Should Kerala Launch a Pre-Exposure Rabies Vaccination Program?

Synopsis
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.