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WHO chief Tedros Adhanom Ghebreyesus said the outbreak has spread across six provinces and 55 health zones, with deaths occurring outside treatment centres and among people not on known contact lists.

The state has recorded 39 laboratory-confirmed Chandipura infections since June 30, with testing completed for 212 of 225 suspected cases and results awaited for 13 samples.

A departmental inquiry found that a nursing staff member conducted the delivery without a qualified doctor's supervision, prompting action under the Clinical Establishments Act and recommendations against hospital staff.

The action follows hygiene lapses reported during inspections, with Railways introducing stricter monitoring, QR-coded meal packets, audits, and upgraded kitchens to ensure safer food services.

The court expressed dissatisfaction with the pace of the renewed probe and directed the agency to examine all aspects of the case independently, without relying on earlier findings.

The investigation will examine alleged fake treatments, unnecessary procedures, claim manipulation, and hospital irregularities across districts while reviewing approval systems and recommending reforms to prevent future healthcare fraud.

The multidisciplinary team comprising experts from NCDC, ICMR, and DAHD will assess epidemiology, clinical management, laboratory coordination, and vector surveillance in affected regions.

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