Kerala is facing a public health scare after reporting 69 confirmed cases and 19 deaths in 2025 from Primary Amoebic Meningoencephalitis (PAM), caused by the "brain-eating amoeba" Naegleria fowleri. The infection spreads when contaminated freshwater enters through the nose, attacking the brain with a 97% global fatality rate. With climate change and rising temperatures adding to risks, officials urge vigilance, clean water practices, and quick recognition of symptoms like fever, headache, vomiting, and confusion.