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Japanese Encephalitis

What is Japanese Encephalitis?

Japanese Encephalitis is a viral brain infection spread by mosquitoes in Asia and the Western Pacific. Severe cases can lead to brain swelling, disability, or death.

How is it Spread? 

  • By the bite of an infected mosquito 
  • Mosquitoes breed near rice fields, pig farms, and water 
  • Not spread person to person 

Who is at Risk? 

  • Travellers to rural and farming areas in Asia and the Western Pacific 
  • People spending long periods outdoors (e.g., camping, hiking) 
  • Workers in contact with pigs or water birds 
  • Long-term travellers (1 month+ stays) 

Signs and Symptoms: 

  • Most cases have no symptoms 
  • Severe cases: high fever, headache, vomiting 
  • Stiff neck, confusion, seizures, paralysis 
  • Can cause long-term brain damage or death 

When to Consider Vaccination: 

  • Before long trips (1 month+) to high-risk areas 
  • If spending time in rural or agricultural areas 
  • For outdoor adventure activities (trekking, camping) 
  • For work in labs or healthcare with virus exposure 

The Vaccine: 

  • 2-dose series (28 days apart) 
  • Booster may be needed for ongoing risk 
  • Safe and well-tolerated 
  • Suitable from 2 months of age 

Do

  • Get vaccinated if you’re travelling to rural or high-risk areas for 1+ month
  • Use mosquito repellent, wear long clothing, and sleep under nets
  • Complete the full vaccine course before travel (ideally 4–6 weeks in advance)

Do not

  • Assume city travel means zero risk — mosquitoes can still be present
  • Rely solely on the vaccine for protection — prevention is still essential
  • Start the vaccine schedule too late to build immunity before departure