
Mumbai has reported its first suspected case of Guillain-Barré Syndrome (GBS), marking a concerning addition to Maharashtra’s increasing tally of the rare nerve disorder. A 64-year-old woman from Andheri has been hospitalised and is undergoing intensive care treatment, as confirmed by Brihanmumbai Municipal Corporation (BMC) officials. She was admitted with a history of fever and diarrhoea, followed by ascending paralysis—a common symptom of GBS.
Rising Cases in Maharashtra

The total suspected GBS cases in Maharashtra have reached 180 as of February 7, 2025, with four new suspected cases identified within a day. Previously, the count stood at 173 on February 6. Among these cases, 146 have been confirmed as GBS. Tragically, six deaths have been reported, with one confirmed to be directly due to the disorder.

According to the Integrated Disease Surveillance Programme (IDSP) by the Public Health Department, the distribution of cases is as follows:

- 35 patients from Pune Municipal Corporation (PMC)
- 88 from newly added villages in the PMC area
- 25 from Pimpri Chinchwad Municipal Corporation (PCMC)
- 24 from Pune Rural
- 8 from other districts
Currently, 58 patients are in the Intensive Care Unit (ICU), with 22 requiring ventilator support. Meanwhile, 79 individuals have been discharged after treatment.
Water Contamination: A Potential Culprit
From January 9, authorities have collected 4,282 water samples from various regions to conduct chemical and biological analysis. Worryingly, 16 new sources were found contaminated on February 7, bringing the total number of contaminated water sources to 53. Waterborne infections have long been linked to immune system disorders, and experts are investigating a possible correlation between contaminated water and the surge in GBS cases.
Government Response & Public Reassurance
The surge in cases has prompted an urgent government response. Maharashtra Health Minister Prakashrao Abitkar stated that the issue was discussed with Union Minister JP Nadda, who provided guidance on managing the outbreak. Addressing public concerns, Abitkar reassured citizens that GBS attacks the immune system but is fundamentally different from COVID-19, emphasizing that there is no need for panic.
A Maharashtra health department release echoed these sentiments, highlighting ongoing efforts to provide adequate medical care. It reiterated that while the number of cases is concerning, a structured response is in place, and a majority of patients are responding positively to treatment.
Implications for India’s Healthcare System
The rise in GBS cases presents multiple challenges for India’s healthcare infrastructure, highlighting key areas that require urgent attention:
1. Diagnostic and Treatment Challenges
GBS is a rare disorder that requires specialized diagnostic tests such as nerve conduction studies and cerebrospinal fluid analysis. The sudden increase in cases may strain diagnostic capacities in affected regions. Moreover, treatment options such as intravenous immunoglobulin (IVIG) and plasma exchange are expensive and may not be readily accessible in all public hospitals.
2. ICU and Ventilator Shortage
With 58 patients in ICUs and 22 on ventilators, Maharashtra’s healthcare system faces significant pressure. A potential increase in cases could lead to bed shortages, affecting not only GBS patients but also individuals requiring critical care for other conditions.
3. Public Health Infrastructure & Water Safety
The contamination of 53 water sources raises concerns about sanitation and public health infrastructure. Enhanced monitoring and preventive measures are necessary to prevent further outbreaks linked to environmental factors.
4. Public Awareness and Preventive Healthcare
Misinformation and fear can exacerbate the crisis. The government must launch awareness campaigns educating the public about GBS, its symptoms, and available treatment options, while also reinforcing the importance of water hygiene and sanitation.
Way Forward
The Maharashtra government, in collaboration with central health agencies, must implement a multi-pronged strategy that includes:
- Strengthening ICU and ventilator capacities in affected regions
- Expanding diagnostic capabilities to ensure early detection and treatment
- Conducting extensive water quality testing and improving sanitation infrastructure
- Launching community outreach programs to educate citizens about GBS and preventive measures
While Guillain-Barré Syndrome remains a rare disorder, the rising number of cases in Maharashtra underscores the need for robust healthcare policies and emergency preparedness. With coordinated action and enhanced medical response, India can mitigate the impact of this outbreak and safeguard public health effectively.
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