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		 Authorities in Karachi have launched an urgent 
		investigation after a rare waterborne 'brain-eating' amoeba killed 10 
		people in four months, officials said on Tuesday.  
		 
		The water company and health officials monitoring water in the city have 
		been ordered to trace the source of the Naegleria fowleri outbreak. 
		Southern Sindh Health Minister Saghir Ahmed said the drinking supply, 
		swimming places and facilities used for the ritual ablutions were all 
		under investigation. "There is no reason to panic and citizens should 
		stay calm and take precautions," he said. 
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		Shakeel Malick, a Health Ministry official, said the amoeba had caused 
		10 deaths so far this year. He said there have been cases in the past, 
		but so few that detailed numbers were not recorded. The amoeba causes 
		primary amoebic meningitis, a disease with a fatality rate of over 99 
		percent, said Faisal Mehmood, an expert in infectious diseases. 
		 
		Naegleria fowleri is found in warm freshwater and usually infects people 
		when contaminated water enters the body through the nasal membranes and 
		destroys brain tissues. Symptoms are initially very mild, including a 
		headache, stiff neck, fever and stomachache. Death usually occurs five 
		to seven days after infection. 
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		Saghir Ahmed said that people should use boiled water for ablutions 
		while the outbreak was going on, as it involved putting water inside the 
		nose. The World Health Organisation (WHO) said nine cases had been 
		confirmed and one more was suspected. It is working with Pakistani 
		officials to investigate the cases and work out steps to prevent further 
		infections. 
		 
		"We are visiting houses of the victims and profiling their history," 
		Musa Khan, WHO's head of disease early warning system in Pakistan, told 
		AFP. 
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		Authorities are planning an awareness raising campaign among health 
		workers and the public, Khan said. Most health centres had already been 
		alerted, he said.   |