Evidence map›Paper›PMID 41716716›Full record

ArticleThe Lancet regional health. Southeast Asia2026

Long-term sequelae and functional outcomes in the largest cohort of Nipah virus survivors in Bangladesh.

Wasik Rahman Aquib, Utpal K Mondal, Arifa Nazneen, Dewan Imtiaz Rahman, Shadman Sakib Choudhury, Tonmoy Sarkar, Smita Sarker, S M Zafor Shafique, Ariful Islam, Arifur Rahman Bablu and 18 more

Abstract read
In one paragraph

Article in The Lancet regional health. Southeast Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Wasik Rahman AquibInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Utpal K MondalInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Arifa NazneenInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Dewan Imtiaz RahmanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Shadman Sakib ChoudhuryInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Tonmoy SarkarInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Smita SarkerInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
S M Zafor ShafiqueInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Ariful IslamInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Arifur Rahman BabluInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Muhammad Rashedul AlamInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Faruq AbdullaInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Nazrul IslamInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Md Kamal HossainInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Ayesha SiddikaInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Carolyn ClarkCoalition for Epidemic Preparedness Innovations (CEPI), Oslo, Norway.
Vijay ZalaCoalition for Epidemic Preparedness Innovations (CEPI), Oslo, Norway.
Neil CherianCoalition for Epidemic Preparedness Innovations (CEPI), Oslo, Norway.
Kamal Ibne Amin ChowdhuryInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Sharmin SultanaInstitute of Epidemiology, Diseases Control and Research (IEDCR), Dhaka, Bangladesh.
John D KlenaViral Special Pathogens Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States.
Mohammed Ziaur RahmanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Mustafizur RahmanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Stephen P LubyDivision of Infectious Diseases and Geographic Medicine, Stanford University, CA, United States.
Joel M MontgomeryViral Special Pathogens Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States.
Tahmina ShirinInstitute of Epidemiology, Diseases Control and Research (IEDCR), Dhaka, Bangladesh.
Sayera BanuInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.
Syed Moinuddin SatterInfectious Diseases Division, International Centre for Diarrhoeal Disease Research (icddr,b), Bangladesh, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since 2001, Bangladesh has experienced recurrent outbreaks of Nipah virus (NiV) infection. While acute-phase manifestations are well documented, long-term clinical and functional sequelae poorly characterized. Methods: We conducted a cross-sectional assessment of 52 adult NiV survivors in Bangladesh between November 2021 and February 2022 to document the persistence, severity, and functional impact of post infection symptoms. Symptom history, clinical evaluation, and functional status were assessed using structured questionnaires and the Washington Group Extended Set on Functioning (WG-ES). Findings: All the survivors reported fever during acute illness, with frequent symptoms including headache (71%), severe weakness (67%), and altered mental status (44%). Following recovery, survivors reported a wide range of symptoms including sleep disturbance (58%), gait disturbance (54%), chronic fatigue (52%), memory and concentration difficulties (54%) and myoclonus (48%). Neurological, musculoskeletal, and respiratory symptoms persisted with varying severity and chronicity. Functional assessments revealed notable disability in several domains, particularly anxiety (48%), mobility (31%), and cognition (25%). Although post-infection symptoms were common, 65% of survivors met criteria for disability in at least one functional domain, and 48% had disabilities across multiple domains. Interpretation: These findings highlight the substantial and enduring burden experienced by NiV survivors in Bangladesh. The range and persistence of sequelae in this cohort appear broader than previously documented in Malaysia-Singapore survivor studies; however, methodological differences limit formal comparison. As the largest clinical and functional assessment of NiV survivors to date, this study provides essential evidence to inform long-term care strategies and underscores the need for survivor-focused rehabilitation and monitoring in outbreak-prone settings. Funding: This study was supported by the Coalition for Epidemic Preparedness Innovations (CEPI) (Grant No: GR-02160). The funding body had no role in the study design; data collection, management, analysis, or interpretation; writing of the manuscript; or the decision to submit the manuscript for publication. The views and conclusions expressed in this manuscript are those of the authors and should not be construed as representing the official viewpoints of CEPI or the U.S. Centers for Disease Control and Prevention.

Indexed as

BangladeshNipah virusNiVSequelaeSurvivors

Identifiers

PMID41716716
PMCPMC12915286

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.