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The Nipah virus outbreak in Malaysia and its aftermath: A continuing saga

Kai-Lit Phua, PhD


The 1998-1999 Nipah virus outbreaks in Malaysia claimed more than 100 lives (40 percent case fatality rate) and nearly decimated the pig farming industry of the country. Three main groups of people (and their family members) were directly affected, ie, pig farm owners, feed mill owners, and pig farm workers. This article discusses how the crisis was managed— including mistakes made in its management—before the crisis, during the crisis, immediately after the crisis, as well as more recent developments.


Nipah virus, Malaysia, aftermath, management

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Chua KB: Nipah virus outbreak in Malaysia. J Clin Virol. 2003; 26: 265-275.

Nipah not a virus to worry about. The Star, November 2, 2008.

Looi LM, Chua KB: Lessons from the Nipah virus outbreak in Malaysia. Malays J Pathol. 2007; 29(2): 63-67.

Nor MNM, Ong BL: The Nipah virus outbreak and the effect on the pig industry in Malaysia. In Cargill C, McOrist S (eds.): Proceedings of the 16th International Pig Veterinary Society Congress. Ocean Grove, Victoria, Australia, 2000: 548-550.

Phua KL, Lee LK: Meeting the challenge of epidemic disease outbreaks: An agenda for research. J Public Health Policy. 2005; 26(1): 122-132.

Phua KL: A model for lessening the negative impact of natural disasters and infectious disease outbreaks. J Emerg Manage. 2006; 4(5): 69-74.

FAO: Managing pig industries for freedom from Nipah virus infection. In Manual on the Diagnosis of Nipah Virus Infection in Animals. Bangkok: FAO Regional Office for Asia and the Pacific, 2002. Available at Accessed May 5, 2009.

Altman LK: Health experts meet in Atlanta to tackle the deadly animal-to-human link in illness. New York Times. March 25, 2006.

World Health Organization: Fact Sheet Number 262. Nipah Virus Factsheet. September 2001. Available at en/fact262.html. Accessed January 19, 2009.

Chua KB: The discovery of Nipah virus: A personal account. Neurol Asia. 2004; 9: 59-63.

Teoh B, Tan LC: Nipah virus cases—More farmers suing govt. July 17, 2008. Available at Accessed January 19, 2009.

Chai ML: Nipah virus: Eight years on, it’s still a threat. NST Online. November 2, 2008. Available at Current_News/NST/Sunday/Frontpage/2391141/Article/index.html. Accessed January 19, 2009.

Pahlawan Volunteers: Mosquitoes or pigs? Which is more dangerous? May 8, 1999. Available at pahlawan27.shtml. Accessed May 5, 2009.

Tan K: Ling asked to shed light on JE Fund’s ‘missing money’. Malaysiakini. November 20, 2001.

Sujata VP: Farmers start afresh. The Star. November 1, 2002.

Farmers illegally rearing pigs at Nipah virus site. The Star. February 15, 2006.

Tan CT, Chua KB: Nipah virus encephalitis. Curr Infect Dis Rep. 2008; 10(4): 315-320.

North CS: Epidemiology of disaster mental health. In Ursano RJ, Fullerton CS, Weisaeth L, et al. (eds.): Textbook of Disaster Psychiatry. New York: Cambridge University Press, 2007: 29-47.

Phua KL: Post-disaster victimization: How survivors of disasters can continue to suffer after the event is over. New Solutions. 2008; 18(2): 221-231.

Ursano RJ, Fullerton CS, Weisaeth L, et al.: Individual and community responses to disasters. In Ursano RJ, Fullerton CS, Weisaeth L, et al. (eds.): Textbook of Disaster Psychiatry. New York: Cambridge University Press, 2007: 3-26.

Zainuddin B: Relax, go eat your chicken—Say vets. April 24, 2006. Available at php?id_193379&lang_en. Accessed January 19, 2009.



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