Tue May 20 14:44:08 UTC 2025: Here’s a summary and a rewritten news article based on the provided text:

**Summary:**

Ernakulam, India, is experiencing a dengue fever outbreak. Since May 1, 2025, there have been 440 suspected and confirmed cases, resulting in two deaths. Rural areas are particularly affected, with several panchayats reporting a high number of cases. Health authorities are urging local bodies to implement control measures, raise awareness about stagnant water breeding sites, and initiate source reduction efforts. The outbreak peaked on May 13th with 51 new cases.
**News Article:**

**Dengue Outbreak Claims Two Lives in Ernakulam, India**

**KOCHI, INDIA – May 20, 2025** – A dengue fever outbreak in Ernakulam district has resulted in two deaths and a total of 440 suspected and confirmed cases since the beginning of May. According to official sources, a 72-year-old woman from Rayamangalam and a 46-year-old woman from Thuravoor succumbed to the disease on May 13th and 16th respectively.

The majority of cases have been reported in rural areas, including Kanjoor, Alangad, Edathala, Rayamangalam, and numerous other panchayats. Within city limits, Kadavanthra and Kaloor have also reported cases. The peak of the outbreak occurred on May 13th, with 51 new cases reported that day. The district is currently averaging 23 cases daily.

Local officials are taking action. Ajayakumar N. P., president of Rayamangalam panchayat, stated that control measures, including fogging and cleaning initiatives by health workers and ASHAs, have been implemented in the heavily affected wards of Valayanchirangara and Pulluvazhi North.

Health authorities are urging local bodies to intensify awareness campaigns, educating residents about eliminating stagnant water sources around homes and apartments, which serve as breeding grounds for mosquitos. Specific breeding sites identified include flower vases, refrigerator water trays, and improperly covered overhead tanks. Source-reduction measures are being emphasized to curb the mosquito population and prevent further spread of the disease.

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