Japanese Encephalitis (JE): Population at Risk and Strategies to Control in India
Journal Title: National Journal of Community Medicine - Year 2018, Vol 9, Issue 8
Abstract
Currently, an estimated 3 billion people live in the 24 countries, mainly in the WHO South-East Asia and Western Pacific Regions, con-sidered at risk of JE. The case-fatality rate can be as high as 30%, with 20-30% of survivors suffering permanent intellectual, behavioral, or neurological problems. Overall annual incidence in endemic coun-tries has been estimated at 5.4/100000 in the 0–14 year age group, and 0.6/100000 in those aged more than 15years.In lack of convincing data on actual disease burden due to inappropriate diag-nostic facilities and strong quality surveillance mechanism for the vi-rus in India, some researchers has shown there concern to continue a national program to control a high-ly localized illness with around 1000 cases and 200 odd deaths eve-ry year. Immunization as well as other strat-egies like periodic fogging, promo-tion of personnel protective measure (protective clothing, use of mats/coils/repellant/aerosol and establishment of paediatric Intensive care unit in endemic districts has been advocated since long. Presently out of total 231 JE endemic districts across 22 states, campaign activity has been completed in 230 districts and JE vaccination has been started as a part of routine immunization. In last few years cases of adult Japa-nese encephalitis has been reported from identified JE endemic dis-tricts.Accordingly, 31 endemic dis-tricts were identified across 3 states where adult JE vaccination cam-paigns were recommended. The adult JE campaign, covering adults aged 15-65 years, have been com-pleted in these 31 districts wherein 33 million adults were vaccinated against JE.
Authors and Affiliations
Sourabh Saxena, Priti Chaudhary, Ashish Chauhan
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