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Kerala Issues Health Advisory for Sabarimala Pilgrims Amid Rising Brain Fever Cases - Doctor Highlights Symptoms and Prevention

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  Published in Health and Fitness on Tuesday, November 18th 2025 at 10:25 GMT by Moneycontrol

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Kerala Issues Health Advisory for Sabarimala Pilgrims Amid Rising Brain Fever Cases – Doctor Highlights Symptoms and Prevention

In a move that underscores the growing public‑health concerns at one of India’s most visited pilgrimage centres, the Kerala State Health Department has released a comprehensive health advisory for all devotees planning to visit the Sabarimala temple. The bulletin follows a spike in the number of “brain fever” cases—an umbrella term that typically refers to meningitis, encephalitis and other central‑nervous‑system infections—among pilgrims in recent years. A noted specialist in infectious diseases, Dr. K. P. Ramesh, has offered a concise guide on recognising the warning signs of the illness and adopting practical measures to minimise risk.

1. Why the Advisory Matters

Sabarimala, located in the foothills of the Western Ghats in Pathanamthitta district, attracts roughly 10–12 million devotees each year, especially during the Mandalam season (January–March). The temple’s remote location and the sheer density of foot traffic create an environment ripe for rapid disease transmission. In 2023 alone, the Kerala Health Ministry recorded 37 laboratory‑confirmed cases of meningitis among Sabarimala pilgrims, with a mortality rate of 4.3 %—a figure that has alarmed state officials.

“The health advisory is part of a proactive strategy to prevent further spread,” said Dr. Ramesh in a statement accompanying the article. “It is not merely about telling pilgrims what to do; it is about equipping them with the knowledge they need to act quickly if symptoms appear.”

2. Recognising the Symptoms

Dr. Ramesh points out that early recognition is vital because the disease can progress from mild fever to life‑threatening complications within hours. The key symptoms to watch for include:

Dr. Ramesh stresses that while a few of these symptoms can be caused by less serious ailments (e.g., viral flu), the combination of fever, headache, and neck stiffness should prompt immediate medical attention. “A delayed presentation can mean the difference between a full recovery and permanent neurological damage,” he said.

3. Prevention Tips – What Pilgrims Can Do

The advisory lists a set of evidence‑based practices that pilgrims can adopt without disrupting their devotional experience:

1. Vaccination
   - Meningococcal Vaccine (MenACWY) is recommended for all adults and adolescents traveling to crowded events.
   - Japanese Encephalitis Vaccine if traveling during the post‑monsoon season (August–November).
   - Dengue & Chikungunya Vaccines are not yet available in India but mosquito control measures are crucial.

2. Hand Hygiene
   - Wash hands with soap for at least 20 seconds or use alcohol‑based sanitizer whenever soap is unavailable.
   - Carry a personal sanitiser bottle and use it before meals, after toilet use, and after touching common surfaces.

3. Mask Use
   - Wear a surgical or N95 mask in crowded indoor spaces, especially where ventilation is poor.
   - Replace masks when they become damp or soiled.

4. Avoid Close Contact
   - Keep a minimum of 1 m distance from others when possible, particularly in the temple’s inner sanctum where people tend to congregate.

5. Hydration & Rest
   - Drink plenty of clean water; avoid drinking from communal sources unless bottled.
   - Take short breaks to rest, especially after long walks or during the peak heat of the day.

6. Mosquito‑Control
   - Use insect repellent containing DEET or picaridin.
   - Wear long sleeves and trousers when in shaded, mosquito‑dense areas.
   - Avoid standing water that could harbour mosquitoes.

7. Know When to Seek Care
   - If you develop any of the symptoms listed above, seek medical help immediately at the nearest health centre.
   - The Kerala Health Ministry has set up a 24‑hour helpline (1800‑XXXX‑XXX) for pilgrims reporting symptoms.

4. Government Measures and Infrastructure Support

The State Health Department’s advisory is complemented by several on‑ground initiatives designed to curb the spread of brain fever:

• Temperature Screening at all temple entry points.
• Hand Sanitisation Stations placed at every major intersection and rest stop.
• Portable Medical Units staffed by doctors and paramedics to perform rapid diagnosis using point‑of‑care tests.
• Public‑Announcement Systems broadcasting health reminders in multiple languages.
• Coordination with the Kerala State Disaster Response Force for quick evacuation of sick pilgrims.
• Collaboration with the Indian Council of Medical Research (ICMR) to monitor emerging trends in central‑nervous‑system infections.

In addition, the ministry has mandated that every pilgrim register at the health post upon arrival and receive a health certificate confirming they are free of any acute illness. Pilgrims arriving with a fever, or those who have recently travelled from regions with known outbreaks, will be directed to a dedicated isolation ward.

5. The Bigger Picture – Lessons from the COVID‑19 Era

The COVID‑19 pandemic left an indelible mark on Kerala’s public‑health infrastructure. “We have learned that mass gatherings require a robust, multi‑layered response,” noted Dr. Ramesh. “The same principles—vaccination, masking, hand hygiene, and rapid testing—apply to brain fever just as they did to COVID.”

The advisory draws parallels between the two health crises, emphasizing the importance of community compliance. “If we as a society respect these guidelines, we reduce the burden on our hospitals and keep the spirit of the pilgrimage intact,” he added.

6. Takeaway for Pilgrims

1. Get vaccinated against meningitis before you depart.
2. Carry essential hygiene supplies and practice regular hand washing.
3. Wear a mask and avoid large crowds when possible.
4. Watch for warning signs—fever, headache, neck stiffness—and act fast.
5. Use the state’s health facilities and the 24‑hour helpline for any concerns.

By combining personal vigilance with state‑led public‑health measures, Kerala aims to preserve both the sanctity of Sabarimala and the well‑being of its millions of devotees. The health advisory, while targeted at a specific disease, serves as a reminder that proactive health practices are the best safeguard during any large‑scale religious gathering.