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Highest day temperature reported in Kerala was 41.9 degrees Celsius in 2016.
Thrombosis with Thrombocytopenia Syndrome can lead to blood clots and a low blood platelet count.
A child was among those killed in the accident on Monday night.
The youngsters were bathing a pond in an abandoned granite quarry.
Shibina was admitted to the hospital on March 21 for delivery and gave birth to a baby girl on March 26.
The deceased were identified as Sivan Nair, a Siddha doctor, and his wife Prasannakumari.
Relatives confirmed that despite the fall, the baby sustained no injuries and remained in good health.
IMD sounded heatwave warning for Palakkad, Thrissur and Kannur till Monday.
The deceased is Shibina (31), wife of Ansar, native of Karoor, in Purakkad panchayat.