kochi ayurveda and homeopathy doctors who come across patients with fever or othersuch symptoms need to refer them immediately to an allopathic doctor labour department has been asked to increase surveillance in areas where migrant labourers stay stated a release issued by the state governmentmeanwhile doctors and staff at ezhikkara block primary health centre within which vadakkekara panchayat falls have been given adequate training the first confirmed case of nipah came from here this year with 311 persons under surveillance now health department has prepared an action plan for 21 days for them all the government employees in the district will be given special training on wednesday to identify patients with feveron tuesday afternoon health minister k k shailaja met various department representatives mainly animal husbandry labour and forest asked them to increase surveillancebesides organizing camps on alternate days at places migrant labourers stay to check for symptoms of fever and cough labour department was asked to keep awareness posters in their regional language at labour camps also they have been asked to identify migrants who know malayalam to create awareness among the groupanimal husbandry department besides being asked to report unnatural incidents over the past three weeks was told to ensure that pig farms are set in such a manner that they dont come in direct contact with bats also it has been asked to ensure special surveillance at all farms even forest department has been asked to increase surveillance