What is causing the Hepatitis A outbreaks in Kerala?

Hepatitis A outbreaks in Kerala are primarily caused by contaminated groundwater, inadequate sanitation, and poor environmental public health.

How many Hepatitis A cases were reported in Kerala by late 2025?

As of December 30, 2025, Kerala reported 31,536 confirmed and probable Hepatitis A cases.

Is Hepatitis A vaccination available and recommended for Kerala?

Yes, vaccination is an effective prevention method, and studies suggest it would be a cost-saving intervention for Kerala.

Home / Health / Kerala Health Shame: Unsafe Water Fuels Hep A Outbreaks

Kerala Health Shame: Unsafe Water Fuels Hep A Outbreaks

3 Jan

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Summary

Hepatitis A cases and deaths have significantly multiplied in Kerala.
Lack of safe drinking water and poor sanitation drive outbreaks.
Vaccination is effective but faces cost barriers in health budgets.

Kerala Health Shame: Unsafe Water Fuels Hep A Outbreaks

Widespread groundwater contamination and inadequate sanitation have fueled persistent Hepatitis A outbreaks in Kerala. Public health experts are concerned as the susceptible age group has shifted to adolescents and young adults, increasing potential mortality and morbidity. Recent years have seen a dramatic rise in cases and fatalities.

In 2023, Kerala recorded 4,581 Hepatitis A cases and 15 deaths. By December 30, 2025, confirmed and probable cases surged to 31,536 with 82 deaths. The situation was similar in 2024, with 28,412 cases and 96 deaths.

Despite Kerala's advanced healthcare, basic public health requirements like safe drinking water are unmet. Experts emphasize that while vaccination is a cost-effective measure, investing in safe water supply, sewerage systems, and water quality surveillance is paramount to truly combat the virus.