Kerala health officials confirmed seven additional Shigella cases among school students in Wayanad, bringing the outbreak total to 16 as preventive measures expanded district-wide.
Infectious disease specialists said the uptick indicates person-to-person spread within classrooms and shared meal settings rather than isolated food poisoning.
Authorities distributed chlorine tablets for household wells and dispatched mobile medical units to hamlets with limited transport to tertiary hospitals.
Parents were advised to keep symptomatic children home for 48 hours after fever subsides to reduce recurrence in densely packed school buses.
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