India's Draft National Health Policy 2015: Equity and Scientific Practices Overlooked
Kerala, a state in southern India, has made impressive improvements in its population's conditions of living. Despite having a low per capita income, its indicators of social development—such as the human development index (0.84), infant mortality rate (12/1000 live births), sex ratio (1084 females to 1000 males), and female literacy rates (92.07%) - are comparable to those of many developed countries.
However, several outbreaks of hepatitis A have occurred in Kerala state in recent years, with outbreaks involving more than 100 people at a time reported from almost all districts of Kerala in the past decade. According to the state’s official disease surveillance system, there were at least 22 deaths due to hepatitis A over the past two years and the majority of these deaths were in the age group of 30-45 years.