Kerala’s emergency medical response system is bracing for a potentially devastating blow. Health Minister K. Muraleedharan has formally requested that the state invoke the Essential Services Maintenance Act (ESMA) to stop a 24-hour strike by ambulance workers planned for September 17.

Key facts

  • Strike announced by Kerala State 108 Ambulance Employees Union
  • Planned for 24 hours from 8 a.m., September 17 to 8 a.m., September 18
  • Dispute centers on unpaid bonuses for the 2025-26 financial year

A Critical Service Under Threat

The 108 ambulance service is the backbone of Kerala's emergency health network. It’s not just a transport service; it’s a lifeline for accident victims, those facing medical crises, and mothers in emergency childbirth. Any disruption here isn't an inconvenience—it’s a matter of life and death. The government’s move to seek ESMA underscores how gravely they view the situation, framing it far beyond a typical labor dispute.

The Stakes for Patients

With the strike looming, the real fear is for those who rely on these urgent services. Delays in reaching hospitals could have fatal consequences. The Health Department’s statement on Saturday was blunt: these recurring protests create immense hardship for patients. It’s this human cost that has pushed the government toward considering stringent legal measures to keep the ambulances running.

Management's Stern Warning

Even before the strike date, tensions are high. EMRI-GHS, which operates the service, has issued a direct communication to staff. It warns them against refusing trips, stating that such actions are already “severely affecting” the emergency network. The message is clear: administrative grievances must not be used to paralyze critical healthcare. The organization has apparently sent appeal letters and show-cause notices, but some personnel continue to deny trips, deepening the crisis.

“Administrative grievances or labour disputes should not be weaponised to paralyse emergency health care.” — EMRI-GHS communication