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Australia Warns of Counterfeit Rabies Vaccine in India as Manufacturer Disputes Advisory

Travellers given Abhayrab in India since November 2023 are being told to get replacement doses and antibody testing because individual vials cannot be reliably verified.

Overview

  • ATAGI’s 22 December alert advises that any Abhayrab dose administered in India on or after 1 November 2023 should be treated as potentially counterfeit and considered invalid.
  • Officials recommend replacement doses with Australian-registered vaccines such as Rabipur or Verorab and blood tests to check rabies antibody levels, with public health units contacting known cases who began PEP in India.
  • Indian Immunologicals Limited says a single counterfeit incident tied to batch KA24014 was identified in January 2025, asserts the batch is no longer on shelves, and rejects the Australian guidance as over-cautious.
  • Reports have cited detections of falsified vials in major hubs including Delhi, Mumbai, Ahmedabad and Lucknow, but the full distribution footprint remains unclear.
  • Rabies is nearly always fatal once symptoms appear, and WHO estimates 18,000 to 20,000 deaths annually in India, highlighting the stakes if post-exposure vaccination was ineffective.