Pune Faces Surge in Hepatitis A Cases Amid Monsoon Season Concerns

Pune, India — The city of Pune is experiencing a significant increase in hepatitis A cases during the ongoing monsoon season, prompting health officials to investigate the potential causes. Reports indicate that the number of confirmed hepatitis A cases has more than doubled in the March to June 2025 period, with the Pune Municipal Corporation (PMC) health department recording 57 cases compared to just 26 in the same period last year. The rise in cases aligns with heightened rainfall in July, further exacerbating concerns about water quality and food safety in the region.

Dr. Piyush Chaudhary, an infectious disease specialist at Jehangir Hospital, noted that while spikes in jaundice cases are common during the monsoon, this year's increase in hepatitis A cases is particularly alarming. "Every monsoon season sees a surge in jaundice cases, but the current trend is concerning due to the higher number and severity of hepatitis A cases," he stated. The increase in severity has also been observed by other medical professionals in the area.

Dr. Amol Dahale, a gastroenterologist, reported that he has treated nearly 70 hepatitis A patients this year, a stark increase from approximately 30 patients during the same time last year. "Both water and food contamination are likely contributing factors. Many patients have reported consuming outside food, particularly items like chutneys and dishes with high water content, which may be sources of infection," Dr. Dahale explained.

Dr. Prasad Bhate, head of gastroenterology at Manipal Hospital, corroborated this assessment, stating, "The surge appears to be two to three times higher than last year’s figures. Most likely, contaminated water is the primary cause." The PMC has yet to compile complete data for July, but preliminary signs indicate a continuation of the concerning trend.

Dr. Govind Kulkarni, a consultant physician at Sahyadri Super Speciality Hospital, emphasized the link between the increased hepatitis A cases and water contamination. "We are seeing patients from various areas, particularly those where water quality has been compromised," he noted, highlighting a recent case from near Sanjay Park, an area known for potential water issues.

Hepatitis A, a viral infection that primarily impacts the liver, can be transmitted through contaminated water and food. Dr. Hillary Rodrigues, a family physician, explained that the infection is prevalent during the monsoon due to the contamination of drinking water supplies. "Direct contamination occurs when sewage mixes with water supplies due to flooding, while indirect contamination can happen through food washed with tainted water," he stated. Symptoms of hepatitis A include fever, abdominal pain, nausea, and jaundice, which can manifest as high-colored urine and yellowing of the skin and eyes.

Health experts recommend preventive measures such as boiling drinking water, practicing good hand hygiene, and avoiding raw or street food, which may be exposed to contaminated water. Vaccination against hepatitis A, which involves two doses administered six months apart, is also advised for individuals frequently eating in high-risk areas.

The increase in hepatitis A cases during this monsoon season underscores the urgent need for public health interventions, including improved water quality management and public awareness campaigns about food safety. As the city's health authorities continue to monitor the situation, the community is urged to take proactive steps to mitigate risks associated with this viral infection.