Several regions in Kerala are grappling with an outbreak of hepatitis A, adding to the challenges posed by the high number of COVID-19 cases in the state. The recent spike in hepatitis A infections, particularly in districts like Ernakulam, Malappuram, Kozhikode, and Thrissur, has raised concerns for public health, especially with the onset of the monsoon season.

The incubation period of the hepatitis A virus is long, ranging from two to six weeks, leading health authorities to anticipate a surge in cases in affected areas. Instances of contaminated water and food consumption are contributing to the spread of the virus.

The Avoly grama panchayat and Ernakulam district medical office have implemented measures to address the threat, including intensified chlorination. Avoly panchayat reported 18 out of 51 cases in the district since May 30, prompting authorities to take action such as chlorinating wells and water bodies.

Following a rise in Hepatitis A cases, the Panchayat President and officials have closed down catering units suspected to be the source of the outbreak. Other nearby areas like Manjalloor and Arakuzha have also reported a surge in cases, indicating a concerning situation.

By April 16, 2025, Kerala had recorded 3,227 confirmed hepatitis cases and 16 deaths, a significant increase from the previous year. The surge in cases, particularly during May 2025, underscores the urgency of the situation.

Factors driving the increase in hepatitis cases include the waterborne nature of the disease. Contaminated water sources due to inadequate chlorination or untreated water pose a significant risk, especially during the summer and monsoon seasons.

Poor infrastructure and flooding during heavy rains create conditions for faecal contamination of drinking water, elevating the risk of infection. Water scarcity in summer and disruptions in water supply during monsoon further exacerbate the situation.

Common symptoms of hepatitis A include fatigue, nausea, abdominal pain, loss of appetite, jaundice, dark-colored urine, and light-colored stools. Early detection and preventive measures are crucial to managing the outbreak and protecting public health.