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The condition of all 16 infected children is satisfactory, she said.

“Shigella is a routine occurrence during the monsoon. From January till now, there have been 12 cases, and the recovery rate has been good,” Anu Kumari said.

The new confirmed cases included three in Thiruvananthapuram — in Puthenthoppu, Thonnakkal and Chakkai localities

Around 38 students are undergoing treatment at the Government Medical College Hospital, Parippally, for symptoms of Shigella, including diarrhoea, vomiting and fever.

The latest cases have pushed the total number of confirmed infections among students in the district to eight.

Kerala Health Minister K Muraleedharan said poor sanitation and contaminated food or water can increase the risk of Shigella transmission.