印度中部马迪亚邦巴拉加特地区偏远部落村庄自5月以来至少发生32例儿童死亡事件1，受害者年龄从3个月至18岁不等1，大多数来自拜加人社群1。官方将死因分别归咎为8-10例麻疹相关死亡和约10例疟疾相关死亡1，但多数儿童患有多重感染1。一名5岁因麻疹死亡的儿童体重仅5公斤，反映当地广泛存在的营养不良问题1。
导致疫情蔓延的因素复杂多样。距离最近的州医院——比尔萨医院位于约70公里外1，无交通工具的家庭需花费整日才能到达1。当地民族信仰成为另一大障碍——部分村民认为某些疾病为疾病女神到来的表现，需要进行7-9天的仪式1，有些家庭甚至相信接受治疗前完成仪式可能导致死亡1。7月21日，村委会主席帕尔沙拉姆·度尔维在邦达里村发现两个家庭各有孩子死亡后，随即发现了大规模疫情1。
政府随后采取了紧急干预措施。政府医官尼米什·高塔姆到达后发现大量严重脱水儿童1，警察被征调劝说家庭接受治疗1。在一个村庄，官员强制进入5户家庭，将5名重症儿童送医，均已恢复1。ICMR-国家部落健康研究所8月7日对10份样本进行检测，其中6份麻疹阳性，4份阴性1。约6200名患者在家中接受治疗，630多人转诊至地区医院1；约600人返家，约30人仍住院1。政府还对约40000名15岁以下儿童进行了麻疹-风疹疫苗接种，其中约27000人已接种1。疫情已于9月中旬后基本消退1。
2024年印度审计长发现马迪亚邦在分配6个月至3岁儿童补充口粮时存在"严重不规范"1，进一步凸显该地区儿童营养保障的系统性缺陷。
At least 32 children have died in remote villages across the Balaghat district of Madhya Pradesh state in central India since May 2024, with the majority of victims belonging to the Baiga tribe, a vulnerable tribal community 1. Officials attributed the deaths to measles and malaria, with between 8–10 deaths linked to measles and approximately 10 to malaria, though many children suffered from multiple infections simultaneously 1. The crisis revealed severe underlying challenges: the nearest state hospital in Bhilsa, which has 100 beds, lies roughly 70 kilometers away, requiring families without transportation an entire day to reach 1. Widespread malnutrition compounded the emergency, exemplified by a 5-year-old who died of measles while weighing just 5 kilograms 1.
Traditional beliefs further hindered medical intervention in the affected communities. Local practices held that certain diseases, such as smallpox, represented the arrival of a disease goddess, prompting families to conduct 7-to-9-day rituals before seeking treatment—with some believing that treatment before completing these ceremonies could prove fatal 1. In response to the escalating crisis, authorities deployed emergency measures beginning in July 2024, when village council chairman Parsuram Durve discovered the outbreak after finding two families in Bhandari village each with deceased children 1. Government medical officer Nimesh Gautam initiated interventions including deploying police to persuade families to accept treatment; in one village, officials forcibly entered five households and transported five critically ill children to hospitals, all of whom recovered 1.
Public health efforts included mass vaccination and mobile clinics, with approximately 40,000 children under age 15 receiving measles–rubella vaccines, of which about 27,000 had been inoculated 1. Roughly 6,200 patients, predominantly children, received treatment at home, while over 630 were referred to regional hospitals; approximately 600 returned home and about 30 remained hospitalized 1. The National Institute of Tribal Health (NIRTH) under ICMR tested 10 samples on August 7, confirming measles in six and finding four negative 1. The outbreak had substantially subsided by mid-September 2024 1. The crisis also exposed administrative failures, as India's auditor general discovered in 2024 that Madhya Pradesh had committed "serious irregularities" in distributing supplementary rations to children aged six months to three years 1.
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