Should Kerala Launch a Pre-Exposure Rabies Vaccination Program?

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Should Kerala Launch a Pre-Exposure Rabies Vaccination Program?

Synopsis

As rabies deaths rise in Kerala, experts urge the government to implement a pre-exposure vaccination program, especially for children. The call for action highlights the urgent need to protect vulnerable populations and reduce fatalities through preventive health strategies. Will the state heed the call and take action to safeguard its citizens?

Key Takeaways

  • Rabies deaths in Kerala are rising.
  • Urgent need for proactive measures.
  • Children are the most vulnerable group.
  • KGMOA advocates for a PrEP vaccination program.
  • Integration with existing rabies measures is essential.

Thiruvananthapuram, May 6 (NationPress) The rising incidence of rabies-related fatalities in Kerala has become a significant public health concern, highlighting the critical necessity for proactive and preventive actions.

In light of this situation, the association advocates for the establishment and institutionalization of a comprehensive pre-exposure prophylaxis (PrEP) rabies vaccination initiative, particularly targeting children and other vulnerable populations.

The Kerala Government Medical Officers Association (KGMOA) leader Sunil PK stated on Tuesday that while Kerala has achieved substantial advancements in rabies management through dog vaccinations, public education initiatives, and the accessibility of post-exposure prophylaxis (PEP), reaching the objective of zero rabies fatalities requires the implementation of a preventive approach that encompasses pre-exposure immunization.

The KGMOA has called on the state government to consider a widespread PrEP rollout, starting with the most at-risk groups.

"If immediate statewide implementation proves challenging due to financial or logistical constraints, we strongly suggest commencing the program with children—who represent over 35 percent of dog bite victims. Children often fail to report bites or administer appropriate wound care, and rabies fatalities among vaccinated children can lead to profound and enduring public trauma," emphasized Sunil.

KGMOA has also proposed forming a panel of experts to devise a phased PrEP implementation strategy, with a definitive plan for vaccinating the entire state's populace.

"Launch PrEP coverage for all children in Kerala, prioritizing areas based on risk and healthcare access. Extend PrEP to other high-risk groups, such as healthcare workers, veterinary staff, wildlife personnel, sanitation workers, and others exposed occupationally. Integrate PrEP with ongoing rabies control efforts, while maintaining strong initiatives in timely PEP, mass dog vaccinations, and continuous public education. Additionally, advocate for the inclusion of PrEP in the National Immunisation Programme for endemic areas," stated KGMOA general secretary Jobin G Joseph.

Notably, in recent weeks, three children in Kerala, who had completed all the recommended vaccine doses, succumbed after testing positive for rabies.

Point of View

The call for a pre-exposure rabies vaccination program in Kerala reflects a growing concern for public health. It emphasizes the need for proactive strategies to combat preventable diseases, especially among vulnerable populations like children. The government must respond effectively to safeguard its citizens and ensure comprehensive healthcare.
NationPress
17/07/2025

Frequently Asked Questions

What is the purpose of the proposed rabies vaccination program?
The proposed pre-exposure rabies vaccination program aims to protect vulnerable populations, especially children, from rabies and ultimately reduce fatalities associated with the disease.
How does rabies affect children differently?
Children are less likely to report dog bites and often do not perform proper wound care, making them more susceptible to rabies infection and its fatal consequences.
What measures has Kerala taken to control rabies so far?
Kerala has made significant progress in rabies control through dog vaccinations, public awareness campaigns, and the availability of post-exposure prophylaxis (PEP).
Why is a phased implementation plan recommended?
A phased implementation plan allows for careful monitoring and adjustment based on resources and effectiveness, ensuring that the most vulnerable groups receive protection first.
What are the potential benefits of integrating PrEP with existing rabies control measures?
Integrating PrEP with existing control measures can enhance overall effectiveness, reduce the risk of rabies transmission, and improve public health outcomes.