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THIRUVANANTHAPURAM: Four more persons affected with rat fever died in the state on Friday, taking the toll to 45 in the period from January to September. Of the four deaths, two were reported from Ernakulam, one was reported from Malappuram and one from Alappuzha. Apart from these deaths, seven new cases of rat fever were reported from various parts of the state. Of the seven, three were reported from Ernakulam, one from Palakkad, two from Malappuram and one from Kozhikode. In the case of Hepatitis, 47 cases were confirmed, of which eight cases were from Kottayam. However, the situation in Ernakulam district seemed to be under control with just one new case confirmed on Friday. While no new cholera case was reported from anywhere in the state, one case of dengue was reported from Wayanad.
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