Kerala reported 10,244 influenza cases and 109 deaths alongside 100 confirmed and 78 probable leptospirosis deaths as of September 15, according to official data.
Public health experts noted that H1N1 cases have disproportionately affected senior citizens, prompting demands for government investment in elderly flu vaccination programmes.
Health officials advised patients with mild symptoms to isolate at home, while warning that vulnerable individuals with high fever or breathlessness require early medical intervention.