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Common Illnesses During Monsoons In India

By Dr. Nikita Toshi +2 more

Join Health Talk by PharmEasy on WhatsApp

Introduction

The monsoon season might seem like a respite after the scorching summer heat, but it is also the time when several diseases are on the rise. In India, the monsoon season arrives in the month of June and lasts till September. It refreshes everyone, but the weather remains humid, and it is ideal for germs to flourish and a perfect breeding time for mosquitoes. Deadly diseases like Malaria, Dengue, Chikungunya, Typhoid and Cholera are common diseases during the rainy season1, and almost all of these present with a few common symptoms like fever, weakness, and body ache.

monsoon diseases

List of Monsoon Diseases That Cause Fever

1. Dengue

Every year in India, many people die due to dengue. There are 121824 dengue cases reported in 20252. It is spread by the infected female Aedes mosquitoes, and they usually bite during the daytime or before dusk. The symptoms of this disease include high fever followed by body aches. The affected individual may also experience headaches, abdominal pain, pain behind the eyes, nausea, vomiting, fatigue, rashes,  bleeding gums or nose3. In severe cases, there may be less urination, breathlessness, and low blood pressure in the patients. There is a risk of a drop in platelet count during dengue, which can prove fatal if not addressed in a timely manner.

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2. Chikungunya

This particular disease in the rainy season is also spread by mosquitoes. These mosquitoes that spread chikungunya breed in stagnant water found in overhead tanks, coolers, plants, and water pipes. This infectious disease is primarily transmitted by infected tiger mosquitoes, Aedes. A chikungunya patient may experience symptoms like acute joint pain, high fever, fatigue, muscle pain, rashes, and chills4. It can cause complications affecting the eyes, heart, liver, kidneys, and more.

3. Malaria

This disease in the monsoon is caused by mosquitoes as well. Malaria is a parasitic disease transmitted through the bites of infected female Anopheles mosquitoes5.  Water clogging during the rainy season can be a major breeding ground for mosquitoes. Common symptoms of malaria are high fever, shivering and body chills, excess sweating, fatigue, and body aches. If left untreated, the disease may progress to severe malaria and lead to complications such as severe anaemia, cerebral malaria, seizures, kidney failure, jaundice, and respiratory distress5. It is important to address these symptoms and get proper treatment.

Also Read: Malaria: Types, Symptoms, Causes and Treatment

4. Typhoid

It is one of the highly infectious monsoon-related diseases.”Typhoid fever is caused by the bacterium Salmonella Typhi.” It is caused by contaminated food and water, and the individual can present with symptoms including prolonged high fever, weakness, abdominal pain6, reduced appetite, diarrhea, constipation, and others. Without proper treatment, there may be several complications in typhoid fever.

Also Read: All You Need To Know About Typhoid!

5. Cholera

Cholera is an acute diarrheal disease caused by the bacterium Vibrio cholerae. It can spread through the consumption of contaminated food or water and is more common during the monsoon season.
The symptoms of cholera may include sudden onset of profuse watery diarrhea, vomiting, dehydration, muscle cramps, and weakness. In severe cases, rapid loss of body fluids can lead to low blood pressure, shock, and even death if treatment is not provided promptly.

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6. Influenza

The sudden change in weather and fluctuation in temperature can cause influenza. This is a viral infection that can spread from one person to another. Influenza can show symptoms like fever, muscle aches, headache, sore throat, nasal congestion, and dry, persistent cough7. The disease can worsen if left untreated. It may cause pneumonia and trigger other chronic medical conditions such as asthma, diabetes and heart disease.  

7. Leptospirosis

Leptospirosis is a bacterial infection commonly seen during the monsoon due to exposure to floodwater contaminated with animal urine. The infection can occur when contaminated water or soil comes into contact with cuts or abrasions on the skin, or through the eyes, nose, or mouth. It may cause high fever, severe muscle pain (especially in the calves), headache, red eyes, and vomiting9. In severe cases, it may affect the liver and kidneys, leading to jaundice, reduced urine output, and breathlessness. Early medical treatment is important to prevent serious complications.

8. Gastroenteritis (Stomach Flu)

Gastroenteritis is caused by infection from contaminated food or water, which becomes more common during the rainy season. It can present with symptoms like diarrhoea, vomiting, abdominal cramps, fever, and weakness10. Severe cases can lead to dehydration with dizziness, dry mouth, and reduced urine output. Timely fluid replacement and medical care are important, especially for children and elderly people.

9. Conjunctivitis (Eye Flu)

Conjunctivitis is a common eye infection during the monsoon caused by viral or bacterial infection and spreads easily through direct contact or contaminated surfaces. It leads to redness of the eyes, watery discharge, itching, irritation, and mild swelling of the eyelids. Some individuals may also feel a gritty sensation or sensitivity to light. Although it is usually self-limiting, worsening symptoms, thick discharge, or blurred vision require medical attention. Maintaining good hand hygiene and avoiding the sharing of towels, handkerchiefs, or eye cosmetics can help prevent the spread of infection11.

There are several other monsoon illnesses that occur during the monsoon season, particularly those associated with contaminated water or food, which may cause symptoms such as diarrhoea, fever, abdominal cramps, nausea, vomiting, and dehydration8. So this monsoon season, you must be well prepared to protect yourself against these health problems. There is a need for extra care and awareness during the rainy season.

If you encounter severe symptoms during monsoon without any factors related to food, this should be suspected of consumption of contaminated water, which is commonly known to cause bacterial diarrhoea and associated illnesses during monsoon.

Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology

How to Differentiate Between Common Monsoon Fevers?

The table below will help you understand clearly the difference between common monsoon fevers

SymptomsDengueMalariaTyphoidViral Fever/Flu
Fever Pattern Sudden high feverCyclical fever with chillsGradually increasing feverMild to moderate fever
Body PainSevereModerate to severeMild to moderateMild to moderate
Chills & SweatingModerateSevereMild to moderateMild
HeadacheSevereModerateModerateMild to moderate
RashcommonrarerareMild
Nausea / VomitingModerateModerate to SevereMild to ModerateMild
Fatigue / WeaknessSevereSevereModerateModerate

How to Save Yourself from Fever During the Rainy Season?

In the rainy season, the risk of infection and fever is higher, and maintaining a healthy immune system can help reduce the risk of infection. Here are a few tips to follow in order to prevent these diseases during the rainy season:

  • Make sure that you and your family members are vaccinated according to national guidelines.
  • Eat more nutritious food and avoid consuming junk food. 
  • Consume freshly prepared food and avoid food or beverages from unhygienic sources. 
  • Stay hydrated and drink warm, clean water. 
  • Taking vitamins may help you to keep your immune function on point.
  • Wash your hands frequently and maintain personal hygiene. 
  • Keep your surroundings clean and eliminate the breeding grounds for mosquitoes. 
  • Using a mosquito repellent, a mosquito net, and protective clothing is a must.
  • Wearing a mask while stepping out may help you to avoid the spread of infectious diseases such as the flu and cough.

PharmEasy offers a special group lab test package that includes Complete Blood Count / Hemogram (CBC), Platelet Count, Total Leucocytes (WBC) Count, Absolute Basophil Count (ABC), Monocytes, Haemoglobin (Hb), Dengue NS 1 Antigen, Malaria Antigen Test, and more. These tests are usually advised by doctors to detect the cause of fever.

PharmEasy’s trusted and certified labs conduct each test in a precise way. You can get a FREE sample collection* by professional phlebotomists from your home or a preferred location. You will also receive the reports in a timely manner and can stay protected and healthy this monsoon season.

Mosquito-borne illnesses are preventable by mosquito nets, while influenza can be prevented by taking yearly Influenza vaccine shot 1 month before the rainy season.

Dr. M.G. Kartheeka, MBBS, MD(Paediatrics)

Also Read: Foods You Must Eat To Stay Healthy In Monsoon!

Monsoon Disease Outbreaks in Indian Cities

Several Indian cities experience seasonal spikes in infectious diseases during the monsoon due to flooding, humidity, and water stagnation

1. Mumbai

Heavy rainfall and frequent waterlogging may increase mosquito breeding and contamination risks.

  • Common Monsoon Diseases: Mumbai has commonly reported mosquito-borne and water-borne infections during periods of intense rainfall and flooding12.
    • Dengue
    • Malaria
    • Leptospirosis
    • Gastroenteritis
    • Viral Fever and influenza-like illness
  • Major Risk Factors: Urban flooding and poor drainage can create conditions that support infection spread during the monsoon season.

2. Pune

Rapid urban expansion and intermittent flooding can contribute to seasonal outbreaks.

  • Common Monsoon Diseases: Pune may experience seasonal increases in vector-borne and food- or water-borne illnesses during heavy rains.
    • Dengue
    • Chikungunya
    • Typhoid Fever
    • Viral Fever and influenza-like illness
    • Gastroenteritis
  • Major Risk Factors: Construction activity and stagnant rainwater may increase mosquito breeding and contamination risks.

3. Delhi

Post-rain water accumulation and humidity often lead to vector-borne and water-borne illnesses.

  • Common Monsoon Diseases: Delhi may experience an increased risk of monsoon-related fevers and mosquito-borne infections after periods of rainfall13.
    • Dengue
    • Malaria
    • Chikungunya
    • Typhoid Fever
    • Viral Fever and influenza-like illness
  • Major Risk Factors: Water stagnation and sanitation challenges in densely populated areas may increase disease transmission.

4. Bengaluru

Cooler weather with urban flooding may contribute to infection spread during the monsoon.

  • Common Monsoon Diseases: Bengaluru may experience seasonal outbreaks of viral and mosquito-borne illnesses during prolonged rains14.
    • Dengue
    • Viral Fever
    • Gastroenteritis
    • Respiratory Viral Infections
  • Major Risk Factors: Waterlogging and contaminated surroundings can increase the risk of infection spread.

5. Chennai

Flooding and water contamination commonly increase health risks during heavy rains.

  • Common Monsoon Diseases: Chennai may experience infections associated with flooding, mosquito breeding, and unsafe water exposure15.
    • Dengue
    • Malaria
    • Typhoid Fever
    • Gastroenteritis
    • Leptospirosis
  • Major Risk Factors: Poor drainage and flood-related contamination may increase the spread of infectious diseases.

6. Kolkata

High humidity and dense population may contribute to seasonal disease transmission.

  • Common Monsoon Diseases: Kolkata may  experience a seasonal outbreak of viral fevers, eye infections, and mosquito-borne diseases during prolonged monsoons
    • Viral Fever and influenza-like illness
    • Dengue
    • Eye Infections
    • Stomach Infections
    • Malaria
  • Major Risk Factors: Humidity, crowding, and stagnant water may increase the spread of infections during the rainy season.

When to Consult a Doctor?

Consult a doctor if the fever lasts more than 2 – 3 days, becomes very high, or is associated with severe body pain, persistent vomiting, dehydration, breathing difficulty, severe stomach pain, rash, or unusual bleeding. Immediate medical attention is important if there is confusion, extreme weakness, seizures, chest pain, or reduced urine output. Young children, elderly adults, pregnant women, and people with diabetes or weakened immunity should seek early medical evaluation for monsoon-related illnesses.

Conclusion

During the rainy season, we are at an increased risk of exposure to infections and illnesses that can cause fever. Several viruses and bacteria multiply and infect humans during this season. This may interrupt and affect your daily activities to a large extent. It is important to know what illnesses commonly attack during the monsoon in India and how to prevent them. As soon as you notice any of the above-mentioned symptoms, consult the doctor and get yourself tested to avoid further health complications.

Also Read: What Is Hantavirus? Symptoms, Causes, & Effective Prevention

Frequently Asked Questions (FAQs)

Is your immune system weak in the monsoon?

Not directly, but monsoon conditions like humidity, stagnant water, and temperature fluctuation can increase the risk of infections such as flu, dengue, malaria, typhoid, and fungal infections. 

How to boost immunity during monsoon?

A healthy immune system depends mainly on lifestyle habits rather than supplements alone. Eat a A healthy immune system depends mainly on lifestyle habits rather than supplements alone. Eat a balanced diet, stay hydrated, sleep well, exercise regularly, maintain hygiene, and avoid contaminated food or water. Nutrients like vitamin C, vitamin D, zinc, iron, and protein support immunity. It is also important to consume safe food and clean drinking water and to follow measures that prevent mosquito-borne diseases during the monsoon season.  

How to get vitamin D during the monsoon?

Even during the monsoon season, the body can still produce vitamin D from sunlight, although cloud cover may reduce UVB exposure. To get vitamin D in the monsoon, spend some time outdoors when sunlight is available and include vitamin D-rich foods like eggs, fatty fish, fortified milk, and mushrooms. Supplements should only be taken if advised by a doctor. 

Can the rainy season cause fever?

The rainy season does not directly cause fever, but it increases the risk of infections that can cause fever. Monsoon increases the spread of infections such as viral fever, dengue, malaria, typhoid, and respiratory illnesses due to humid and wet conditions.

Which infection spreads more during rain?

Common monsoon infections include dengue, malaria, typhoid, cholera, flu, fungal infections, and stomach infections caused by contaminated food, water, and mosquito breeding. 

Can rain carry disease?

Rain itself does not usually cause disease, but contaminated rainwater and flooding can spread infections through dirty water, sewage contamination, and increased mosquito breeding. 

References

  1. Singhi S, Chaudhary D, Varghese GM, Bhalla A, Karthi N, Kalantri S, et al. Tropical fevers: management guidelines. Indian J Crit Care Med [Internet]. 2014 Feb;18(2):62-69 [cited 2026 May 13]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3943129/
  2. National Centre for Vector-Borne Diseases Control (NCVBDC), Ministry of Health & Family Welfare (India). Dengue situation in India [Internet]. Available from: https://ncvbdc.mohfw.gov.in/index4.php?lang=1&level=0&linkid=431&lid=3715
  3. World Mosquito Program. How the Wolbachia method works [Internet]. Monash University; [cited 2026 May 13]. Available from: https://www.worldmosquitoprogram.org/es/node/80
  4. Da Cunha RV, Trinta KS. Chikungunya virus: clinical aspects and treatment: a review. Mem Inst Oswaldo Cruz [Internet]. 2017 Aug;112(8):523-31 [cited 2026 May 13]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5530543/
  5. Buck E, Finnigan NA. Malaria. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. 2023 Jul 31. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551711/
  6. World Health Organization. Typhoid [Internet]. Geneva: WHO; 2023 Mar 30 [cited 2026 May 13]. Available from: https://www.who.int/news-room/fact-sheets/detail/typhoid
  7. Centers for Disease Control and Prevention. About influenza (flu) [Internet]. Atlanta (GA): CDC; 2026 Feb 26 [cited 2026 May 13]. Available from: https://www.cdc.gov/flu/about/index.html
  8. National Research Council (US). Waterborne diseases. In: From monsoons to microbes: understanding the ocean’s role in human health [Internet]. Washington (DC): National Academies Press; 1999 [cited 2026 May 13]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK230695/
  9. Cleveland Clinic. Leptospirosis (Weil’s disease): causes, symptoms & treatment [Internet]. Cleveland (OH): Cleveland Clinic; 2026 Feb 18 [cited 2026 Jun 3]. Available from: https://my.clevelandclinic.org/health/diseases/24021-leptospirosis
  10. Cleveland Clinic. Gastroenteritis: what it is, symptoms, causes & treatment [Internet]. Cleveland (OH): Cleveland Clinic; 2023 Sep 25 [cited 2026 Jun 3]. Available from: https://my.clevelandclinic.org/health/diseases/gastroenteritis
  11. Cleveland Clinic. Pink eye (conjunctivitis): causes, symptoms & treatment [Internet]. Cleveland (OH): Cleveland Clinic; [cited 2026 Jun 3]. Available from: https://my.clevelandclinic.org/health/diseases/pink-eye-conjunctivitis
  12. Gupta K. Impact of urban flooding on water quality in India with special reference to Mumbai. In: Jiménez Cisneros B, Makarigakis AK, editors. Impact of Urban Floods on Water Quality. Cambridge: Cambridge University Press; 2025. p. 103-108. doi:10.1017/9781316340332.009. Available from: https://www.cambridge.org/core/books/abs/impact-of-urban-floods-on-water-quality/impact-of-urban-flooding-on-water-quality-in-india-with-special-reference-to-mumbai/6FDCB0A0E12669C8CFCCF0782A3B55DC
  13. Singh PS, Chaturvedi HK. A retrospective study of environmental predictors of dengue in Delhi from 2015 to 2018 using the generalised linear model. Sci Rep. 2022 May 16;12(1):8109. doi:10.1038/s41598-022-12164-x. PMID: 35577838; PMCID: PMC9109956. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9109956/
  14. Thirumalesh DHR, Fathima K. Climate and dengue incidence in and around Bengaluru: warning based on temperature and rainfall. Int J Curr Microbiol Appl Sci. 2016;5(3):617-623. doi:10.20546/ijcmas.2016.503.072. Available from: https://www.academia.edu/164847143/Climate_and_Dengue_Incidence_in_and_around_Bengaluru_Warning_Based_on_Temperature_and_Rainfall
  15. Tan B, De Vera P, Abrazaldo J, Ng C. Flood-associated disease outbreaks and transmission in Southeast Asia. Front Microbiol. 2025 Oct 22;16:1694246. doi:10.3389/fmicb.2025.1694246. PMID: 41199949; PMCID: PMC12585969. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12585969/

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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