NAM-V

**NAM-V**, the **NAM virus**, or the simply the **virus**, is a viral outbreak which began in Garganta and eventually spread across the planet. In symbiosis with the parasites, it is the primary antagonist in GTFO and responsible for the sleepers and other environmental hazards encountered throughout The Complex.

Within Garganta, NAM-V was colloquially referred to by a number of names, including: "*The Garganta Flu*"; "*The Stoops*"; "*Stoop Throat*"; "*The Pits*"; and "*stoopers*". By March 2053, the name *The Stoops* had extended outside of Garganta into common vernacular.

NAM-V's behavior and spread appears to be the same regardless of worldline.

## Symptoms

Whilst the exact symptoms and lifecycle of NAM-V are unknown, NAM-V initially presented with "influenza-like symptoms:"

* Malaise
* Lethargy
* Exhaustion
* Trouble focusing ("daydreaming" and "wandering" behavior)

By March 2053, the symptoms of NAM-V, as it spread globally, were considerably more severe:

* Haemoptysis (coughing up blood)
* Muscular spasms
* Frothing at the mouth
* Violent behavior
* Extreme lethargy or drowsiness
* Depression
* Vomiting

By November 2055, "deformation of the spine" was added as an additional symptom.

Whilst "psychological disturbances" are not an official symptom of NAM-V, hallucinations have also been reported.

## Infectivity

The mean incubation period of NAM-V is 18 days, and varies with age. However, a "stall" in virus occurs in 46% of cases, lasting between 18 days and 12 months. When stalled, the patient remains infectious even without the symptoms. The longer the incubation period, the statistical likelihood of that patient developing some kind of cellular mutation.

NAM-V initially had an R-Naught of greater than 9, which was later revised to 17. An infected person may remain a carrier even after recovery.

The risk of contracting NAM-V are substantially higher in inadequately ventilated spaces.

## Prevention

Based on the World Health Organization guidance:

* Wash hands regularly
* Wear a mask
* Practice social distancing
* Inform local authorities of any known cases of NAM-V

## Treatment

Outside of Garganta, there are no known treatments, natural immunities, or vaccinations to NAM-V. However, researchers within Garganta had successfully killed the virus through hydrostasis, and ignoring the risks of prolonged HSU use, some would engage in voluntary "hydrostasis immersion" for short periods of time.

## Background

### Discovery

Whilst the exact first encounter with the NAM-V virus is not known, Santonian was aware of "unknown pathogens" within Garganta as early as July 2050 — two months prior to the commencement of drilling. The World Health Organization had not been notified of the presence of these pathogens.

It is likely that the virus was encountered and began spreading during in the weeks or months prior to March, 2052. Around this time, researchers from Santonian's *Material Spectroscopy Laboratories* had ventured into a previously *uncharted volume* within Garganta and failed to adhere to necessary biohazard and quarantine protocols. Researchers began to experience "flu-like symptoms" following their return.

In a report prepared by Garganta's medical department, a "high-rate of suicide" and "rise in psycho-pharmaceutical use" was first noted and rapidly trended upwards between April and December, 2052. By December, 2052, a third of Santonian staff within Garganta had reported "psychological disturbances" and the early symptoms of the virus.

### Spread outside Garganta

Internal correspondence in Garganta indicates than an unidentified person, carrying "extremely hazardous material", departed Garganta late December 28, 2052. The departure of this unidentified person coincides with the earliest reported case of NAM-V in Naples, Florida, USA, and was later confirmed as the "patient zero" carrier by the Daylight Mission.

By January 2053, the *Centers for Disease Control and Prevention* (CDC) had issued a national alert regarding 14 cases of unknown contagion in Dade Country, Florida, and highlighted the potential for a epidemic. This alert was the first recorded instance of the usage of the "NAM-V" designation.

By March 2053, NAM-V had spread to Mexico, United States, and the United Kingdom. With the spread of NAM-V into a country in a different WHO region, the World Health Organization declared NAM-V as a "phase 6 global pandemic" with a "90% probability that the virus is present in all continents." Later in October 2053, the World Health Organization recommended all European nations to "formally close their borders to all international traffic and trade" in an attempt to slow the spread of the virus.

By September 1, 2055, there were 4.8 billion confirmed cases and 2.27 billion confirmed deaths from NAM-V, globally.. In December 2055, the United States utilized the *Emergency Alert System* (EAS) to institute a 24-hour national curfew. The US census, dated 2050, calculated the US population of 474 million (±0.5 million). A follow-up military statistics report filed in September, 2053 revised this calculation to 302 million (±0.2 million.)

The United States government collapsed in the weeks or months prior to January, 2058.

### Spread within Garganta

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## References

1. ↑  KAL-P48-7FR
2. ↑  WPP-256-928
3. ↑  EBDT-B55-VFS.LOG
4. ↑  ALKN234.LOG
5. ↑  XCEP-THEM-365
6. ↑  W69-Y11-B3Z
7. ↑  EBDT-B55-VFS.LOG
8. ↑ 8.0 8.1 Rundown 8.0 Logs#T5V-HW4-8PW
9. ↑ Basic reproduction number on Wikipedia
10. ↑  507-YJQ-FNB
11. ↑  XCEP-THEM-365
12. ↑  EBDT-B55-VFS.LOG
13. ↑  XCEP-THEM-365
14. ↑  XCEP-THEM-365
15. ↑  834-786-872
16. ↑ Rundown 8.0 Logs#AKK-3XW-EEB
17. ↑  20V-M6M-2X9
18. ↑  Combined\_Log
19. ↑  20V-M6M-2X9
20. ↑  WT7-RH8-WFD
21. ↑  ALKN234.LOG
22. ↑  ALKN234.LOG
23. ↑  LB2-4BK-902
24. ↑  UJ7-OYT-REH
25. ↑  7JR-T7U-780
26. ↑  507-YJQ-FNB
27. ↑ Pandemic Influenza Preparedness and Response: A WHO Guidance Document.
28. ↑  XCEP-THEM-365
29. ↑  56G-75H-Y78
30. ↑  UJ7-OYT-REH
31. ↑  W69-Y11-B3Z
32. ↑ V94-ER1-120