The children go to sleep as best they can in the sweltering heat. Early in the morning, the fever spikes and the seizures begin.
This year, at least 97 children have died, most of them under the age of seven, said Alok Ranjan Ghosh, a senior government official in Muzaffarpur. About 100 more remain in hospitals. The deaths represent the worst toll since 2014, according to figures provided by a state health official. The illness has been observed in the area since 1995, Kumar said, flaring up during the Indian summer when temperatures soar and subsiding with the arrival of the rains and somewhat cooler weather. Children are arriving at hospitals with critically low blood-sugar levels, he said.
A recent study conducted by India’s National Center for Disease Control in conjunction with the Centers for Disease Control and Prevention in the United States pointed to a different possible cause for the illness. The area around Muzaffarpur is a major litchi-growing region, and the study found that toxins occurring naturally in the fruit were a plausible source of the illness, especially when children failed to eat an evening meal the day before becoming sick.
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