बेरामा फुरायै सासे मानसिनियाव खनसे गायसनजायोब्ला आरो बेफोर लैखोनफोर दिनथिनो जागायो, बेयो प्राय जेब्लाबो थैहोनो हायो।
Once the disease is fully established in a person and they begin to show symptoms, it almost always leads to death.