Two suspected cases of Nipah virus reported from a second Indian state

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However, one more patient from Malappuram was confirmed of being infected with the Nipah virus here on Wednesday.

Nearly 100 people have been quarantined inside their homes in the state, which is a popular tourist destination.

Nipah virus infection in humans has a range of clinical presentations, from asymptomatic infection to acute respiratory syndrome and fatal encephalitis.

"In the Bangladesh and India outbreaks, consumption of fruits or fruit products (e.g. raw date palm juice) contaminated with urine or saliva from infected fruit bats was the most likely source of infection", the World Health Organization explains. Two brothers from the family died on May 5 and their father is also infected and being treated in hospital.

Medics wearing protective gear examine a patient at a hospital in Kozhikode in the southern state of Kerala, India May 21, 2018.

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Officers of the Health Department, Animal Husbandry Department and Forest Department arrived at the Burma Papadi School, following a directive from the Deputy Commissioner, and took samples from the dead bats for further investigation.

Eleven people have died in the outbreak, Rajeev Sadanandan, additional chief secretary for Kerala's Department of Health and Family Welfare, told CNN. Lini Puthussery, 31, whose "selfless service" is being hailed as "heroic" left a note for her husband before dying.

Private hospitals were asked to take special care in this regard, an official release said. "Lots of love", she wrote.

This is the fourth death in Moosa's family.

The Kerala Health minister also said there was no need to be afraid of bats and their habitats should not to destroyed. "Health officials in every district are prepared to face any emergency situation", she added. "As the virus has spread in north, its impact is not being felt in south Kerala".

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State Health Minister K K Shailaja Teacher said, "As of now, we have test results of 18 samples". Encephalitis and seizures occur in severe cases, progressing to coma within 24 to 48 hours.

"Travelling to any part of Kerala is safe".

The state government has also issued an advisory, asking travellers to avoid visiting the four districts of Kozhikode, Malappuram, Wayanad and Kannur.

This medicine is the only one which could control the Nipah virus to some extent. Bats act as the host of the virus, which spreads to other animals through their excreta or droppings.

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