Kerala is facing a rise in brain-eating amoeba infections , but increased detection efforts, including CSF analysis, explain the surge in reported cases. While the condition has a high mortality rate globally, early diagnosis and treatment in Kerala are improving outcomes. In India 's Kerala , the local health department has sounded an alert in the Kozhikode district after a nine-year-old girl died of a rare brain - eating amoeba . As per reports, the region in recent days has seen three back-to-back cases of primary amoebic meningoencephalitis (PAM). The three cases included a three-month-old baby. Kerala has confirmed 67 cases and 18 deaths due to brain-eating amoeba this year, according to revised figures. Health Minister Veena George prompted urgent water safety and preventive measures. Kerala new brain - eating amoeba cases: In the initial stage, the symptoms of primary amoebic meningoencephalitis (PAM) include headache, fever, nausea and vomiting. How do people generally contract it, and what does prevention entail?