105 confirmed) to 8 November; suspected cases 238,840, confirmed 24,442. Previous issue: 1,254 / 230,013 / 23,935. The Business Standard
  3. Bangladesh dengue: deaths NEW at 461 and admissions 149,913 to 8 November, with a record 2,333 admissions in 24 hours. Deaths in 2026 now exceed the whole of 2025 (413). Previous issue: 418 / >133,000. The Daily Star · BSS (Bengali)
  4. Pakistan WPV1: ninth case of 2026 (NEW, was eight), a seven-month-old boy from UC Mastak, Bara, Khyber; all three Khyber cases are genetically linked to Afghanistan, which has reported 50 cases. The Prime Minister asked for a national action plan within a week. Dawn
  5. Eastern India clusters (NEW): 12 Utkal University students (Bhubaneswar) positive for hepatitis A, with faecal contamination in two campus water samples from sources not in use; 71 girls ill with fever at a residential school in Kurupam (Andhra Pradesh), attributed provisionally to post-cyclone viral infection, one malaria-positive of 516 tested. TNIE · The Hindu
  6. Kerala state sheet (2 Nov) and NCDC: measles 740 confirmed (NEW, was 706) with a probable measles death in Thalassery (Kannur); amoebic meningoencephalitis 185 / 45 (NEW, +1 Kollam). NCDC published weeks 35–37 (NEW; lag now about eight weeks), including a CCHF death in Kheda (Gujarat) and a Chandipura death from Jhabua (MP). Kerala DHS, 2 Nov PDF · NCDC week 36 PDF
  7. Dengue and scrub typhus elsewhere: Delhi 1,083 to 31 Oct (NEW, was 993); Pune 2,486 to 30 Oct (NEW, was 2,413), with Pune also reporting 789 H1N1 infections; Nepal scrub typhus 12,207 cases and 8 deaths (NEW, was 11,643); Sri Lanka about 106,000 dengue cases (NEW) ahead of a national control week on 9–14 Nov. Hindustan Times · Hindustan Times (Pune) · Britant News (Nepali)
  8. Animal health and world: about 5,600 poultry deaths on six farms near Cuddalore (Tamil Nadu); low-pathogenic avian influenza ruled out, feed toxins under investigation. DR Congo Bundibugyo Ebola 10,741 cases and 5,230 deaths (ECDC, data to 4 Nov; NEW, was 10,274 / 4,992); WHO published DON625. DT Next · ECDC

Activity signal by topic this week

High

Dengue, post-monsoon

Bangladesh (record daily admissions); Delhi; Pune; Lucknow; Patna; Tamil Nadu; Rajasthan; Khyber Pakhtunkhwa; Sri Lanka

Evidence type: Official (via media)MediaBengali, Hindi, Tamil, Urdu and English X

Moderate–high

Shigellosis, food-linked clusters

Kerala (Malappuram, Kozhikode, Palakkad and others)

Evidence type: Official (state sheetDMO via media)MediaMalayalam and English X

Moderate–high

Measles

Bangladesh national; Kerala (state sheet; probable death in Kannur)

Evidence type: Official (via media)Official state PDFBengali and English X

Moderate

WPV1 and the 2–8 November campaign

Pakistan (Khyber); Afghanistan

Evidence type: Official (NEOC, via media)Urdu and English X

Moderate

Institutional water- and food-borne clusters

Odisha (Utkal University, hepatitis A); Kerala (Wayanad school); Uttar Pradesh (Siddharthnagar)

Evidence type: MediaMunicipal XHindi and English X

Low–moderate

School fever cluster

Andhra Pradesh (Kurupam, Parvathipuram Manyam)

Evidence type: Official (DPH report, minister, via media)Telugu and English X

Low–moderate

Poultry mortality, avian influenza excluded

Tamil Nadu (Cuddalore)

Evidence type: Official (minister, via media)MediaTamil and English X

Low–moderate

Scrub typhus

Nepal (national; Salyan declining)

Evidence type: Official (EDCD, via media)Nepali X

Low

H1N1

Pune / Maharashtra

Evidence type: MediaMarathi and English X

Low

AMR literature (ceftazidime-avibactam in Lahore, CRGNBSI mortality timing, hospital colonisation in Dhaka)

India; Pakistan; Bangladesh

Evidence type: Peer-reviewed

Isolated

H5N1 claim, Bokaro (Jharkhand)

Jharkhand

Evidence type: Unverified X

Notable gap

Pakistan mpox figures after 31 Oct; Tamil Nadu and West Bengal statewide dengue; Sri Lanka NDCU PDFs (unreachable); Candida auris or HAI clusters on X

Not found in window

Evidence type: None

00 Carried over: ongoing stories

These stories were already being followed before this week. The table shows what changed since the figures reported on 1 Nov. NEW marks a changed figure. UNCHANGED means no newer figure was found. One story closes this week because nothing further was reported.

StoryRegionFirst seenLatest (vs 1 Nov)StatusLink
Bangladesh national measles outbreakBangladesh3 OctDeaths 1,282 (NEW, was 1,254); suspected 238,840; confirmed 24,442Open, updatedThe Business Standard
Bangladesh dengueBangladesh3 OctDeaths 461 (NEW, was 418); admissions 149,913; record 2,333 in a dayOpen, updatedThe Daily Star
Pakistan WPV1, 2026Pakistan3 OctCases 9 (NEW, was 8); Mastak, Bara, KhyberOpen, updatedDawn
Pakistan mpoxPakistan · Sindh, KP25 OctSindh 115 / 12, KP 18 (UNCHANGED); no newer figure seenOpenDawn
Kerala measlesIndia · Kerala3 OctState 740 confirmed / 1 death (NEW, was 706); probable death, Thalassery, 1 NovOpen, updatedKerala DHS, 2 Nov PDF
Kerala amoebic meningoencephalitisIndia · Kerala18 OctState 185 / 45 (NEW, was 184); new case Chirakkara, Kollam (PCR)Open, updatedKerala DHS, 2 Nov PDF
Kerala NipahIndia · Kerala3 OctNo new case (1 in 2026, UNCHANGED); remdesivir probe not yet reportedWatchingOnmanorama
Tamil Nadu dengueIndia · Tamil Nadu3 Oct25,481 / 10 (UNCHANGED); NEW child death at Thirumazhisai (Tiruvallur) on XOpen, updatedsunnewstamil
West Bengal dengueIndia · West Bengal25 Oct12,889 / 15 (UNCHANGED)OpenAsianet News Bangla
Delhi dengueIndia · Delhi18 Oct1,083 to 31 Oct (NEW, was 993); malaria 355; no deathsOpen, updatedHindustan Times
Pune dengueIndia · Maharashtra25 Oct2,486 to 30 Oct (NEW, was 2,413); 843 in October; 104 NIV-confirmedOpen, updatedHindustan Times
Rajasthan scrub typhusIndia · Rajasthan11 OctState 2,234 (UNCHANGED for a third week); no in-window reportClosed (no further reporting)Times of India
Balaghat child deathsIndia · Madhya Pradesh3 OctOfficial toll 32 (UNCHANGED); MLA claims 55; no in-window reportOpenTimes of India
Nepal scrub typhusNepal3 OctNational 12,207 in 75 districts, 8 deaths (NEW, was 11,643)Open, updatedBritant News (Nepali)
Pakistan Punjab denguePakistan · Punjab3 OctRawalpindi 91 (NEW, was 84); province 270 (UNCHANGED)Open, updatedAPP
Sindh malariaPakistan · Sindh3 Oct117,016 cases 1 Jan–29 Sep (UNCHANGED)OpenDawn
Sri Lanka dengueSri Lanka3 OctAbout 106,000 / 80 (X) or 106,421 / 81 (media) (NEW, was 105,295 / 81)Open, updatedSriLankaTweet
NCDC/IDSP weekly outbreak reportsIndia · national3 OctWeeks 35, 36 and 37 published (NEW, was week 34); lag about eight weeksWatching, updatedNCDC listing
DGHS ban on reuse of single-use devicesIndia · national25 OctNo new order or in-window discussion (UNCHANGED)WatchingHindustan Times
BPaL patent application rejectedIndia · national1 NovExplainer coverage continued; no appeal reported (UNCHANGED)Watchingieexplained
DR Congo Bundibugyo EbolaWorld4 Oct10,741 / 5,230 (ECDC, NEW); WHO DON625 publishedOpen, updatedECDC

01 Bangladesh: national measles outbreak — deaths NEW at 1,282

Evidence typeOfficial(DGHS, via media)Bengali and English X

Discussion frequency: ModerateStatus: ongoing since 15 March 2026

Location: Bangladesh (nationwide; Dhaka division has the most suspected-case deaths, 528)

Figures vs 1 Nov

combined deaths 1,282 (NEW, was 1,254); suspected deaths 1,177 (NEW, was 1,149); confirmed deaths 105 (UNCHANGED); suspected cases 238,840 (NEW, was 230,013); confirmed cases 24,442 (NEW, was 23,935).

  • DGHS bulletin, 8 Nov non-X: two further deaths in the 24 hours to 08:00, both suspected; 1,138 new suspected and 87 new confirmed cases. 212,979 people have been admitted since 15 March and 204,049 discharged. The Business Standard
  • DGHS bulletin, 7 Nov non-X: four deaths (two each in Dhaka and Sylhet divisions). Cumulative suspected-case deaths by division: Dhaka 528, Sylhet 206, Chattogram 114, Rajshahi 93, Mymensingh 89, Barishal 70, Khulna 57, Rangpur 18. The Asian Age · Dhaka Tribune
  • Intermediate tolls on X: 1,269 on 4 Nov (IANS), 1,280 on 7 Nov and 1,282 on 8 Nov. ians_india · deshnowbd · KhairulAlamNews · yespunjab
  • Regional framing (X): a post summarising a BMJ letter says the Bangladesh outbreak exposes vaccination gaps across the region, and that India’s early-2026 measles cases had already passed the 2025 total (letter not read). marriagejustice · see also the Indian J Public Health commentary in Section 13.
  • Family report (Bengali media, X): a child died with dengue and measles and a younger sibling was on life support. ProthomAlo

Uncertainties

most deaths are “suspected”, and records cover only hospital attendees; the DGHS notes that not all patients are tested. Some posts on 7 Nov give 1,049 new suspected-or-confirmed cases, others 988 suspected plus 61 confirmed; these appear to be the same data presented differently.

Character

evidence-driven official tallies, with a politicised X stream.

02 Bangladesh dengue: deaths NEW at 461; record daily admissions

Evidence typeOfficial(DGHS, via media)Bengali and English X

Discussion frequency: ModerateStatus: ongoing; no sign of decline in the window

Location: Bangladeshnationwide; Dhaka division has 221 of the deaths

Figures vs 1 Nov

deaths 461 (NEW, was 418); admissions 149,913 (NEW, was >133,000); 6,063 in hospital on 8 Nov.

  • DGHS, 8 Nov non-X: 2,333 admissions in the 24 hours to 08:00, the highest daily figure of 2026 (previous high 2,249 on 25 Oct); three deaths (two Dhaka, one Chattogram). In 2025 the country recorded 102,861 cases and 413 deaths, so 2026 deaths now exceed the 2025 total. The Daily Star · BSS (Bengali)
  • Deaths by division non-X: Dhaka 221, Khulna 84, Chattogram 47, Mymensingh 37, Barishal 31, Rajshahi 29, Rangpur 8, Sylhet 4. The Bangladesh Times
  • Trend (X, New Age): hospitalisations up 93% and deaths up nearly 50% on the same period of 2025. NewAgeBDcom
  • Intermediate figures on X: 136,929 cases and 427 deaths on 2 Nov; 458 deaths and 5,826 in hospital on 7 Nov. bactiman63 · deshnowbd
  • Neurological dengue (Bengali media, X): clinicians report more patients with neurological involvement this year (no figures given). bonikbartadaily
  • Preprint (non-X; medRxiv, not peer-reviewed): a complete blood count score (platelets, white cells, monocytes) associated with same-day NS1 positivity in 596 suspected dengue patients in Dhaka, 2023. doi:10.64898/2026.11.05.26367350

Uncertainties

BSS and The Bangladesh Times give slightly different divisional admission breakdowns for 8 Nov (for example Rajshahi 113 vs 213).

Character

evidence-driven official tallies.

03 Pakistan: ninth WPV1 case (NEW); KP and Punjab dengue

Evidence typeOfficial(NEOC, PMO, via media)district health data(via media)Urdu and English X

Discussion frequency: ModerateStatus: ongoing

Location: PakistanKhyber Pakhtunkhwa (Bara, Khyber; Mohmand)Punjab (Rawalpindi, Lahore)Sindh (Karachi)

Figures vs 1 Nov

WPV1 cases 9 (NEW, was 8): seven in KP (three Khyber, three Bannu, one North Waziristan) and two in Sindh (Karachi East, Sujawal). Rawalpindi dengue 91 (NEW, was 84). KP dengue 5,636 cumulative (first figure in this report).

  • WPV1, 5 Nov non-X: NEOC confirmed the ninth case in a seven-month-old boy from UC Mastak, Bara tehsil, Khyber. All three Khyber cases have genetic links to Afghanistan. Dawn · Business Recorder · X: fahmidahyousfi · PakPulse786
  • Policy, 5 Nov non-X: the Prime Minister directed health officials to visit all four provinces and agree an integrated national action plan within a week. Officials said Punjab has had no case since February 2025 and Balochistan none in 2025–2026. Business Recorder
  • Campaign security (X): two police officers guarding a polio campaign team were killed in Mohmand district on 3 Nov. GlobeCurrentHQ
  • Campaign close (X): the 2–8 November campaign targeting about 24 million children ended on 8 Nov (completion figures not given). PakInsightHub
  • Dengue, KP (Urdu X, citing the provincial health department): 66 cases in 24 hours to 5 Nov; cumulative confirmed 5,636. FarwaZubai64830
  • Dengue, Rawalpindi, 5 Nov non-X: 91 confirmed cases this year against 1,586 at the same point in 2025; no deaths. APP
  • Punjab (Urdu X): the provincial health minister said legislation will replace FIRs with fines for breaches of dengue SOPs. PunjabPostpk

Disagreement

Rawalpindi alone is 91 (APP), while the Express Tribune gives 139 for the “twin cities” (Rawalpindi plus Islamabad). Express Tribune

Uncertainties

the Punjab provincial dengue figure (270) was not updated in any source seen.

04 Pakistan: mpox figures UNCHANGED; Sindh malaria and dengue preprints; Karachi chikungunya claim

Evidence typeMediapreprintnon-XUrdu and English X

Discussion frequency: LowStatus: ongoing; no new official figure seen

Location: PakistanSindh (Karachi)Khyber Pakhtunkhwa

Figures vs 1 Nov

Sindh mpox 115 cases / 12 deaths (UNCHANGED, to 31 Oct); KP 18 (UNCHANGED). Sindh malaria 117,016 (1 Jan–29 Sep, UNCHANGED).

  • Mpox: no provincial or NIH update after the 31 Oct Dawn report was found. On X, only a general explainer appeared (Urdu, BOL News). Dawn · BOLNETWORK
  • Preprints (non-X; medRxiv, posted 8 Nov, not peer-reviewed):
    • Sindh dengue, 2020–2025: cases concentrated in September–November; a one-month rainfall lag was associated with higher incidence (IRR 1.008; 95% CI 1.003–1.012). doi:10.64898/2026.11.05.26367382
    • Sindh malaria after the 2022 floods: interrupted time-series estimate of climate-attributable cases; P. vivax made up 40–95% of confirmed infections in 2016–2024. doi:10.64898/2026.11.05.26367402
  • Karachi chikungunya (X, unverified): a video post claims Karachi is reporting “hundreds of suspected chikungunya cases daily”. No official or media source for this figure was found. Unverified discussion on X only. SajjadTarakzai
  • XDR typhoid (X, clinician education): a Pakistani doctor’s thread links unnecessary antibiotic use to the difficulty of treating XDR typhoid. AskDrUmer

Uncertainties

the clade of the Sindh and KP mpox cases has still not been reported in field sources.

05 Kerala: Shigella cases rise (NEW cluster); state sheet of 2 November

Evidence typeOfficial(state data sheet; District Medical Officers, via media)Malayalam and English X

Discussion frequency: Moderate–highStatus: active; new clusters still being reported at close of window

Location: IndiaKerala (Malappuram: Elamkulam, Nilambur; Kozhikode: Meppayil, Vadakara; single cases in other districts)

Figures vs 1 Nov

Shigella 583 confirmed, 116 suspected and 8 deaths in 2026 (NEW; state sheet of 2 Nov: 564 / 8); 23 cases in 1–6 Nov. Measles 740 confirmed (NEW, was 706). Amoebic meningoencephalitis 185 / 45 (NEW, was 184 / 45).

  • State picture, 8 Nov non-X: 23 confirmed Shigella infections in the first six days of November, including 13 on 6 Nov; 583 confirmed, 116 suspected and 8 deaths so far in 2026, against 132 cases in all of 2025. Mathrubhumi
  • Elamkulam wedding cluster, Malappuram: 8 district cases by 7 Nov, five linked to a wedding feast at Korakkuthu, Elamkulam on 31 Oct; about 80 attendees reported symptoms and nearly 100 people are under surveillance. the_hindu · TheSouthfirst · airnews_ita
  • Nilambur (Malappuram): three cases linked to snacks and food from two separate shops (Amarambalam and Palunda). mathrubhumieng · newsmalayalamtv
  • Meppayil Senior Basic School, Kozhikode: children admitted with vomiting, fever and diarrhoea after a school meal; children aged 7, 8 and 10 confirmed positive (Vadakara). the_hindu · bigtv24x7live
  • State response, 8 Nov: the Health Department stepped up preventive measures; AIR lists single cases in Thiruvananthapuram and other districts. airnewsalerts
  • Wayanad (Kalpetta): a school was closed for a week after about 100 students had fever and vomiting (3 Nov); no aetiology reported in the window. PTI_News · mathrubhumieng
  • State data sheet, 2 Nov (non-X, official PDF): measles 740 confirmed with 1 death (1,589 suspected with 3 deaths); a probable measles death in a 15-year-old boy from Thalassery (Kannur), died 1 Nov; amoebic meningoencephalitis 185 / 45 (new PCR-confirmed case, Chirakkara, Kollam). Other cumulative 2026 figures: dengue 13,350 / 44, leptospirosis 2,469 / 123, scrub typhus 611 / 13, hepatitis A 6,562 / 44, influenza 12,076 / 123, West Nile 14, mpox 8, Nipah 1, rabies 17 / 17. Kerala DHS, 2 Nov PDF

Disagreement

Malappuram totals are given as 7 (Big TV, 8 Nov), 8 (The Hindu, AIR) or more after four further cases (Reporter, Siraj, 8 Nov). bigtv24x7live · reporter_tv · SirajOnLive

Uncertainties

the daily state sheets for 1 and 3–8 Nov were not reachable (HTTP 404), so state totals after 2 Nov rely on media. Species or serotypes were not reported.

06 Tamil Nadu: dengue death at Thirumazhisai; Cuddalore poultry deaths (NEW)

Evidence typeOfficial(minister, Animal Husbandry Department, via media)MediaTamil and English X

Discussion frequency: Low–moderateStatus: poultry investigation pending

Location: IndiaTamil Nadu (Cuddalore: Kurinjipadi taluk, Thiyagavalli; Tiruvallur: Thirumazhisai; Tenkasi)

Figures vs 1 Nov

state dengue 25,481 / 10 (UNCHANGED); poultry deaths about 5,600 on six farms (NEW).

  • Cuddalore poultry: about 5,600 broilers died across six farms near Kurinjipadi in five days before Diwali (TOI); the Animal Husbandry Department stepped up surveillance at Thiyagavalli. TOIChennai · the_hindu · bbctamil
  • Laboratory result, 4 Nov: the Animal Husbandry Minister said tests had ruled out low-pathogenic avian influenza; feed-related toxins were being investigated (results not reported in window). dt_next · DT Next
  • Dengue death (Tamil X): a child died of dengue at Thirumazhisai, Tiruvallur district. sunnewstamil
  • Vaccine study (X): a post says Tamil Nadu began a dengue vaccine study in Tenkasi (details and trial registration not verified). marriagejustice

Disagreement

poultry deaths are given as about 5,600 (TOI, minister), “over 5,000” (Polimer, The Hindu), “over 10,000” in three days (South First, 3 Nov) and “nearly 50,000” (an unverified aggregator account). TheSouthfirst · SovereignWireHQ

Uncertainties

whether H5N1 testing (as distinct from LPAI) was done was not stated in the sources seen.

07 Eastern India: Utkal University hepatitis A; Kurupam school fever (both NEW)

Evidence typeOfficial(BMC, DPH report, minister, via media)MediaEnglish, Odia and Telugu X

Discussion frequency: ModerateStatus: investigations ongoing

Location: IndiaOdisha (Bhubaneswar, Vani Vihar)Andhra Pradesh (Sivannapeta, Kurupam mandal, Parvathipuram Manyam)

Figures vs 1 Nov

first report in this series.

  • Utkal University, 3–6 Nov: students in women’s hostels 6 and 7 developed diarrhoea and jaundice; mid-semester PG exams were postponed and outside food banned; BMC met the university. 12 students tested positive for hepatitis A (Orissa POST gives 11), and blood samples from more than 50 students were sent for testing. Bhubaneswarnow · bmcbbsr · XpressOdisha · PrameyaEnglish · OrissaPOSTLive
  • Water testing, 6 Nov (non-X and X): faecal contamination was found in two samples, a deep borewell and a water purifier, neither reported to be in use; hostel 7 drinking water tested negative, and attention shifted to food. A dead frog was reportedly found in a hostel meal on 4 Nov. Sud_TNIE · TNIE · OmmcomNews
  • Kurupam, 3–6 Nov: at least 71 girls at the APTWRS residential school, Sivannapeta, developed fever, cold and cough; a DPH report suspected post-cyclone viral illness. One student was malaria-positive and 515 tested negative; 38 remained under observation and 3 at the CHC (The Hindu). the_hindu · xpressandhra · DeccanChronicle
  • Political framing (Telugu and English X): opposition posts give “around 60” and “44” ill, and criticise conditions; one notes a similar episode at the same school last year. YSRCParty · SouthPoliticsus
  • West Bengal: no statewide dengue update found (last 12,889 / 15).

Disagreement

Kurupam counts range from 44 to 71 (some posts give 110, not corroborated). Utkal positives: 11 or 12.

Uncertainties

the Kurupam aetiology is provisional; no viral testing results were reported.

08 Urban dengue: Delhi, Pune (and H1N1), Lucknow, Patna, Rajasthan; Balaghat unchanged

Evidence typeMunicipal data(via media)MediaHindi, Marathi and English X

Discussion frequency: HighStatus: seasonal; mixed trends

Location: IndiaDelhiMaharashtra (Pune)Uttar Pradesh (Lucknow, Unnao, Pilibhit)Bihar (Patna)Rajasthan (Dholpur)Madhya Pradesh (Balaghat)

Figures vs 1 Nov

Delhi 1,083 (NEW, was 993); Pune 2,486 (NEW, was 2,413); Pune H1N1 789 (first figure); Patna >537 (first figure); Balaghat 32 (UNCHANGED).

  • Delhi (non-X and X): 1,083 dengue and 355 malaria cases to 31 Oct, 90 dengue cases in the last week, no deaths; 486 dengue cases in October. Hindustan Times · ABPNews
  • Pune non-X: 2,486 dengue cases to 30 Oct, including 843 in October (highest month of 2026); 104 NIV-confirmed. Hindustan Times
  • Pune H1N1 (X): Pune has the most swine flu (H1N1) infections in Maharashtra, 789. punekarnews · ThePuneMirror · newsdotz (Marathi)
  • Lucknow (Hindi X): 25 new positives on 3 Nov (Chandarnagar 7, Aliganj 5, Sarojininagar 4). bstvlive
  • Unnao and Pilibhit (Hindi X): Unnao total 54; a woman died in Pilibhit and 14 villagers tested positive. UPNOWTV · bstvlive
  • Patna (Hindi X): a third dengue death of the season (a 23-year-old at PMCH); cases over 537. ETVBharatBR · Diarchnews
  • Rajasthan (Hindi X): dengue cases down 34% and malaria 32% on last year; a six-year-old died of dengue in Dholpur on the way to Gwalior. surendraswami26 · SachBedhadak
  • Event-based surveillance summary (X): a weekly digest lists continuing dengue reports across India. Precisi0nHealth
  • Balaghat: no new report in the window; official toll 32, MLA claim 55 (UNCHANGED).

Uncertainties

the Patna death is attributed by local media; official confirmation was not seen. Lucknow daily counts are from a single outlet.

09 India: scrub typhus — Rajasthan story closed

Evidence typeOfficial state PDF(Kerala)Media

Discussion frequency: LowStatus: Rajasthan closed for lack of further reporting

Location: IndiaRajasthanKerala

Figures vs 1 Nov

Rajasthan 2,234 (UNCHANGED for a third week); Kerala 611 / 13 (state sheet, 2 Nov).

  • Rajasthan: no in-window figure. The story is closed and will be reopened if new reporting appears. Times of India
  • Kerala non-X: 611 cases and 13 deaths in 2026 (state sheet, 2 Nov). Laboratory marketing posts about scrub typhus testing in Kerala were seen but are not used as evidence. Kerala DHS, 2 Nov PDF

10 Nepal: scrub typhus passes 12,000 cases (NEW)

Evidence typeOfficial(EDCD, via media)Nepali X

Discussion frequency: Low–moderateStatus: ongoing; Salyan reported to be declining

Location: Nepalnational (Lumbini province highest; Dang, Syangja, Salyan)

Figures vs 1 Nov

12,207 cases in 75 districts and 8 deaths (NEW, was 11,643).

  • EDCD figures, 3 Nov non-X: 12,207 cases; Lumbini province 3,472; leading districts Dang 703, Syangja 648, Salyan 575. Britant News (Nepali)
  • Salyan (Nepali X, Kantipur): infection that spread as an epidemic from Shrawan (July–August) is declining and normal life is resuming. ekantipur_com

Disagreement

Kantipur gives 855 cases and 10 deaths for Salyan, compared with 575 in the EDCD district table; the difference may reflect local versus national reporting.

11 Sri Lanka and Maldives: dengue about 106,000 (NEW); control week

Evidence typeOfficial(WHO country office, Ministry of Health, via media)Sinhala and English X

Discussion frequency: Low–moderateStatus: vector indices rising ahead of the north-east monsoon

Location: Sri Lankanational (74 MOH areas targeted)Maldives

Figures vs 1 Nov

about 106,000 cases and 80 deaths (X), or 106,421 / 81 (media) (NEW, was 105,295 / 81).

  • Dengue total (X): “over 106,000 dengue cases and 80 deaths” this year. SriLankaTweet
  • Clinical preparedness (X, WHO Sri Lanka): with vector indices rising, NIID (a WHO Collaborating Centre for Dengue Management) is running three-day clinical training. WHOSriLanka · WHOSriLanka
  • Dengue Control Week: 9–14 November in 74 high-risk MOH areas (media; National Dengue Control Unit PDFs could not be retrieved).
  • Maldives: no in-window outbreak report found.

Disagreement

80 deaths (X) vs 81 (media and previous issue); the difference was not explained.

Uncertainties

NDCU weekly PDFs timed out, so district figures were not checked.

12 AMR and stewardship: ceftazidime-avibactam in Lahore; CRGNBSI mortality timing; hospital colonisation in Bangladesh

Evidence typePeer-reviewed(PubMed, entry dates in window)institutional X

Discussion frequency: Low on X

  • Microbiologyopen: in-vitro activity of ceftazidime-avibactam and comparator agents against carbapenem-resistant Gram-negative isolates at a tertiary hospital in Lahore, Pakistan. doi:10.1002/mbo3.70449
  • Int J Antimicrob Agents: mortality risk over time in carbapenem-resistant Gram-negative bloodstream infections, with implications for recruitment and the timing of primary endpoints in clinical trials. doi:10.1016/j.ijantimicag.2026.108061
  • Open Forum Infect Dis: risk factors for colonisation with antibiotic-resistant bacteria among hospitalised patients in Bangladesh (ARCH study; the community arm was reported last week). doi:10.1093/ofid/ofag647
  • BMC Microbiol: replicons and conjugative transfer systems of blaNDM-positive plasmids in the Enterobacter cloacae complex. doi:10.1186/s12866-026-05489-4
  • BMC Microbiol: AMR, virulence and toxin genes of Shiga toxin-producing E. coli from a curd-associated foodborne outbreak in Manipur. doi:10.1186/s12866-026-05479-6
  • BMC Infect Dis: environmental surveillance for Sabin polioviruses, Salmonella and AMR genes in an urban setting in southern India. doi:10.1186/s12879-026-14114-8
  • Iran J Microbiol: blood-culture isolates and susceptibility patterns in children at a children’s hospital in Sukkur, Pakistan (one-year retrospective). doi:10.18502/ijm.v18i5.22861
  • Stewardship and prophylaxis:
    • Front Public Health: antibiotic prescribing, stewardship barriers and readiness at primary health centres in eastern Uttar Pradesh. doi:10.3389/fpubh.2026.1945074
    • EClinicalMedicine: single-dose/day versus extended antibiotic prophylaxis for elective urological surgery, randomised controlled trial. doi:10.1016/j.eclinm.2026.104303
    • JAC Antimicrob Resist: an international multicentre stewardship improvement programme in hospitals serving deprived populations. doi:10.1093/jacamr/dlag241
    • Ann Afr Med: escalation versus de-escalation of antibiotics in an Indian tertiary hospital. doi:10.4103/aam.aam_966_26
    • Cureus: faropenem in Bangladeshi adults with community-acquired pneumonia, randomised controlled trial. doi:10.7759/cureus.118941
  • Candidozyma (Candida) auris and candidaemia: Int J Infect Dis: meta-analysis comparing mortality of C. auris and non-auris candidaemia doi:10.1016/j.ijid.2026.109229 · Ann Afr Med: ICU candidaemia in Central India doi:10.4103/aam.aam_1005_26 · Cureus: factors associated with candidaemia in Mumbai doi:10.7759/cureus.117338
  • Indian J Med Microbiol correspondence: an exchange on attributable deaths in multidrug-resistant neonatal sepsis (Kolkata NICU). doi:10.1016/j.ijmmb.2026.101332 · doi:10.1016/j.ijmmb.2026.101331
  • IPC and WASH: Infect Prev Pract: uptake of a WHO-aligned multimodal IPC intervention in Bangladesh doi:10.1016/j.infpip.2026.100609 · Am J Trop Med Hyg: WASH FIT gaps in Bangladeshi healthcare facilities doi:10.4269/ajtmh.26-0351 · J Infect Prev: climate-resilient WASH-IPC bundle at a rural Pakistani health centre doi:10.1177/17571774261506659
  • X (institutional): the Pharmacy Council of India held AMR awareness events in Pune, Hyderabad and Chhattisgarh during National Pharmacy Week; AIIMS Gorakhpur Microbiology announced activities for World AMR Awareness Week (18–23 Nov). pcievent · pcievent · aiims_gkp
  • X (One Health research): a Frontiers post on One Health genomic epidemiology of tropical pathogens and AMR in coastal marine ecosystems of Gujarat (paper not read). FrontInfectDis

Character

literature-led; X engagement institutional.

13 Other journal items (malaria, measles, Chandipura, brucellosis, polio vaccine, foodborne outbreak)

Evidence typePeer-reviewed / preprint(indexed or posted in window)

14 NCDC/IDSP weekly outbreaks: weeks 35–37 published (NEW)

Evidence typeOfficial listing and PDFs

Discussion frequency: Not discussed on X

  • Weeks 35, 36 and 37 (about 24 Aug – 13 Sep) were published, so the lag is now about eight weeks (was ten). Weeks 35–37 contain 31, 44 and 46 entries. NEW. Week 35 PDF · Week 36 PDF · Week 37 PDF · NCDC listing
  • Selected entries:
    • CCHF, Kheda (Gujarat), week 36: one fatal case, a 58-year-old man from Karoli, Mehmedabad.
    • Chandipura, Jhabua (MP), week 35: a one-year-old with AES died at SSG Hospital, Vadodara, on 22 Aug; serum was RT-PCR negative but serum and CSF were CHPV IgM positive at ICMR-NIV Pune.
    • Amoebic encephalitis, Malappuram (Kerala), week 36: one fatal case.
    • Japanese encephalitis, Rampur (UP), and diphtheria, Nainital (Uttarakhand), week 36: one fatal case each.
    • Fever cluster, Shivpuri (MP), week 36: 195 cases, 4 deaths.
    • Shigellosis, Marigaon (Assam), week 36: 33 cases. Mumps, Thrissur (Kerala): 126 cases.
    • Large foodborne clusters, week 37: Anand (Gujarat) 256; Thoothukudi (Tamil Nadu) 125; Nagaon (Assam) 114 with 1 death.
    • Scrub typhus, Odisha (Boudh, Rayagada) and Sikkim (Soreng); measles clusters in Assam, Meghalaya, Odisha, Haryana and UP.

15 Continuity: Kerala Nipah — no new case; remdesivir probe pending

Evidence typeMediaMalayalam X

Discussion frequency: LowStatus: watching

  • Probe: the medical board inquiry into whether expired remdesivir was given to Nipah patients had not reported by the end of the window; coverage on 2 Nov focused on whether the original diagnosis and prescription were correct. Onmanorama
  • Media correction dispute (Malayalam X): a post criticises a newspaper for running a front-page story and a small inside-page correction (the post does not name the topic in the text retrieved; video not reviewed). ra5esh
  • Surveillance: the 2 Nov state sheet still records one Nipah case in 2026. No new WHO DON for India Nipah (latest DON609). Kerala DHS, 2 Nov PDF

Editorial caution

this remains an administrative dispute under investigation; no finding on causation has been published.

16 Regulation and programmes: ICMR TB diagnostics evidence; Kochon Prize; DengiAll Phase III; CDSCO quality alerts

Evidence typeOfficial / institutional Xmedia

Discussion frequency: Low–moderate

Location: Indianational

  • ICMR (X): ICMR highlighted its evidence on Truenat and Xpert MTB/RIF Ultra that informed WHO guidelines. ICMRDELHI
  • Kochon Prize 2026 (X): REACH (Chennai) was reported as the first Indian civil-society organisation to receive the Kochon Prize for TB control. Legacy_ias
  • Dengue vaccine (X): Panacea Biotec’s DengiAll was reported to be in its final Phase III trial with over 10,000 volunteers enrolled in India with ICMR (rollout timing not verified). marriagejustice
  • CDSCO (X): accounts tracking NSQ alerts report about 330 batches failing quality tests in September 2026, the highest monthly figure in their indexed records (CDSCO list itself not reviewed; no October list found). DrugQuality_IN · docjais
  • Ebola preparedness, Andhra Pradesh (X): screening stepped up at three airports and three seaports. TheSouthfirst · xpressandhra
  • Assam maternal sepsis (X): the state reported the share of maternal deaths attributed to sepsis fell from 21% in July to 8% in October. ians_india · assamtribuneoff
  • BPaL patent: explainer coverage continued; no appeal reported. ieexplained
  • Hospital IPC (X, institutional): AIIMS Gorakhpur hand-hygiene and biomedical waste segregation drives. aiims_gkp · aiims_gkp

17 Other low-frequency items

  • Siddharthnagar (UP) foodborne cluster (Hindi X): about 100–150 villagers in Pedari, Gulhariya and Kalnakhor (Khesraha) became ill with vomiting and diarrhoea after eating golgappa from a street vendor on 7 Nov. Counts vary; no official figure seen. bstvlive · upmuddamanch
  • Bokaro (Jharkhand) H5N1 claim (X, unverified): posts on 2 Nov claim H5N1 was confirmed at a government poultry farm in Bokaro with a central team deployed. Web searches found only reports of earlier Bokaro events (2023 and March 2025), not a 2026 confirmation. Unverified discussion on X only. TatsatChronicle
  • Bhutan (X, WHO SEARO): Bhutan is revising its surveillance system for vaccine-preventable diseases; 150 health workers trained in three regional workshops. WHOSEARO
  • Afghanistan CCHF (X): 1,669 suspected cases and 71 deaths to September 2026. bactiman63
  • XDR typhoid, Pakistan (X): see Section 04.

World

Global ID items active in or relevant to 2–8 Nov 2026 (after the India/South Asia clusters).

W1DR Congo: Bundibugyo Ebola — cases NEW at 10,741

Evidence typeOfficial(ECDC epidemiological update; WHO DON625)
  • ECDC, 6 Nov (data to 4 Nov): DR Congo has reported 10,741 cases and 5,230 deaths (NEW, was 10,274 / 4,992). ECDC update
  • WHO DON625: 10,668 cases and 5,198 deaths to 3 Nov. WHO DON625
  • India: Andhra Pradesh screening at ports of entry (Section 16).

W2Polio, Pakistan and Afghanistan

  • Pakistan: ninth WPV1 case of 2026 (Section 03).
  • Afghanistan: 50 cases in 2026, as cited in Pakistani reporting of the ninth case (NEW, was 42). Dawn · GPEI

Conferences

Meetings of interest to India/South Asia clinical microbiology and ID, checked against the events digest of 7 Nov 2026 and organiser pages.

Upcoming

MeetingDatesPlaceNotes
MICROCON 2027 (22nd UP-UK Chapter of IAMM)5–6 Feb 2027B.R.D. Medical College, GorakhpurEarly-bird registration closes 15 Nov 2026; abstracts to 15 Jan 2027. Events digest, 7 Nov
World AMR Awareness Week18–23 Nov 2026Worldwide; institutional events in IndiaAIIMS Gorakhpur Microbiology programme announced. aiims_gkp
RAJMICROCON 2026 (5th IAMM Rajasthan Chapter conference)Workshops 20 Nov; conference 21–22 Nov 2026MGMCH, Sitapura, JaipurTheme “Diagnostics to Decision”; spot registration only. Events digest, 7 Nov
ESCMID course: frontiers in managing classical and emerging hepatitis viruses (ESCMID with the Viral Hepatitis Society of Türkiye, IAMM and SRIID)27–29 Nov 2026 (CET)Online (live)Hepatitis A–E and viral haemorrhagic fevers; Indian co-coordinator. Registration open until 24 Nov. Events digest, 7 Nov
ACM CME: Rational Antibiotic Prescribing (Academy of Clinical Microbiologists)Sat 12 Dec 2026DelhiFew details given. Events digest, 7 Nov

Recent (already held)

MeetingDatesPlaceNotes
Best of CIDSCON: The Final Chapter (CIDS-PG Education Subcommittee)3 Nov 2026OnlineNo session reports seen on X. Events digest, 31 Oct
MICROCON 2026 (49th Annual Congress of IAMM)28 Oct – 1 Nov 2026AIIMS NagpurNo session reports with scientific content found on X in the window. microcon2026.com
National Pharmacy Week 2026 (Pharmacy Council of India)Early Nov 2026Several citiesAMR awareness rallies (Section 12). pcievent

Signal detection

AWeak signals

  • Bokaro (Jharkhand) H5N1 “confirmed” claim (X only, 2 Nov; no corroboration found).
  • Karachi “hundreds of suspected chikungunya cases daily” (single X video post).
  • Cuddalore poultry deaths “nearly 50,000” (unverified aggregator account).
  • Kurupam school fever “110 ill” (not corroborated; official reporting gives 71).
  • Wayanad (Kalpetta) school illness, about 100 students (aetiology not reported).
  • Siddharthnagar golgappa cluster, 100–150 ill (local media and X only).

BPathogens

  • Measles virus — Bangladesh (1,282 deaths); Kerala (740 confirmed; probable death in Thalassery); Afghanistan (literature).
  • Dengue virus — Bangladesh (record admissions); Delhi; Pune; Lucknow; Unnao; Pilibhit; Patna; Dholpur; Tamil Nadu; Khyber Pakhtunkhwa; Rawalpindi; Sri Lanka; Sindh (preprint).
  • Shigella spp. — Kerala (583 / 8 in 2026; wedding and school-meal clusters).
  • Hepatitis A virus — Utkal University, Bhubaneswar (12 positive).
  • WPV1 — Pakistan (ninth case, Khyber); Afghanistan (50).
  • Orientia tsutsugamushi — Nepal (12,207 / 8); Kerala (611 / 13); Odisha and Sikkim (NCDC, weeks 36–37).
  • Influenza A(H1N1)pdm09 — Pune (789).
  • Chandipura virus (Jhabua, IgM-positive death, NCDC week 35); CCHF virus (Kheda, NCDC week 36; Afghanistan 1,669 / 71).
  • Free-living amoebae — Kerala (185 / 45).
  • Plasmodium malariae and P. ovale — Bangladesh (literature); P. vivax — Sindh (preprint).
  • Bundibugyo virus — DR Congo (10,741 / 5,230).

CResistance mechanisms

  • blaNDM-positive plasmids in the Enterobacter cloacae complex (replicons, conjugative transfer).
  • Carbapenem-resistant Gram-negative isolates and ceftazidime-avibactam activity (Lahore).
  • AMR and toxin genes in STEC from a curd-associated outbreak (Manipur).
  • AMR genes in urban environmental surveillance (southern India).
  • XDR typhoid in Pakistan (clinician education on X).

DDiagnostics

  • CBC-based score associated with NS1 positivity in suspected dengue (Dhaka; preprint).
  • ICMR evidence on Truenat and Xpert MTB/RIF Ultra highlighted (X).
  • Chandipura: RT-PCR negative but IgM positive in the fatal Jhabua case (NCDC week 35).
  • No new diagnostic guidance from ICMR or NCDC was identified in the window.

EPapers and guidelines (in / near window)

  • Microbiologyopen: ceftazidime-avibactam against carbapenem-resistant isolates, Lahore.
  • IJAA: mortality timing in CRGNBSI.
  • OFID: hospital colonisation with resistant bacteria, Bangladesh (ARCH).
  • AJTMH: P. malariae and P. ovale in Bangladesh.
  • IJMR: Karnataka foodborne outbreak after a mass gathering.
  • Lancet Glob Health: Sabin IPV with bOPV in Nepal.
  • Indian J Public Health: measles elimination commentary.
  • Guideline: ISOT consensus on latent TB in kidney transplantation. No new ICMR/NCDC clinical guideline was identified.

FDisagreement

  • Kerala Shigella, Malappuram total (7 vs 8 vs higher).
  • Kurupam number ill (44 vs 60 vs 71; 110 uncorroborated).
  • Utkal hepatitis A positives (11 vs 12).
  • Cuddalore poultry deaths (5,000 to 5,600 vs >10,000 vs about 50,000).
  • Rawalpindi dengue 91 (city) vs 139 (“twin cities”).
  • Nepal, Salyan scrub typhus (575 EDCD vs 855 cases and 10 deaths Kantipur).
  • Sri Lanka dengue deaths (80 vs 81).
  • Balaghat deaths (32 official vs 55 MLA), unchanged.

GExperts ahead of media

  • No clear instance this week. The Sindh dengue and malaria preprints and the AJTMH paper on P. malariae and P. ovale had no media pickup.

HState and regional

RegionPrimary signalEvidenceKey link
KeralaShigella 583 / 8 in 2026; measles 740OfficialmediaMathrubhumi
OdishaUtkal University hepatitis A, 12 positiveMediamunicipal XTNIE
Andhra PradeshKurupam school fever, 71 ill; Ebola port screeningOfficial via mediaThe Hindu
Tamil NaduCuddalore poultry deaths; Thirumazhisai dengue deathOfficial via mediaTamil XDT Next
DelhiDengue 1,083 to 31 OctMedia (MCD data)Hindustan Times
MaharashtraPune dengue 2,486; H1N1 789MediaXHindustan Times
Uttar PradeshLucknow, Unnao, Pilibhit dengue; Siddharthnagar foodborne clusterHindi Xbstvlive
BiharPatna third dengue death; >537 casesHindi XETVBharatBR
RajasthanDengue −34%, malaria −32%; Dholpur child death; scrub typhus story closedHindi Xsurendraswami26
AssamMaternal sepsis share 21% → 8%Official via Xians_india
West Bengal, Madhya PradeshNo new figure (12,889 / 15; Balaghat 32)NoneNone
India (national)NCDC weeks 35–37OfficialNCDC listing
BangladeshMeasles 1,282 deaths; dengue 461 deathsOfficial via mediaThe Business Standard
PakistanNinth WPV1 case; KP dengue 5,636Official via mediaDawn
NepalScrub typhus 12,207 / 8Official via mediaBritant News (Nepali)
Sri LankaDengue about 106,000; control week 9–14 NovXWHO country officeSriLankaTweet
MaldivesNo new sourceNoneNone
BhutanVPD surveillance revision (WHO SEARO)Official XWHOSEARO
AfghanistanPolio 50; CCHF 1,669 / 71MediaXbactiman63

Overall ecosystem patterns

On X this week, news outlets, government departments and political accounts again outnumbered clinicians and microbiologists.

  • Food- and water-borne clusters were the main new India theme: Shigella in Kerala, hepatitis A at Utkal University, school illness in Wayanad, and a street-food cluster in Siddharthnagar.
  • Dengue remained the commonest topic across Bengali, Hindi, Tamil, Urdu and Sinhala streams, with Bangladesh setting a new daily admission record.
  • Bangladesh measles coverage stayed largely political, including posts about an inquiry commission.
  • Kurupam coverage on Telugu X was dominated by political accounts.
  • Technically substantive material again came from journals and preprints, with little X pickup.
  • Institutional posts (Pharmacy Council of India AMR rallies, AIIMS Gorakhpur) were frequent but routine.
  • AI-generated replies were common and were not used as sources.

Topics increasing in frequency

  • Shigellosis in Kerala.
  • Institutional hepatitis A and other food- and water-borne clusters in eastern India.
  • Bangladesh dengue admissions.

Unusual, low-frequency or technically interesting

  • Chandipura IgM-positive death with negative RT-PCR (NCDC week 35).
  • CCHF death in Kheda (NCDC week 36).
  • P. malariae and P. ovale transmission in Bangladesh.

Highly uncertain areas

  • Bokaro H5N1 claim; Cuddalore poultry deaths (cause pending); Kurupam aetiology; Kerala state totals after 2 Nov; Pakistan mpox after 31 Oct.

Geographic clustering

  • Bangladesh: concurrent nationwide measles and dengue.
  • Pakistan: WPV1 in Khyber; dengue in KP.
  • Kerala: Shigella in Malappuram and Kozhikode.
  • Eastern India: Bhubaneswar (hepatitis A) and Parvathipuram Manyam (fever).
  • Northern India: dengue in Delhi, Lucknow, Patna and Rajasthan.
  • Nepal (Lumbini): scrub typhus.

Topics with minimal or absent discussion this window:

  • Hospital HAI clusters and Candida auris on X (literature only)
  • Cholera
  • Mucormycosis (new clusters)
  • Pakistan mpox (no new figures)
  • Maldives

Method and sources not reached

  • X: 44 searches (42 post searches and 2 news searches; about 670 unique posts returned). Window: 00:00 GMT on 2 Nov to 18:40 GMT on 8 Nov. One Sinhala query was malformed on our side and was re-run; no failures on the X side. Languages: English, Hindi, Marathi, Bengali, Tamil, Malayalam, Urdu, Nepali, Telugu, Kannada, Odia and Sinhala. Read-only access was used, with no posting, liking or replying. AI-generated replies were not used as sources.
  • Non-X sources consulted:
    • Bangladesh: DGHS figures via The Business Standard, The Daily Star, BSS, The Bangladesh Times, The Asian Age and the Dhaka Tribune.
    • India: Kerala DHS daily sheet (2 Nov); Mathrubhumi; The Hindu; TNIE; DT Next; Hindustan Times; Onmanorama; Times of India; the NCDC weekly outbreak listing and week 35–37 PDFs.
    • Nepal, Pakistan and Sri Lanka: Britant News (EDCD data); Dawn; Business Recorder; APP; Express Tribune.
    • Global and literature: ECDC; WHO DON625; GPEI; PubMed (South Asia ID/AMR query plus IJMM, IJMR, JGID, IJID Regions; entry dates 2–8 Nov; 139 records screened); the medRxiv API (posted 2–8 Nov; 415 records screened); the 7 Nov events digest and conference sites.
  • Not reached or incomplete this week:
    • Kerala DHS sheets for 1 and 3–8 Nov returned HTTP 404.
    • NDCU (Sri Lanka) PDFs timed out; figures came via X and media.
    • No CDSCO October NSQ list was found; the September figure is from tracking accounts.
    • No EDCD (Nepal) document was opened directly.
    • No Pakistan mpox update after 31 Oct; no Tamil Nadu or West Bengal statewide dengue update.
    • JGID and Lancet Reg Health SE Asia had no in-window entries.
    • The BMJ letter on Bangladesh measles and the Gujarat One Health paper were not read.
    • No Maldives source.

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