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*Rare outbreaks in U.S. territories in Western Pacific  
*Rare outbreaks in U.S. territories in Western Pacific  
*[[Case fatality rate]]s range from 0.3% to 60%.
*[[Case fatality rate]]s range from 0.3% to 60%.
*Case-fatality ratio: 30%
*Serious neurologic sequela: 30%


Japanese encephalitis outbreaks are usually circumscribed and do not cover large areas. They usually do not last more than a couple of months, dying out after the majority of the pig amplifying hosts have become infected. Birds are the [[natural host]]s for Japanese encephalitis. Epidemics occur when the virus is brought into the peridomestic environment by mosquito bridge vectors where there are pigs, which serve as [[amplification host]]s, infecting more mosquitoes which then may infect humans. Countries which have had major [[epidemic]]s in the past, but which have controlled the disease primarily by [[vaccination]], include China, Korea, Japan, Taiwan and Thailand. Other countries that still have periodic epidemics include Viet Nam, Cambodia, Myanmar, India, Nepal, and Malaysia.
Japanese encephalitis outbreaks are usually circumscribed and do not cover large areas. They usually do not last more than a couple of months, dying out after the majority of the pig amplifying hosts have become infected. Birds are the [[natural host]]s for Japanese encephalitis. Epidemics occur when the virus is brought into the peridomestic environment by mosquito bridge vectors where there are pigs, which serve as [[amplification host]]s, infecting more mosquitoes which then may infect humans. Countries which have had major [[epidemic]]s in the past, but which have controlled the disease primarily by [[vaccination]], include China, Korea, Japan, Taiwan and Thailand. Other countries that still have periodic epidemics include Viet Nam, Cambodia, Myanmar, India, Nepal, and Malaysia.

Revision as of 18:48, 29 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Epidemiology and Demographics

Map: areas where Japanese encephalitis is endemic
  • Leading cause of viral encephalitis in Asia with 30-50,000 cases reported annually
  • Fewer than 1 case/year in U.S. civilians and military personnel traveling to and living in Asia
  • Rare outbreaks in U.S. territories in Western Pacific
  • Case fatality rates range from 0.3% to 60%.
  • Case-fatality ratio: 30%
  • Serious neurologic sequela: 30%

Japanese encephalitis outbreaks are usually circumscribed and do not cover large areas. They usually do not last more than a couple of months, dying out after the majority of the pig amplifying hosts have become infected. Birds are the natural hosts for Japanese encephalitis. Epidemics occur when the virus is brought into the peridomestic environment by mosquito bridge vectors where there are pigs, which serve as amplification hosts, infecting more mosquitoes which then may infect humans. Countries which have had major epidemics in the past, but which have controlled the disease primarily by vaccination, include China, Korea, Japan, Taiwan and Thailand. Other countries that still have periodic epidemics include Viet Nam, Cambodia, Myanmar, India, Nepal, and Malaysia.

Risk of Japanese encephalitis by country, region, and season


Risk of Japanese encephalitis by country, region, and season--continued


References

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