Nipah virus, considered a major public health problem, presents a considerable risk due to its high transmission potential and a mortality rate of 40-70% according to WHO. This virus has recently posed a serious threat to Kerala, a relatively small state in India, with a fourth wave occurring in late August 2023. The insights gained from past encounters with this infection, along with the experience of dealing with the COVID-19 pandemic have equipped Kerala to confront the virus effectively during its fourth appearance. With the swift and effective response of the public health system and the governance, Kerala successfully contained virus transmission and reduced fatality rates significantly. This paper briefly examines the strategic planning undertaken by the Kerala government and health department to combat the Nipah virus outbreak. Additionally, the paper articulates certain concerns that arose during the outbreak and provides suggestions for addressing those concerns in future outbreaks.