Multiple countries report unexplained hepatic illness among children and young adults — India urged to heighten surveillance
Dateline: New Delhi | December 4, 2025
Summary: The World Health Organization (WHO) has issued a global health advisory following a spike in unexplained acute hepatitis cases in children and young adults across several countries. Though no clusters have yet been confirmed in India, public-health experts warn Indian hospitals and state surveillance systems to stay alert amid heightened cross-border travel and low immunity periods.
Unusual Pattern — What’s Different This Time Around
Health authorities in multiple countries reported a sudden uptick in acute hepatitis — inflammation of the liver — among children and young adults over the past month. Several of these cases did not match the profile of typical viral hepatitis caused by the known hepatitis A, B, C, D or E viruses. In many instances, patients displayed severe symptoms including elevated liver enzymes, jaundice, abdominal pain and fatigue, often without clear prior exposure or risk factors.
This unexpected pattern prompted the WHO’s global alert: international travel, asymptomatic transmission, and lack of prior immunity in certain demographics are being considered possible drivers. While investigations remain ongoing to determine the cause — whether viral, toxic, or immune-mediated — the health advisory calls for enhanced disease surveillance, early diagnosis, and reporting of suspected cases.
India’s Vulnerability — Why Experts Recommend Caution
At present, no confirmed cases have been publicly reported in India. But experts warn that the high volume of travel between India and regions experiencing outbreaks makes spill-over a real possibility. In addition, recent studies have pointed out that children and young adults — especially those with prior mild infections or coexisting conditions — may be more vulnerable.
Given that many Indian states are entering post-monsoon seasons near winter — a period prone to viral and other infectious-disease outbreaks — health officials say that hospitals must be ready. Early detection, laboratory capacity, and access to diagnostic tests for liver function must be ramped up. Physicians in paediatric and general medicine wards have been advised to watch for unexplained hepatitis symptoms, and hospitals urged to report any suspicious cases immediately to state health authorities.
Public-Health Implications & Preventive Recommendations
The WHO advisory underlines the need for vigilance at multiple levels — from national disease-surveillance bodies to local clinics. Public-health experts recommend stepped-up lab-based screening for liver enzymes, especially for patients presenting with jaundice, abdominal pain or fatigue without clear cause. Additionally, routine sanitation, safe water supply, and hygiene — particularly in areas with dense populations — remain key preventive measures.
For parents and guardians, experts suggest ensuring that children’s immunization schedules are up-to-date, that they maintain good nutrition, and seek timely medical care for any unexplained symptoms. Since the cause is not yet determined, general protective practices — hand hygiene, avoiding contaminated water/food, ensuring clean living conditions — are being emphasized.
Hospital Readiness and Policy Response in India
The central and state health ministries have been notified of the WHO alert. Advisory circulars have been sent to major public and private hospitals across the country, urging readiness for possible cases. Laboratories are being asked to increase capacity for liver-function tests, and training modules are being issued for clinic and ward staff to recognise symptoms early.
State public-health departments, especially in high-travel zones such as Delhi–NCR, Mumbai, and coastal states, are being encouraged to mobilise resources for surveillance — including recording patient data, travel history, and lab outcomes. Coordination between paediatricians, gastroenterologists and infectious-disease specialists is being strengthened for prompt investigation of suspected cases.
Global Investigations Under Way — What Science Is Looking For
Scientists internationally are exploring multiple hypotheses about the cause. Some suggest a novel virus; others consider exposure to environmental toxins, food contaminants, or immune triggers post-infection. Efforts are underway to collect biological samples, run genomic sequencing, and compare patient profiles across affected countries.
While results are awaited, international public-health networks are emphasising transparency and rapid data sharing. So far, no definitive causal agent has been identified — and WHO has ex- pressed concern over the potential for further spread if vigilance lapses. The advisory urges all nations to prepare, even if no cases have yet surfaced within their borders.
What This Could Mean for India — Challenges and Readiness Gaps
If cases surface in India, the public-health impact could be substantial. India’s large child and youth population, high mobility, and variable sanitation in many regions could make containment difficult. Rural and semi-urban districts — often with limited diagnostic infrastructure — might struggle to identify or manage cases effectively.
Further, even in urban areas, hospital saturation due to other diseases, limited ICU capacity and uneven distribution of specialists (paediatricians, gastroenterologists, infectious-disease experts) could hamper prompt diagnosis and treatment. Ensuring supply of reagents, reagents for liver-function tests, consistent lab standards and effective reporting could be a major administrative and logistical challenge.
Why This Develops as a Global Concern — The Bigger Picture
The unexplained hepatitis surge underscores how interconnected global health has become. Diseases — previously localized — can now spread fast across borders due to travel, migration and changing ecological conditions. Medical surveillance, rapid information-sharing, and coordinated policy responses are more critical than ever.
For India — and other high-population countries — such events reveal gaps in public-health infrastructure, disparities in access to diagnostic and treatment facilities, and the urgent need to strengthen preventive medicine, early-warning systems and community-health outreach. The coming weeks will test how robustly health systems can respond to unknown threats under pressure.
Conclusion — Watchful Readiness Is India’s Best Defence For Now
The global alert for unexplained acute hepatitis among children and young adults is a wake-up call. For India, it is time to sharpen surveillance, enhance medical readiness and reinforce public awareness — even before any confirmed case emerges. Until more evidence emerges, vigilance, hygiene, early detection and transparent health reporting remain the best tools to protect communities from potential spread and impact.

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