The recent deaths of three children in Kerala due to rabies, despite receiving vaccinations, have intensified scrutiny over the state's public health infrastructure and policies. The opposition has accused the Left Democratic Front (LDF) government of gross negligence, particularly in managing the growing stray dog population and ensuring timely medical interventions.

Health experts have emphasized that while the anti-rabies vaccine remains effective, the nature of the bite and the timeliness of treatment are critical factors. Category 3 bites—deep lacerated wounds on the face, neck, or hands—pose a higher risk, as the virus can reach nerve fibers more rapidly. Immediate and proper wound washing, followed by the timely administration of rabies immunoglobulin (RIG) and the vaccine, are essential to prevent the onset of the disease. Delays or failures in these steps have been linked to fatal outcomes.

The surge in rabies cases has been partly attributed to the increasing stray dog population in Kerala. Despite significant investments in the Animal Birth Control (ABC) program, local self-government institutions (LSGIs) have struggled to control the stray dog numbers effectively. Factors such as public resistance to setting up ABC centers and inadequate enforcement of animal control measures have exacerbated the situation.

In response to the crisis, health officials are advocating for improved public awareness campaigns focusing on the importance of immediate wound care and the complete vaccination schedule. They also urge the government to strengthen the availability of RIG and vaccines at all healthcare facilities, ensuring that even peripheral centers are well-equipped to handle potential rabies exposures.

The opposition has demanded a comprehensive review of the state's rabies control policies, including the effectiveness of the ABC program and the adequacy of healthcare infrastructure in managing bite cases. They argue that without systemic reforms, the state will continue to face preventable deaths from rabies.

As Kerala grapples with this public health challenge, the need for a coordinated approach involving government agencies, healthcare providers, and the public has never been more urgent.