The Ministry of Health and Family Welfare on Thursday has announced that there is a spike in the number of cases of leptospirosis acute diarrhea and dengue in the flood-hit state of Kerala and that the Centre is closely monitoring the situation. The Union Health Minister J.P. Nadda along with other ministry officials reviewed flood relief measures and said the Centre is coordinating with the state. According to the ministry the Centre will be sending 30 specialist doctors 20 general duty medical officers and 40 Malayalam-speaking nurses who will be arriving in Kerala on Friday. Also 12 public health teams each