NIPAH VIRUS
[phone ringing]
Hello.
Sir, we ran out of ventilators in the Medical College.
What do we do when more patients arrive?
[cheering] Hey! Super.
Come, fast.
[indistinct voices]
Come fast. [indistinct voices]
Pass it here.
No, it's 12-11.
-Okay. -Hey!
Careful, stay back.
-Hey! Hey! -Hey! Pass it this way.
-This way... -From behind.
Hey! What is this? You've intentionally obstructed with your leg.
-Why did you do so? -What happened?
-I didn't do a foul. -No, obstructed with your leg.
It's him, not me.
It's foul, isn't it? Let's play again, come.
Let's play again, come. It's foul, isn't it?
Don't mess with him.
Okay, come.
[cheering]
My belly fat will be gone if I play like this for a week.
I can wear a suit for the wedding.
Did you chose to be the keeper to wear a suit?
Hey! He'd played for the last three and a half minutes.
It's not an issue.
You just hold in your tummy while they are capturing the photos.
Being slim is not a big deal.
Look at his abdomen withered into ribs.
You will know it only at the autopsy. You won't be seeing it now.
Hey! How are you going home?
-[gasps] -Won't you drop me?
No, I'll feel sleepy if I go home.
So, I'll go to the hostel.
[vehicles honking]
What did they do here? They just trouble us.
-Madam. -Hmm.
-Superintendent is calling you. -Hmm.
[phone blips]
Sajith.
Hey Sajith, get up!
Hey!
Look, I'm not going to take up any duty. Abid, you just leave.
You need not do anything, it's enough if you arrive at 8:45 am.
I'll be back in an hour.
Alright, I'll come.
Now don't argue and let me sleep for a while.
Are you in your right mind?
Buzz off, man!
In unison: Long live worker's unity!
In unison: We want justice.
-Superintendent is coming. -Huh?
Superintendent is coming.
In unison: Salary is our right.
In unison: Long live worker's unity!
Babu, I understand your problems.
We will find a solution.
Commoners will be in trouble if you go on strike.
We haven't been paid for the last six months. What should we do then?
Babu, your contract starts next month, right?
Even then, there won't be any change.
We are doing our duty. Do what all you can.
We'll do our best.
But it has its rules and regulations, right?
Everything will be sorted out in a week.
We won't trouble the people.
We will join the duty.
Let the strike shed remain until your promises are fulfilled.
Bye, sir.
-Good morning. Where is Nirmala? -Hi.
She is in the Red Area.
He came with chest pain and four hours later he complained of index pain.
He had hypertension in between and is stable now.
Let's shift him after monitoring him.
It's the RTA (Road Traffic Accident). Femoral shaft fracture.
Waiting for the Ortho to come.
Alright, thank you.
-Akhil, it's a case of stroke. -Oh!
-What's your name, mother? -[stammering]
For how long is she like this?
She was fine when she had dinner last night.
But she became ill in the morning.
What about her vitals?
BP is 180 over 110 and saturation is 98.
Can you lift your hand?
Now, lift the other hand.
Okay, keep it down.
-It's a CV. Shift her for MRI immediately. -Okay.
Okay. [ambulance siren]
-How long has he been unresponsive? -From 30 minutes, sir.
Seems to be rigour, connect to the monitor immediately.
-Okay. Sister... -Get me the gloves, sister.
Only those who have the tokens should stay here.
Others please go out.
Bring the stretcher.
You go in this way.
You go to that side.
You please come in.
Have you seen the shadow?
-Hmm. -Look at my finger when I ask you to.
-What happened? -I think it's on the right side.
I'll have to check and confirm.
Bring it here.
Radhika.
Sir...
What's the problem? How many days has it been like this?
Who has come to accompany you?
Please, sit here.
We have to check whether the bone is cut.
So, I'm opening it, better you move to the Orthopedics department right away.
Get a gurney immediately.
Please clear off. Move aside.
Take him inside.
Call a surgery PG.
Sister, get me an intubation set.
-Guard, please send all these bystanders. -Okay, sir.
Hold on...
I'll lift his head. Ready 1, 2...
Both of you get the equipment and rush the fluid.
I'll put the suction.
26, 27, 28, 29, 30.
-It's been two minutes. -Lasted too long.
-Let's shift. -Okay.
-1, 2... 6, 7, 8, 9, 10, 11, 12, 13, 14... -You give the injection.
15... 29, 30.
-Seems like there is rhythm. Check it. -Hold on, I'll check it.
His pulse is back.
[ambulance siren]
Everybody move aside.
Prem, check the vitals. What happened?
Doctor, he has fever for the last two days and is vomiting.
He is complaining of a headache.
He is having difficulty in breathing. Please look into him.
Does he have difficulty in breathing?
What about the vitals?
Saturation is low and the fever is high.
Take him straight to the ward and lay him down on the bed.
Take him.
Sajith, are you coming?
-Yeah, I am on my way. -Please, come fast.
His condition seems to be serious. Please, attend him, sir.
Yes, I'll come.
-Radhika, where is Abid? -There he is, intubating.
Okay, get me that ambu bag.
-Abid. -Hmm.
-You leave, I will manage it. -Are you sure?
-Yes. -Thank you.
-Are you leaving? -Hmm.
But there is still time, right?
It's time for the bus.
Hey! Shall we have breakfast?
Don't you have a duty?
It's okay.
First I'll drop you.
I will go in an auto.
Sara, is there any problem?
What do mean?
I saw your message.
So you read the message. What else do I have to say?
Are you going home now?
Yes, I am going. Bye.
Do you remember the date of the accident?
It's been almost a year.
Damn! Tell me the exact date.
What should I do if you just tell me the month and the year?
-I'll memorise and tell you -Alright, leave.
Next, give me Rs. 35.
Just give this at the OP office.
-Do you know where it is? -No.
-Anu... Anu... -Hmm.
Please show him the OP office building.
-I am in a hurry. -Anu, please wait.
As if she goes straight for some emergency. Tell me.
-Madam, are you a doctor? -Yes.
-What kind of doctor are you? -Community Medicine.
Do you mean a bone's specialist?
Brother, look at that building.
It's on the first floor beside to that block.
Are you insulting me?
Why should I insult you? [phone ringing]
Yes, Sajith.
How would you go?
-Abid will drop me. -Okay, bye.
-Remember the patient with ARDS? -Please, don't say he is dead.
It's getting worse.
-Okay, I am on my way. -Okay.
Hmm.
Hey! Is some guy coming to see you?
I don't know.
Are you okay with it?
Why should I tell you?
Can't you be less intense about it?
Why should I get angry?
You are tensed now so, don't say me anything.
All right, you may go.
I will go and attend my patients, okay?
Good luck. Take care, my friend.
[indistinct chattering]
-Are you looking for Suhana? -Yes.
She left the class as she was unwell.
I brought a prescription from home to be checked in at the hospital.
I came to give it to Suhana.
I am her neighbour. I shall hand it to her.
-Ah... Do you know Razak? -Yes.
-All right then. -Thanks.
[phone ringing]
[breaths heavily]
I'm not sure if his name was Roshan or not.
He had a fever with ARDS (Acute respiratory distress syndrome).
His condition worsened quickly.
He died after two hours.
He had vomiting, didn't he?
Aspiration might have caused respiratory failure.
-But he was very young. -Hey! Madam is arriving.
Are you having the night shift tonight in causality?
-Yes, ma'am. -Okay.
Geetha, the attender in radiology is admitted with viral fever.
Our Superintendent had called me,
-to take special care of her. -Okay, madam.
Who is on duty now?
-I think it's Abid. - It's Abid and Ashwin.
Okay, inform them too.
-Sure, madam. -Okay?
-Okay. -Okay.
Father, would you give me your phone.
Sure, in a while. Now you study.
-Please, father. -Don't come closer.
Anu.
Bhanu, sort your books.
-Come to our room and study. -Hmm.
I will wash my clothes. You keep off from it.
I will wash it.
Why? What happened? Is there any issue?
A patient named Pradeep came today.
He is 21 years old.
He was presented with high fever, 103 F.
Was it dengue?
No, he was tested negative for dengue.
The report from the Medical College read 'fever for 5 days and altered sensorium.'
I came home as there was tensed atmosphere.
He is having high fever.
At this young age?
He showed no altered sensorium when he came to me.
There wasn't much problem then.
Yesterday blood pressure was also normal, 120 over 80.
Hmm.
Later I asked them to give Paracetamol to control the fever.
I asked the nurse to check the BP in the regular intervals.
Two hours later, he started showing distress.
[coughs]
When I checked BP, it was 230 over 120.
Oh no!
Don't exaggerate. Don't you know how to check the BP?
No, doctor. I did check properly.
-To hell with you! -Abid told it was normal.
-I checked properly, sir. - Let's have a look.
[device beeps]
Geetha?
-Let's check the other hand. -Let's check the other hand.
Geetha.
After a while, he started throwing up.
He had a headache too.
After some time his behaviour changed drastically as if a dog has bitten.
I asked his bystanders whether he had an animal bite or something.
-They said that there isn't as such. -No, doctor.
-There isn't as such. -I asked the patient as well.
He too said that there isn't as such.
-Do you remember any previous dog bites? -No.
Huh?
Later, he started throwing up incessantly.
The body was not responding to the medicines given to stop vomiting.
Then I thought of sending him for an MRI.
By then, he was unstable because of seizures.
Because of that MRI was not possible.
Hold on. She is not stable.
She is showing segmental seizure. So, we can't take MRIA.
Let's go back quickly.
Why do you think it is contagious?
When I was about to leave, I got a call that a patient came from Perambra.
Her name is Akhila.
She also has tested negative for dengue.
She has a severe headache, vomiting and ARDS.
I am having a sort of intuition.
Is that Pradeep also from Perambra?
-Tell me your name and age. -Akhila, 34.
I am a nurse at Perambra hospital.
I have severe headache and fever.
She constantly vomited. Now only it subsided.
Dengue is negative.
-Take an OP ticket. -There is nothing to worry about.
-Let me check the saturation. -Go straightly, sir.
This is something else but not dengue.
Please, intubate me...
Please call someone senior.
Abid... Abid...
She is a nurse in the Central hospital. Saturation seems low.
-Please check her. -Okay.
-Doctor. -Yes...
I feel discomfort.
-Please intubate me. -No, worries.
Please intubate me, doctor.
Where are her reports?
Ok, dengue is negative. Will do another test.
-I don't think if it turns out negative. -It's not dengue.
-She is not vomiting also.
Seems like you've already taken its medicines.
Don't worry. We will take care of you, sister.
You are one of us. We will take care of you.
-This is not dengue. -Let's check it now.
-Okay. Move her to the red area. -This is not dengue.
We will have to initiate oxygen.
Go for the routine check-up once more.
There is a routine check. Don't worry...
[device beeping] [breathing heavily]
-Please increase the oxygen flow. -Okay.
Bilateral infiltrates are there in yesterday's X-ray.
-Okay, I'll check ABG again... -Abid...
-...and go for ventilator if needed. -Abid, she is not maintaining saturation.
-You please come with us. -Hmm.
Tell me, sister.
Doctor, would my daughter be contracted with this?
No.
-Doctor, I had breastfed her. -No, nothing will happen.
Don't worry.
-You shouldn't talk much. -Doctor.
- Intubate her. -Sister, get the intubate set.
Come quickly.
It is contagious, doctor.
A patient I attended had the same symptoms.
Same symptoms?
Yes.
By vomiting just like this,
-Fever... -Okay, sister. Do not talk.
Take care of her.
Two people died from Razak's family.
They are not just my constituency people but,
It was from their home I started my political life.
Starting from Khadeeja, all of them have the respiratory ailment.
In Suhana's case, the brain has been infected.
Will get a clearer picture if we conduct the autopsy.
Her condition is worsening gradually.
Routine test results were all negative.
We sent the advance tests to Manipal.
To get the results quickly,
Razak's son and his uncle left with the samples in a bus early in the morning.
Ok, thanks.
When is the result expected?
Result?
I will send it.
Should we wait?
Why should you wait? Weren't you supposed to hand over it to me?
These are my father's samples. He is my uncle.
Oh, I'm sorry.
Okay.
Greetings.
May the peace, mercy and blessings of Allah be with you too.
Quite a greeting it was, Razak.
I said as this might be my last greetings, sir.
Why are you talking like a doctor?
When I had a look at Suhana's CT scan,
It was same as Zakariya's.
My daughter saw it and said that it was all over.
Isn't it enough, doctor?
Doctor, Zakariya had a lot of debts.
I have to repay them. What can I do?
I am wasting your time by telling my problems.
You might have a lot of work to do, be on it.
I have already done that.
You take rest.
He has drowsiness.
His neck is very stiff.
He has a tremor.
The symptoms of brain infection can be seen in him.
It could be a poison but not a snake bite.
Because four members of this family fell sick at different times.
There are no traces of consuming poison.
Systemic autonomic symptoms are the reason for this fever.
Everyone in the family became victims.
This is just the clustering of cases.
This should be considered as viral encephalitis.
Doctor,
Herpes simplex and Japanese encephalitis are tested negative,
as per Dr. Suresh Rajan's update.
But the other possibilities are,
West Nile Encephalitis and Equine Encephalitis only.
But these two have not been reported in India.
But,
if it is making such a rapid progression in a healthy body,
it should be Nipah virus.
Ask Dr. Suresh to run a test.
Her name is Suhana.
She is a moderately built and nourished adult female.
24 years, 43 kilograms, 157 centimeters.
This is the brain.
This is edematous.
As she was a fever patient with altered sensorium history,
we can take a sample of it and send to the pathology lab.
Did you get it?
[music mutes voices]
Sir, health minister on line.
Hello, teacher.
-Give me a moment. -Hmm.
Ah...
[police siren]
[fumigator hissing]
Move aside! Hey, what's the problem here?
We need to know why that place has been fumigated.
I am the one who performed the autopsy.
This is not a big issue as you think.
We will solve this issue.
Sir, don't try to sugarcoat.
We will not leave if you don't give us a proper explanation.
Our primary duty is to safeguard people's health, isn't it?
That is why we fumigated the place.
Have we done anything harmful to you?
Did we?
Tell me, Midhun?
Tell me.
So don't create a scene here.
-Disperse, please. -Okay.
Please, leave.
We have identified the virus.
We tested the patient along with Dr. Sudevan.
Madam, it's Nipah.
A zoonotic disease which is one among the ten WHO priority diseases.
This could be transmitted from animal to man or directly between humans.
Nipah has been reported in Singapore, Malaysia, Bangladesh and India till date.
In 1998,
102 of 265 people infected were dead in Malaysia.
Since 2001, in India and Bangladesh,
75% of the 263 patients lost their lives.
The scariest fact is that,
there is neither vaccination nor the treatment protocol.
[siren]
Technically, as per the samples we got, this is the third day.
But if we consider Zakariya as the index patient,
this is the fifteenth day.
The number of patients may substantially increase in the next 24 hours.
How many of them got infected till now?
That is...
Apart from Dr. Sudevan's three patients,
there are another two in the Medical College.
No madam, two more patients have been admitted with similar symptoms.
Then it's seven members.
From the index patient who died on May 5th and those who have contracted the virus,
may come in the next six days and admit.
Then it could be four per day or even more.
In that case, there would be 25 patients who have contracted the disease.
In the next incubation period,
which is at least 21 days from the beginning of this wave,
this disease gets transmitted to 25 new members from each of the existing 25.
They are assuming that there would be 625 patients in a month.
And we can't be definite of the death toll.
[siren]
Luck is the only hope for the infected.
Talking of the others, maybe we have hope.
Patients are coming from different localities.
We have to stand clear about the number of sources.
We are yet to define the transmission dynamics of the outbreak.
Anyone who had contact with the patients should be quarantined and observed.
Those who participated in the funeral,
bystanders of the patients at the hospital,
everyone who does social work comes under this.
In fact, the people over here might get contracted as well.
This is not an easy task for sure.
Not even scientists or surgeons can resolve this.
In short, if you want any solution to this,
it is from your side only.
[siren]
Yes, sir. Hmm.
We will operate health services and the district administration from here.
For the time being, this would be our control room.
Ok, teacher.
I've arranged this place temporarily.
Hmm.
Smrithi, identify the members for the core committee and coordinate with them.
Sure, teacher. Maya, come with me.
-Maya. -Yes, madam.
you should immediately fetch me the contacts those who I've mentioned.
Okay.
Not only their office numbers but personal contact also.
-We need some volunteers, don't we? -Yes, madam.
Let's temporarily start with the interns and then form a team through them.
The period in which the disease could be transmitted from each patient,
is the incubation period,
I mean it takes 21 days.
Which means, 21 days from the first reported patient Zakariya,
That is from 5th May to 26th May.
After that, new patients were also reported.
This cycle will repeat.
We can be successful only when we can stop it.
This is a list prepared by the health inspector.
It contains the names and details of the patients they suspect.
I'll tell you what you need to do.
You should trace the people they know and the one whom they meet regularly
and add their contacts to the list.
Okay, now the important thing is this should be done in four different segments.
The first category, those who had direct contact with the patients.
Second, physical contact with the patients.
That is those who have used the belongings of the patients.
The third category, those who have travelled along with the patients.
That is, those who travel with them on the train, bus or van.
The fourth category is those who have shared the room space with them.
With such lists, I need four segments' lists.
[gasps] [breaths heavily]
The doctors are scared as the latest patient is a medical student.
We should force them to attend their duty.
But most importantly we have to address their concerns as well.
Doctor, it's fine if you address it.
Ask them if they are okay if I address it.
Because you might have something to add.
This is not an announcement about some accident or tragedy
but it is an advisory to the people.
The presence of Nipah virus has been confirmed in the district,
after we examined from patients admitted to,
the Kozhikode Medical College and the Baby Memorial hospital on May 17th.
It is a contagious disease.
Though it can be controlled with the help of the media and the public.
Everyone should cooperate with the health department in its initiatives.
The citizens of Kozhikode are scared as the Nipah virus is spreading.
This disease is easily spreading by those who are in close contact with the infected
In order to prevent, this experts advice to keep away from public gatherings
like marriage, funeral and religious meetings.
As the virus is spreading,
the government advised the public not to consume fruits, birds and animals.
Due to this the fruit and meat markets got shut.
The city became deserted.
In this month of Ramzan, the fruits and other business fell drastically.
With this, the traders are worried.
Vehicular traffic has reduced.
The pay-ward block of the Kozhikode Medical College,
has been converted into the isolation center for the Nipah patients.
As per the orders of the Minister of Health,
and the decision of the authorities held at the Kozhikode guest house,
the patients who were admitted in the pay-ward,
have been shifted to the multi-specialty wing and the palliative care institute.
As per the WHO protocol, the process of allowing patients
and the setting up of isolation ward has been carried out.
We have a list of 2853 people who had been in proximity with the patients.
291 of them have had direct contact with the patient.
This list includes relatives, bystanders
and care givers including doctors and nurses.
This is the list.
Son, Nabeesa is with me here. Why don't you go to the hospital?
No, mother. I will be here.
Then go to the mosque at least. Don't sit idle here.
Mother, I wonder why you are not getting the gravity of the situation.
[birds chirping]
Abid, don't go out.
First, come inside.
Mother, please keep the bag there and go.
Then I'll come to your flat too.
All you need to do is pray for me. Bye.
-When will you come? -You leave.
I will come later.
Doctors are instructed not to go on leave, right?
That's meant for clinical practitioners.
They are the ones who are needed, isn't it?
Please don't take this the wrong way.
You pack your things I will help.
Anu.
[phone ringing]
Hello.
Anu, we need two additional hands at the Nipah cell to work on an FAQ.
Can you get there soon?
Okay, ma'am. I will be right there.
It's a herculean task to monitor almost 3000 peoples.
It's precisely 2853 people.
We should constantly check on them to ascertain their health condition.
If this is the case, innocent people become victims.
That's inevitable.
-Madam. -Hmm.
The contact list has been updated of Pradeep who tested positive yesterday.
He participated in his uncle's funeral when he had fever.
But we don't know how many people attended the function.
We will have to find that.
As the nurse Akhila got infected by Nipah virus from the Perambra hospital,
the health workers are panicking.
Akhila'd been the one who tended the index patient, Zakariya.
The health minister said that the health workers shouldn't panic in this crisis,
as they are taking precautions to prevent the disease.
Has this happened to anyone else in the ward?
No... nothing happened to anyone.
You don't worry.
What about my daughter?
She is good.
Stay calm.
Mother?
I just met her.
Nothing has happened to her.
Sister, you will be shifted to the ward soon.
Then you can meet her.
-Okay? -Hmm.
Can you give me a pen and paper?
Tell me, Nirmala.
Abid.
Sister, Akhila is dead.
The issue of Akhila's cremation is still in uncertain.
The government has declined to hand over her corpse to the relatives.
There is no further official information available on this matter.
Sir, we cannot keep the body for long.
Ten hours, at the maximum. Trust me on this, madam.
Okay.
Okay, I'll speak to Dr. Baburaj.
Him?
He will make it happen somehow.
Hmm.
What's happening here?
We kept the body in the isolation ward.
We should decide in 12 hours.
I want workers to cover and carry the body and to use the PPE kit.
I will train them.
We can't be sure about the daily wagers.
Everybody is scared as the deceased is a nurse.
Sir, we don't have enough PPE kits.
You need not worry about it.
Collector will arrange the PPE kits and the drivers for the ambulances.
I need the workers I mentioned.
I need three men and I can join them as the fourth.
[birds chirping]
Sir, we are ready to give the ambulances that are registered in our NGOs.
But the drivers are scared.
Sir, the vehicles have insurance as well.
What is the guarantee for our life?
Why do you consider us as villains, sir?
Oh no! I never said that. You are all heroes.
You guys rushed as soon as I called you.
Normally, nobody does. I know.
I'm very surprised to see all of you in this place.
We do not have enough ventilators.
It was provided by a private hospital.
We need at least Rs. 800 for a PPE kit a day.
Not all can be arranged right away.
But today in the early morning,
PPE kits worth around 80 lakh rupees arrived at our airport.
A big industrialist sent it in his own aircraft at his own expense.
This morning Dr. Sridevi went to pick up the newspaper at the Medical College.
An unidentified man turned up with a bundle of N95 masks.
He just handed over it and left saying it would help them.
He did not even bother to introduce himself.
For me, these are all miracles.
You need not afraid as you are the natives of this city.
Sir, I need two things to be assured.
I should be paid on-the-spot.
If something happens to me,
the government should take care of my family, including my children's studies.
Sir, what's your name?
Sadasivan.
Mr. Sadasivan, we will pay you and you need not doubt.
On the second matter, I can assure that nothing will happen to you.
You give that assurance in writing. I am ready to come.
So, those who are ready to cooperate,
write 'Yes' on this paper with your name and phone numbers.
Those who are not interested, simply write 'No' and nothing else.
No one is coming out of fear.
The workers are not available.
Government is considering to regularize those who cooperate in this situation.
So there are no interviews today, isn't it?
My contract starts only from next month, isn't it?
You do everything according to the rules, don't you?
We do this work not only for the wages.
Aren't people like you here to serve us...
I am ready for anything. You tell me, sir.
We are not forcing you, Babu.
There is nothing to be afraid of.
I am not scared, madam.
But I can't tolerate if anything happens to my family.
Why do you want this many clothes? Will have to stay for some days.
Is it in the Medical College?
Hmm.
Why did you decide to work there at this moment?
You don't worry.
The government says that they will regularize us if we work now.
Father, where are you going by leaving me?
Your father should there for a few days.
You might be happy that you don't have school today, right?
-You hung the bag on one shoulder. -That's fashion.
No, the left strap has ripped off, father.
-Off I go. -Okay.
Take care of the children, bye.
Are all the rituals over?
Sandeep, we are not here to convince you.
No matter what we do, Akhila will not be back.
No one else should have her fate.
That's why we are not handing over the body.
Why did I come all the way?
There was no need to.
There is no use of me.
Where is your daughter?
[phone ringing]
-Hello.-Where are you?
On duty in the male ward.
So, aren't you studying for the exam?
It has become a joke.
I got posted here by requesting Superintendent.
I'm not supposed to move from here.
Causality duty was better than this.
What's up in there for you to be this much involved?
A young patient has admitted with fever.
He is throwing up constantly.
Hmm. You should definitely clear the exam this year, okay?
I am really fed up with this lonesome life here.
It's tough.
Shouldn't we attend when the patients get sick?
He is as young as our Nikhil.
Those who are not in a good health are not only there, but also in Dubai.
[coughs]
Who will take care of me here?
Here there are so many patients who need care for real.
I'll take care of you after them. Don't worry.
[laughs]
Sister, you can talk on phone later. Please attend him.
-Can I call you later?-Hmm.
Okay.
Put on these.
Left and right. This is right.
The body should be wrapped first. Who's coming with me?
Come.
Dear Sandeep.
I am almost on my way.
I don't even think if I could meet you.
I'm sorry.
Take good care of our daughter.
Please take her to Dubai with you.
She shouldn't suffer here lonesome like you.
Please.
With lots of love
and kisses.
Sara got it from me only.
How can it be possible? Stop your nonsense.
Aren't we the one who intubated Roshan who has passed away?
Wasn't he having the same symptoms as Sister Akhila?
I went to meet Sara straight from there.
So what?
I kissed her, man.
Hey! Haven't I told you not to enter here?
Huh? Get out.
What are you looking at? Get out.
Security! Don't be mad at him. He might have lost his way.
It's not safe here. You should not have come here.
Can you wait outside?
These three cases from the Baby Memorial hospital have been tested positive.
There are five more positive cases in the Medical College.
Besides, we are expecting the lab results for another seven.
Case number 1, Anjali Vasudevan.
She is 26 and belongs to Malappuram Makkaraparambu.
She was admitted with encephalitis with altered sensorium.
How far is this Makkaraparambu from Perambra?
Around 90-95 kilometers.
With this distance for me,
this spread doesn't look like from natural sources.
Next case: Krishna Murthy from Thachaparambil.
He is 40 years old and admitted with fever and ARDS.
He is from Mukkom Kozhikode.
Sara Yakub, she is 24 years old.
She is a house surgeon in the Kozhikode Medical College.
She showed the symptoms at the College.
Didn't anyone turn up?
There is some problem with the locals.
Local people are not allowing them as they carried the body.
They will come once the issue is sorted out.
Is it possible?
I wish it is.
Sister, It's me Vishnu. Please ask Majeed to pick up my call.
So you need Majeed now when your wife got admitted in the hospital?
That is...
Didn't she undergo an abortion upon your consent?
Why are you sounding as if it's her mistake?
She shouldn't be sick...
-...it should be you instead. -Sir.
The body of a Nipah patient is expected, isn't it?
-Hmm. -It hasn't come yet.
-So, I'm instructed to block the door. -Oh!
What should I do?
-Is it Krishna Murthy's body? -Yes, sir.
Why didn't they take it yet?
-The workers have not turned up yet, sir. -Oh!
-Okay, let me see. -Hmm.
Hey! Where are you going? You can't enter.
Sir, do you need help?
It's okay, let him in. Come.
Oh, doctors? Fine, come.
My wife is admitted here.
What's her name?
Anjali.
Sir, have you seen her?
Hmm.
Sir, how is she now? She will survive, won't she?
I am to be blamed.
It's just me alone.
Do you remember the protection kit I wore?
There won't be any difference between you and me if you wear that.
Tsk! There is no peace at all.
I feel that we will be a burden for others?
Anjali, I feel upset when somebody tries to help us.
Truly, I'm feeling guilty.
Have you noticed our wedding photo?
There is just an artificial happiness in it.
Original happiness will come with our baby.
[sniggers]
-Then life would be complete. -Are you crazy?
I don't even have the money to pay the rent.
Sir, the air blower is not working.
The smoke will be out from this blower when the body is burning.
The smoke won't go out if it's blocked.
We can't run the cremation furnace unless it is repaired.
Then take it to a graveyard.
One person at the ICU and the other at Memorial hospital has died.
The toll could rise further.
We will have to find a solution to this.
Brother, I'm trusting you always.
Okay.
I will do my level best, sir.
Tell me, sir.
What is the update?
We are taking it in the vehicle. I will call once I finish this off.
Hmm.
Two more patients have died in the Medical College; Anjali and Pradeep.
Sir.
-Sir, I will call you back. -Hmm.
You guys need not assemble here.
Only those who work come with me
Brother, tell him that we won't come.
Tell him if you have anything to say. Else he will be angered.
Who among you works with me?
Who is Rajan?
Are you ready?
-Sir, we are scared. -Why?
Sir, I need an enforcement team here.
Oh no! No need for Police.
We can't do any of our works if we get scared of the people.
We need not do anything by intimidating the public.
We already have a body in the vehicle and another one in the hospital.
We can't work if you can't support us.
Why are you talking like this?
Sir, you know that we can't work if you can't support us.
If we have to work here, you have to do the arrangement we asked for.
The work will be done if you send an enforcement team.
Even I know how to make good use of the police force.
I have sent you to avoid it.
Finish the work without spooking the people there.
No matter what.
The fatality rate of the Nipah virus has touched,
60% to 70% in other countries.
But the fatality rate is 90 percent in Kozhikode.
Hence, the government officials are worried about this.
Brother, do you have a cigarette?
Damn!
I Can't even have a smoke with this crap put on.
Sir, can you find a place for the cremation?
If so, I know people who do it.
[vehicle arriving]
Come.
This zipper should be tight with no gap.
Press it near the nose.
Is it tight? Huh?
Wear this.
[siren]
Do you want cigarette?
No, I don't smoke.
Sir, who stays in your family?
I don't have anyone.
Yes, they are. She has sent me a notice but I haven't signed yet.
Why did you stop there? Do you have anything else to ask?
Uh-huh!
What about you?
I have a wife and two daughters.
I too wanted to have kids but it won't suit my character.
I should have signed that notice.
I didn't do it yet for some reason.
[music mutes voice]
Sir...
[thundering]
-Here is the tea. -Thanks.
Didn't you buy the groceries?
What happened?
Dad has Nipah, hasn't he?
Who says so?
Siva brother said so.
He said that he won't give us the groceries anymore.
He told us not to come to the shop anymore.
Dad is all right. He has gone for duty.
No, he has Nipah and which is why he isn't coming home.
Try calling father.
[phone ringing]
Even they wanted to come here.
All of them have cleaned the well.
Nobody has come hereafter Zakariya's death.
[birds chirping]
[bucket clanging] [bats screeching]
Sister, this is tenth block. Where to go from here?
Do you know the late Pradeep's house?
You may please ask around. Pay me Rs. 70.
You'd agreed to wait, hadn't you?
Sorry, I can't. Please give me the fare.
Have this.
[birds chirping]
I expected that you'd say that you had tea already.
What do you want to know?
[clears throat]
Well... it is...
Will you answer all these questions?
Hmm.
Are you receiving the ration promptly?
They'd drop those items on the road and honk.
Do you have any symptoms?
I've been hearing this question for the hundredth time.
For the first time, you're asking it coming here personally. I am very glad.
Sir...
Think about the state of his wife.
Two persons from the same family died within the span of two weeks.
They didn't even get to see Razak's body for one last time.
They can't take it if you decide to cremate this dead body.
I don't know if you would consider our request. But you are the only one we got.
[siren wailing]
This is matter of public health.
We have to consider this only in that aspect.
We can't risk citizen's lives for the sake of religious sentiments.
I won't agree for this.
We should take the family's decision into consideration as well, right?
It's not a simple matter.
Moreover, I can't watch them suffer any further.
We can't agree with their personal aspects, sir.
Is cremation practiced everywhere in the world?
We are following the Ebola protocol, right?
Ebola spreads through body fluids.
So they are recommending to follow cremation method.
In Africa, deep burial also had been done, considering the cultural sentiments.
There is no evidence that suggests Nipah spreads through body fluids.
It infects through droplet-spread.
Do you think deep burial is safe?
In the year 1999, 105 people were dead due to Nipah, in Malaysia.
They were buried as per their tradition.
No outbreak has been reported in Malaysia after that, till date.
In 2010, W.H.O had issued guidelines
for deep burial after the outbreak in Bangladesh.
If we have a scope for traditional burial, why is this confusion again?
Though there is no confusion about it, where the land for burial?
How can we eliminate fear from the public?
Moreover, we require deep burial experts.
If the facilitation is ready,
I can send experts from the NCDC (National Center for Disease Control).
[music mutes voice]
[chanting]
What is the progress of the work which you have been for?
The doctor told Yahya that everything is fine in the X-ray.
Then why don't you remove the steel rod?
I was told that there'd be one week complete bed rest
if the rod is removed through surgery.
I didn't opt for that thinking it was better for me to have a rod instead.
Alright. It's your leg and your choice.
Put this inside.
You could have brought some Indian borage leaves, so that I would give to Zakariya.
How is his fever?
He has gone to the doctor with Yahya on his motorbike.
Look, Mr Santhan,
why do you spread false information
while the entire state health sector is fighting the virus?
Can you substantiate your point that Nipah is not spread by the bats?
What is the evidence that you have to prove your point?
Abhilash sir, can you scientifically prove that it is spread by bats?
That wasn't proven either.
These guys tested the bat poop first and earing money through that and then,
closed all the wells in the locality resulting in dearth of drinking water.
Did they stop there? No.
Now, they have changed their stance and are claiming fruit bats as the carriers.
Don't eat mangoes! Don't eat coconuts! What nonsense are they are talking!
It is a hundred percent insensibility! A hundred percent!
Enough... You are talking about sensibility! What do you know about it?
Why should I know any science behind it? Aren't you the ones who should know that?
Your words aren't proper.
Then, you tell us how and where it has originated from.
Don't you just speculate.
Alright, let's get to that later.
This is the matter that has to be proven with science.
This ain't something that can be solved through your debate.
Doctor Smrithi...
explain this to us in a scientific version on the behalf of medical department.
It's not wise to jump into conclusions in a rush,
especially at this point in time. This is what I've intended to tell you.
Inquiries are underway on Zakariya, the index patient.
Evidence is being collected about how the others contracted the virus.
Do you think these controversies are necessary, especially at this time?
This is not at all good!
My kids and husband shouldn't have suffered in this terrible manner.
Now, all of them are in heaven.
[camera clicks]
Where were you on fourth?
I went to Mananthawady. I had a class.
What is it?
Bro, do you want a pigeon?
Wait, I am coming there.
Zakariya was admitted in the Taluk hospital around 11 am.
Twelve patients were admitted in the male ward in which he was there.
Zakariya was on bed number 8.
[camera clicks]
Eight patients along with Zakariya who were there in that ward,
tested positive for Nipah and died later.
Sister Akhila was on duty on that day.
Sister, please come quickly.
[coughs]
We all know that everyone has contracted the virus on that day.
These two persons are among those remaining seven.
Zakariya's father, Razak and sister, Suhana.
[weeping]
They were with Zakariya on that day.
[weeping]
Out of the remaining five patients,
he is Lohidasudu, the patient and Rajesh, his bystander.
They were in the bed number seven... next to Zakariya's bed.
They have helped each other.
The toilet is ten beds away from Zakariya's bed.
Since Zakariya might have been to the toilet several times,
the rest of the patients might have contracted the virus.
Rajan, the patient of the bed number three,
Bystanders Prabeesh and Sunil on beds numbered 2 and 11 respectively,
have contracted the virus.
But Zakariya's mother who was there with him, did not contract the disease.
Reason: She couldn't stand the stink of the hospital...
...and covered her nose with the saree.
That has saved her.
So what about... Khadeeja?
As she was referred to the medical college,
she was discharged in the early morning on 5th May.
I am almost there. I'll be there in no time. Please wait.
I want to see my son.
Oh no! What happened to my son? Son... Son, what happened to you?
Oh Allah, please save my son.
Ma'am, please move aside. Hey, help me
Six persons arrived in the ambulance including Khadeeja.
They might have contracted the disease as well.
There was a community spread from Suhana and Razak.
We need to find out the epidemiological link of the remaining eight people.
Sir... Sir... Could you drop me at the rice mill?
Okay. Get on the bike.
-What's your name? -Pradeep.
I am Guna.
Which gear is better when we go at a speed of 20 Kmph?
It's nothing like that.
Hey... Watch out! [collision]
Ow!
-[groans] -Sir... Sir... Are you alright, sir?
Pradeep's mother told me about the accident when I went there.
-That's my son's bike.-That's why I probed further.
I have Guna's OP ticket with me.
It was on the 5th May.
It was the day when Zakariya was admitted in the medical college.
Couldn't there be a possible transmission to Pradeep, from Zakariya?
Yes, it's possible. But we can't prove anything with two OP tickets.
There was excess exposure.
We cannot confirm that everybody had come in contact with Zakariya on 5th May?
All of them were called and quarantined because of that possibility, right?
Hmm...
If we trace what happened when Zakaria came to the casualty ward,
we will get a clearer picture then. What do you say?
Yes.
After Anjali and her husband Vishnu from Malappuram Makkaraparambu,
another patient, Sneha from Chemmadu came here.
Umm... To clear some possible doubts about Malappuram, we probed Sneha in detail.
We got to know from their relatives that she came to the medical college on 2nd May
The next day, we have checked the CCTV visuals.
We found that Zakariya was at the medical college along with his mother on 2nd May.
Sneha and her mother were there at the same time.
And why was Zakariya there, on that day?
Two years ago, Zakariya's uncle had a steel rod in his leg.
They were here for a scanning to remove that rod.
Sneha and her mother came from the US for the ultrasound scan for appendicitis.
So, you are trying to say that Sneha is linked to that index patient, Zakariya?
Which is now obvious.
You told that Zakariya came to the medical college along with his uncle, on that day.
But he was on the bed at his home after his leg got a silencer-burn.
It was his brother who came to the hospital on 2nd May.
Yahya.
What are you guys trying to cover up?
There is nothing to cover up.
We are trying to dig out all the information we could.
Then, why can't you consider the possibility of a weaponised Nipah attack?
See... There are only natural resources of Nipah here.
Then, what is the relevance of such a conspiracy theory?
There is nothing to be surprised of.
Even the WHO has endorsed that Nipah could potentially be a bioweapon.
Can you say how could it be weaponised?
Madam, there are many methods.
Anthrax was transmitted by a letter.
Madam, it is politically irresponsible to move ahead without considering this aspect
Well... Where did you get this information about Zakariya?
The source of information which we got is not important.
You should be worried about why you didn't get this yet.
I have called and informed a junior assistant. He will come there.
Okay, ma'am.
-Anu, the patient that I have diagnosed... -Vishnu.
Oh!
How is Vishnu's condition?
His throat swab only was tested positive.
Blood and urine were negative.
He has got some fever but with no ARDS or encephalitis features.
He is clinically stable.
It's very confusing.
[indistinct children chatter]
Are you sleeping?
Take out that money. We have to give it back to Majeed.
We'd get 'happiness' as you said.
The thing is that...
You should have waited until my arrival.
The doctor told us not to delay, right?
So, you didn't want me to come?
Brother Majeed also told it's only possible today.
Both of you killed my baby!
[weeps]
Vishnu, we could not trace the contact of your relatives or Anjali's.
Even if you did, they would not acknowledge us.
You were brought here on May 5, that is on the day you took poison,
Was Anjali with you at that time?
Yes, she was the only one who was there.
[knocking on door] Vishnu... Vishnu...
Vishnu... Vishnu...
[knocking on door] Vishnu...
Abid.
Abid!
Good evening, Anu.
Good evening, ma'am.
As you asked me yesterday to take a follow up of Malappuram's patient, Sneha,
I looked into it and found that she's been there at medical college on 5th May.
At the same time as Zakariya.
Do you have any details proving they were there on 5th May?
Do you have any details?
No, ma'am.
I have called Sneha's mother as you have told me to do so.
We'll know correct details from the CCTV footages over there.
-Okay. -Okay, Anu. We'll see.
Okay, ma'am.
-Anu -Madam.
Haven't you started yet?
Anu? Who is she?
She is an SPM student (Social and Preventative Medicine) in the FAQ team.
[sniffling] She has done some research work on her own.
It's from her Preethi and team are getting the data.
Oh!
[sniffling]
Then ask her to give the presentation in our review meeting.
I prepared this after meeting several people and enquired them.
But to know it clearly,
we should check the CCTV footage of that day from 10 am to 4.30 pm.
And I feel that it would clear everything.
We'll handle the CCTV footage. Tell us about your findings
On May 5th from 10 am to 4.30 pm,
Zakariya was at the medical college.
I've checked if there were any Nipah positive patients over there at that time.
A junior resident over there told me that,
Zakariya was sleeping in this yellow area.
Patient Sameer, who fell from a tree and broke his leg,
was at the hospital at that time.
After that, around 11.15 am,
Zakariya was taken to the radiology department for CT scan.
As he started coughing and vomiting severely,
his bystanders got scared and taken him to the casualty skipping the CT scan.
Praveen, Krishnankutty and Sneha were there at this time.
They might have got infected from there.
Sneha, Praveen and Krishnankutty...
None of them is in the patient list dated fifth, right?
When I was enquiring,
I had collected the details of the bystanders as well.
Praveen's uncle met with an accident and was already in the ward on May 4th.
Praveen came alone to the hospital to collect the X-ray reports.
After that, Krishnankutty has brought his wife to the hospital.
They've come to get her a scan for uterus removal.
How did you know about the exact timings of their presence?
Ma'am, I've collected the OP tickets of the patients as well.
There was timing on those tickets. And I have confirmed it after checking them.
After 12 pm, Zakariya was brought back to the casualty.
He vomitted again over there.
Pradeep was also there at that time.
He came with a patient named Guna.
Zakariya, who was in the casualty, was taken again for the CT scan
around 1 pm to 1.30 pm, after getting stablised.
He was sent back again as he started trembling.
He vomitted again after reaching veranda.
[coughs]
The persons who were there at that time were Anjali and Vishnu.
After that, Zakariya was brought to the casualty around 2 pm to 2.30 pm,
got him stabilised and took him for a CT scan around 3 pm to 3.30 pm.
But Zakariya died after a few minutes after he was brought back from the scan.
By this, it shows the infection got spread through Zakariya, the index patient.
And the only patient that was remaining was Sara Yakub.
Sir, there is a gossip at the medical college. It is,
After a patient named Roshan was intubated
Abid Rahman, a PG student has met Sara Yakub.
They've been thinking that it was transmitted at that time.
Even Abid was saying so.
But I am not sure whether such transmission dynamics exist or not.
Moreover, Roshan doesn't fit the bill as a Nipah patient.
[coughs]
It's getting late, ma'am.
I'll leave now. Have to make a video call to my kids while on my way.
Otherwise, they'd sleep.
Anu, your findings were very crucial.
It doused the controversy over the patients from Malappuram.
You've done a good job!
Thank you, ma'am. Thank you.
Good night.
What if that Roshan was Nipah positive?
Then matters will be more complicated.
[door unlocks]
Sir...
Madam is quite unwell.
Is there something we could do in this matter?
Tell me.
Have you slept?
Not yet. How are things over there?
When are you coming home?
I will come over there. Just to see you.
Not now. I'll come.
Everything will settle.
50 doses of a medicine containing human monoclonal antibody.
are promised by Queensland government to deliver to us within another week.
Even though, it is in unapproved category,
it should be used in the human body on compassionate grounds.
Which means, this is the ultimate weapon to save the human life.
In Australia, people who were infected with viruses similar to Nipah,
were administered with this medicine and saved 19 out of 20 people.
But the effectiveness of the medicine against Nipah
can only be confirmed after tests.
[door creaks]
Dr Smrithi says she is willing for the trial.
Sir, as per your direction,
I've mapped 8 suspicious deaths out of 600 deaths in the Kozhikode corporation limit
between 5th and 17th of May. Roshan is also in this list.
[sighs]
Thank goodness, it's only eight.
Sir, shall I keep it here?
No, you hand it over to Anu.
Anu? Who is she?
Who is Anu?
Hmm... Sir.
I am asked to give it to you.
So you are that 'detective', right?
Sir, I have checked only four patients from the list.
That's enough. They are the ones who are in the next stage with Nipah symptoms.
Sudheesh and Charles can be seen in the footage.
The woman standing behind is Geetha. She stays near CCTV beside CT scan room.
She is one of the staff in the radiology department.
She might have contracted the infection when Zakariya was scanned.
Now, it is just Roshan who is left.
Ascertain whether they came to the medical college for a checkup.
You may seek the help of the cyber cell, if needed.
Okay, sir.
On 5 May, Roshan has made phone calls to Nabeeth and Vipin several times.
The name Nabeeth appears in the list but not from Koduvalli.
There are eight people named Vipin in the direct contact list.
Yes, Vipin... Let me see.
This one... Call Vipin, the ambulance driver.
Okay.
You are Vipin, aren't you?
Are you from the cyber cell or the health department?
How do you know Roshan?
He is my friend.
On 5 May, he had called you several times, right?
Yeah, he needed my vehicle.
Did Rohan visit Perambra Hospital?
No, when returning after a trip, I picked him up and together, we went to Kakkayam.
-He had somebody to meet there. -Did he have Nipah?
Is he your friend too?
No, not mine.
Are you too an ambulance driver?
No, I do no work.
[door unlocks]
[engine starts]
[mobile phone rings]
Sajith.
Abhi, Sara is conscious now.
Have you seen her?
No, Harris told me. It was his shift.
Now, it's mine. Do you want to go?
Yes, I'll come. I want to see her.
Hmm...
[exhales]
[Hindi song playing in the car stereo]
Oh crap!
-What crap! -Why did you stop?
-What happened? -It is...
-This is also a better version. -This one?
The description of jasmine flowers in the Telugu version would be heavenly.
The same description in Hindi gives the same sense.
It gives the same sense? Huh?
It sounds good in Hindi as well, right?
-What? Hindi? -Yes.
Speaks in Hindi: Both of you get down after this bridge.
[laughs]
Play that song.
[Hindi song playing in the car stereo]
Peace be upon you, Sara.
You will survive somehow, for sure.
20% to 30% of the people have survived.
You'll recover and become normal like them. I have that faith.
And you are doing really better.
I love you, Sara.
I'm unable to find a way to express my love to Abid.
If I propose him, he will tease me with his taunts.
Anu says that Sara's infection has nothing to do with Abid.
If so, we need to know whether she had gone to radiology or casualty on 5 May.
She was in paediatrics during the first week of May.
There is no chance of going there.
Where is Sara's phone?
I had taken it to the room from the library. But now the room is sealed.
What to do?
[clatters]
This is the photo taken on Sara's phone on May 5
It is a CT scan report.
She has sent this image to her relative on Whatsapp.
The timestamp suggests the chances of Zakariya being there at the CT scan room.
If that's the case, Sara might have contracted it from that room.
Hmm...
-Can you send it to me? -Hmm.
-Okay, done. -Okay.
Hello.
Doctor, there is a good news.
The test results of Dr. Smrithi are negative.
Oh! Thats great.
Sara Yakub is our best survivor yet.
She is improving too.
Vishnu also seems stable
and there are no reported cases for the last four days.
What does it say?
Huh! It says nothing until this day passes.
[coughs]
[spits]
[coughs]
-Take me to the Medical College. -I am not going.
-Then why are you wearing this uniform? -Didn't I tell you I am not going?
[coughs]
Don't stop! Don't stop! He has Nipah.
Go away.
[coughs]
-Who has Nipah?-Somebody stop him.
Somebody stop him, sir.
-[coughs] Who has... Who has Nipah?-Go away.
-Hold him -Huh?
-[coughs] Me? Me? -Hold him. Hold him.
Ow!
We will share the location on WhatsApp.
You send the ambulance ASAP.
[laboured panting]
My head is aching. My head is aching.
[coughs]
The pain... Uff... started now.
[groans]
I can't bear it.
I can't... I am unable to bear it.
Sister... Sister...
[groans] Sister...
I am unable to bear it. [groans]
[coughs]
I am unable to bear it. [groans]
[coughs]
Sister... Sister... Where are you taking me?
Sister... Oh no! Take me slowly...
We couldn't take throat swab as Unnikrishnan didn't cooperate.
After he got stabilised, his sample was taken and sent to the lab.
If Unnikrishnan reports come positive
and we don't trace the link to the index patient, Zakariya,
then, we will have to worry.
Can you elaborate?
It can either be a new cluster or
it can be the next attack from the terrorists.
Hey, please don't try to politicize the situation.
We shouldn't be risking national security for your political scheming.
A virus may not be necessarily weaponised by the terrorists.
It can be the work of medical mafia as well, right?
I mean... there is this kind of theory as well.
We have to test the genetic similarity of
Unnikrishnan's virus to that of Zakariya.
If they have the same genome,
we have to prove the epidemiological link between both of them.
If they are not the same,
we cannot strike off the possibility of a weaponized attack, as she said.
If Unnikrishnan is the index patient of another cluster,
a similar number of patients and even deaths could be repeated.
And in that case, we need to reinforce quarantine measures.
Moreover, we haven't even identified the source of the virus in Zakariya's case.
Zakariya, after his return to India from his long stay in foreign countries,
spent most of his time with animals.
Moreover, he used to visit nearby forest areas like Janakikkadu.
He had more than six SIM cards
and four mobile phones.
According to my report,
he is a highly religious person.
I am getting more pressure from the defence ministry.
If you cannot prove otherwise
in a week,
the office of the defense ministry will take over this whole mission.
If something is there to be found out by the police,
the government will do it with the help of them for sure.
But, if they threaten us politically,
we need not give in to their demands.
That's all.
The incubation period from Zakariya is ending today.
If we think optimistically,
the possibility of Unnikrishnan being a secondary case from Zakariya
is still remaining.
-Aren't you done? I need to go. -In a minute.
Son, some caller named H.I.5 has been continuously calling you.
Mom, it's not H.I.5.
It is high-five!
Hey, shut up!
Who is he?
It's my friend, mom. Have you ironed my red T-shirt?
Yes.
-I have to leave. Serve me tea, mom? -Yes.
-Who is that? -Haifa!
-Who? -Haifa!
Haifa?
When was the last time you saw him? Do you remember?
We did not know anything until she said, sir.
We will go inside. Let her talk freely.
I don't have such issues, dad.
We had been to Vayalada.
Do you remember the date?
Last week of April.
Hmm.
Is this Zakariya's number?
Yes, he used to call me from this number.
Zakaria had more phone numbers? Was he having any problems?
What's it to do with you if he was having more phone numbers?
He had many debts.
Once he called me from another number but asked not to save it.
Why didn't you tell your parents? Had Zakariya asked not to?
No. Zakariya had already told his family about us.
It was me who delayed it.
[camera clicks]
[humming] Here...
-One more thing, if anyone sees us...
-Whoa! -Hey...
-[laughing] -Don't laugh. Hold this.
-Ouch! I got a burn by the silencer. -Oh! Is it severe?
Slightly.
I tried calling you but it was unreachable.
I don't use the phone anymore.
It was my boy who spread it to all? Wasn't it?
Can you please put Yahya in touch with nurse Akhila's family?
Sure, ma'am.
I need to know something else.
-It is... -What is still there to be known?
When you keep coming frequently and ask questions,
people around would be furious at my kid.
Mom, he has a lot of work to do.
What you need is in our homestead.
Come, I'll take you there.
Where was Zakariya living in Dubai?
At first, he had a job in Sharjah.
When he was fired, he used to stay in a friend's house, in Dubai
May be for 3 to 4 months.
What was caged in that?
Rabbits.
There were two rabbits named Ramesh and Suresh.
Some animal killed the rabbit named Ramesh.
After that, Suresh was kept inside the cage.
Later, it was taken away by someone like you for some tests or so.
You must have come here after going through his social media accounts, right?
Is meeting Akhila's husband just your mother's wish?
We might be of some use to help their daughter, right?
[gunshot] [wild boar squeaks]
Hey, come on guys.
[wild boar grunts]
[pants]
Hey, come on guys. Come, quickly. Come.
No, madam. I had told him.
It's illegal to hunt the wild boar or deer.
Don't we know Salman Khan's case?
I told him that powerful people like him have someone to help him.
And asked who was going to help us.
Upon saying that, all of them came back with me.
Then?
Then we cooked a chicken here and had it.
After that, I have not seen him.
We are not close friends.
Is there any problem? What happened?
Unnikrishnan told us that you guys ate the meat of the wild boar.
If it is the cause of his infection, you also stand that chance.
All right, then.
I will tell you a truth, madam.
One day, he came here with a gun
and said come, let's go for hunt.
Had I not gone with him, he would have shot me.
Please do not report this, madam.
Forgive me.
[birds chirping]
You'd asked me to come by the evening when I called in the morning.
Umm... What's the matter?
I want to get some information about Unnikrishnan.
He doesn't live here.
This is my husband Govinda Menon's house.
He is no more.
Unnikrishnan doesn't come here?
My husband asked him not to come home.
Some days ago, he came and gave me some money
but I have not touched it yet.
I am a little busy. See you.
[mobile phone rings]
Tell me, brother.
Yes. Well...
There are people who saw Unnikrishnan,
the one you were looking for, at the Taluk hospital on 4th May.
But there is a woman who confidently claims that she saw him 2nd May.
-The autorickshaw is here. -Okay.
-Board it. -Okay.
I'll follow from behind.
Come to the Taluk hospital. Okay?
[autorickshaw starts]
Are you sure it was on 2 May? [sewing machine whirring]
Yes, I am sure
because my son's result came out on that day.
Can you stop pedalling for a while and talk?
Though the opening date of schools is uncertain,
people are pressurising me to stitch school uniforms.
Schools won't open soon.
It's a matter of the safety of our kids. We'll be more careful.
Please give way. Please clear off.
Why are you so late, sister?
Don't you know how to treat for a dog bite?
He is a kid. Do some treatment quickly.
I came now, right. I know what to do. Don't shout.
Don't be scared, son.
Close your eyes.
Close your eyes tightly.
[thud] Oh no! What happened?
-What happened? -Huh?
Fine, we will leave.
-Please try to find that OP ticket. -Okay.
-In which grade are your kids studying? -I don't have kids, madam.
This is a map I prepared using the information collected by Anu as well.
Zakariya and Unnikrishnan travelled a lot in the last month.
They have crossed their paths several times
at places like Perambra, Vayalada, Janakikkadu and Balussery.
At none of these crossing points, they had met
each other on same date and time.
So we cannot establish a physical connection between them.
But the only striking similarity between them is
both of them are fond of forests and animals.
Those they are in different places,
the possibility of them having contact with Nipah reservoirs is high.
Do we have any evidence for this in that aspect?
Not yet.
We did not get anything substantial from the examination of Zakariya's pets.
I was told that Unnikrishnan had gone for wild boar hunt and ate it.
But he hasn't done it for the last two months.
The problem which arises in this matter is that,
we cannot ignore if a conspiracy theory pops up
using the travel history of both Zakariya and Unnikrishnan.
How is it possible, sir?
Most death reports are from the areas where both of them had recently travelled.
Moreover,
there might be an allegation that they are part of the same network.
Contact between them may not be necessary
and there might be arguments for that, as well.
Fruit bats from the locality are being tested for the source of the virus.
If it comes negative,
we should think of another way.
No, we don't have time for that.
Unnikrishnan.
She is Dr Anu. She wants to talk to you.
You have come to treat the disease.
Why should I talk to you?
You just treat it!
I need to know how you have contracted the disease.
Only then, we can provide the correct treatment.
Err... Err... Err...
I don't know.
Do you know Zakariya?
[coughs]
You mean the late Zakariya?
Did you see him?
I haven't seen him.
Do you have the habit of hunting an animal and eating its meat?
Can you tell me when was the last time you have hunted down an animal and ate it?
What's the use of remembering it?
It has come out of the body on that day itself, right? [coughs]
Why did you go to Perambra?
I don't remember anything.
Why are you harassing me?
I've met your mother.
She has not even touched the money you gave her.
Why is it so?
[sobs]
I am a dying a person.
But you are asking these questions on the pretext of saving me.
Are you guys, even doctors?
[sobs and coughs]
Go away, go.
[sobs and coughs]
Go away, go.
[coughs]
Look here.
You, who is confined at home,
are feeling jealous seeing this beautiful landscape, right?
See how beautiful this place is. Look.
Let me tell you something.
This is just like the place which we have been in the school excursion.
Are you kidding me?
This is not the place which we have been in the school excursion.
Well, what is your new Instagram story all about?
You've posted a photo saying 'Identity this creature'.
I didn't understand anything about it.
Try identifying it.
My followers might have smartly identified it.
How many followers do you have?
How many people saw that story?
It has even hit a century, you know! Wohoo!
It is not tough to gather 33K followers.
I am just 300 followers away to that mark.
I am not a celebrity like you.
Ah! Please sit.
This flash drive has all the videos and the photos he had sent to me.
Hmm.
-See you. -Okay.
[coughing and retching]
[spits]
[coughs]
Don't booze today. First, go to a hospital.
I was vomiting and having nausea due to headache.
I haven't eaten anything since morning.
-[coughs] -Visit a hospital.
Something might have happened to you.
[coughs] What are you guys, talking? What are you saying?
-Give me a drink. -Hey! Leave this place first.
If you have contracted the Nipah, it would be a problem for everyone.
[coughs]
Hey! Do I have a Nipah? Nipah, you dog?
Hey...
Have you gone mad?
[bike starts]
Are you having fever?
Fever section is over there. Go that way.
Take the seat.
Remove the mask.
Put it there.
Doctor, my mother has no one except me.
I am not married.
How long have you been having a fever?
Since yesterday.
Are you from Perambra?
No.
Have you been to the medical college on 5th May?
No.
Have you attended any funerals?
No... No.
The insurance seems to be expired. Go, show it to him.
Sir, check him. Go.
[indistinct walkie-talkie blipping]
Hello. Pull over. Where are you going without a helmet? Huh?
I am unwell, sir.
Are you drunk?
Hmm. I am drunk, sir.
-Blow, man. -[coughs]
Sir, I have Nipah.
What?
Nipah?
Just blow, man.
Take a deep breath and blow.
-Come on. -[coughs]
He had high temperature when came.
Now, it's under control. His breathing is normal as well.
Is he agitated?
No. Senses are normal.
But he's been trembling out of fear.
-Hmm. All right. -Okay.
How many patients are there in the observation, along with him?
Currently, he is the only patient.
My body might not be handed over to the family, isn't it?
You have only a slight fever.
The test result would be negative, not positive.
[sighs]
I know, doctor.
I know...
Otherwise, you wouldn't have come wearing this.
Tell me about Unnikrishnan.
Unnikrishnan... is a dimwit.
His last case was a bike jacking.
Is he a thief?
Not a thief per se. He took a bike from a garage and did not return it.
That's is the reason behind this case.
Later, we found the bike in Kakkayam.
No, when returning after a trip, I picked him up and together, we went to Kakkayam.
He said he had somebody to meet there and went.
[indistinct phone ringing]
Did you ask Vipin why he went to Kakkayam?
No.
-Sadiq. -Sir.
-Call to the number which Anu gave. Okay, sir.
[heavy breathing and coughing] I am unable to bear it.
[coughing]
[groans]
[coughing]
Mother...
[coughing]
Ow!
Are you going to tell us on your own or do we force you?
Sir, I know nothing.
I thought it was a normal thing.
What was that abnormal activity happened over there?
Roshan calls me only when there is an exchange of money.
He thinks my vehicle to be safe.
When I go with him, I too get some bucks.
I thought we have been to Kakkayam for the same work.
I did not know it was counterfeit notes.
What was Unnikrishnan's role in this?
Unnikrishnan?
Which Unnikrishnan?
If Abhilash interrogates him bit harder, he will spit it out about Unnikrishnan.
It would be better for us if he knows about Unnikrishnan.
So Kakkayam gives us nothing.
Some days ago, he came here and gave me some money
But I have not touched it.
Sir, let me tell you something.
Unnikrishnan's mother told me that he had given her some money
when he has been there for the last time.
As per acting on Anu's information,
we've been to Unnikrishnan's house and seized these are the counterfeit notes.
We have compared the notes that we have seized from Vipin
and it turned out that, they are from the same series.
In another words,
Roshan and Unnikrishnan got infected by the same transmission.
So the last patient Unnikrishnan, and the index patient Zakariya
are linked through this ambulance.
[singing folk song]
[phone ringing]
[singing folk song]
Tell me, brother. Have you reached? I am coming.
[singing folk song]
[door unlocks]
Mind a drink, brother?
Not now, have to go quickly. Just give the money.
Hmm.
-All right. -Okay.
See you.
[birds chirping]
These are the photographs we got from Zakariya's girlfriend, Haifa.
This photo is Zakariya's Instagram story of 20th April.
This photo with the tagline 'Identify this creature?'
has been decoded by the cyber police with the help of the zoologists.
This photo is very confusing.
Moreover, it is a mammal.
In plain sight, its anatomy seems like
a baby of some animal such as a rat or a squirrel or a dog or a fox.
As the surface in the photograph is an asphalt road,
the possibility of it being a flying creature was minimal.
But in a closer analysis,
this portion on the left side seems like a small wing.
The bats which are called as flying foxes are mammals, right?
Upon further analysis,
it suggests that it is a longer snout that is used to feed on nectar.
As per that observation,
we understand that it is a fruit-eating bat-pup, as per this photo.
When we have examined the bats found in the Perambra region,
20% of these fruit-eating bats have been identified as Nipah reservoirs.
Nipah virus secretion would be higher during their breeding season.
There are chances of high secretion of virus when bats get panic when they fall.
This is the nearest convincing scientific explanation
for Zakariya's exposure to the virus.
All other allegations remain as rumours without any evidence.
[waves rustling]
[mic echoes]
Sir, Sara Yakub and Vishnu Bhaskaran, both are negative.
Ah! Very good. Please email me those reports.
Madam, please wear the PPE kit and enter.
I want them to see me as a human.
But madam,
We should wear the PPE kit while visiting the patients.
That's the procedure.
They are no more patients.
Come, let's go.
Sara.
Vishnu.
Before coming here to speak,
I have held Sara's and Vishnu's hands.
But I didn't really want to leave their hands and come here.
The reason is nothing but
the energy that I got seeing both of them,
who have been saved from Nipah.
No distress can defeat us anymore.
Bro, what's the price of this bag?
Today, we are sitting close and tight here.
Some days ago,
we were scared of gatherings.
From those fearful moments,
we've been made to be together like this.
And it is our struggle that brought us here.
In this struggle saga,
we have 21 martyrs including Sister Akhila, who laid down lives in this fight.
Not having them with us now
is an unbearable pain for us.
When we wanted to know how Nipah got spread,
we found out that,
the persons who came forward to help
the suffering patients,
were also contracted with the virus.
This is an unbearable misfortune.
At that time,
the existence of the compassionate and helping heart
gave us the courage to confront, fight and triumph over this tragedy.
The death of Sister Akhila
would remain as a lesson to us.
Finally, at this time,
what I want to inform you officially is that,
I, hereby declare, that the districts of Kozhikode and Malappuram
have become free of Nipah virus.
[applause]
[birds chirping]
[camera clicks]