Bellary, India achieves negligible case fatality due to Japanese encephalitis despite no vaccination: An outbreak investigation in 2004

Abstract

A good community awareness of encephalitis, a prompt referral system and a good supportive treatment for the patients and a good surveillance system and response were observed. Very close proximity with amplifying hosts of pigs was avoided by the community, though piggeries were still not very far away (1-3 Km). These may explain the reduction in cases, deaths and disabilities due to this disease in this district over the years. Possibilities of mutant strain which is less virulent and/or a better immune status of at risk population may also need to be explored. The impact of the mass vaccination with SA 14-14-2, imported from China in Bellary during July, 2006 remains to be evaluated. This will further decrease the case load.

Acute Encephalitis Syndrome in Children With Special Reference to Japanese Encephalitis: A Retrospective Analysis

“…8,10,12 This finding was statistically significant. Children from rural areas were found to be affected more as compared to those from urban areas.…”

“…This is similar to other studies carried out earlier in the subcontinent. 8,10 However, in the surveillance study conducted by Kakkar et al in Kushinagar, Uttar Pradesh, AES was found to be commonest in children under five years old. 11 The district-wise distribution of AES cases in our study showed that it was most common in Dibrugarh district (Where the study was conducted) followed by the neighbouring districts of Tinsukia, Sivasagar and Dhemaji.…”

Clinical Profile and Outcome of Acute Encephalitis Syndrome in Dhulikhel Hospital of Nepal

“…Other symptoms commonly seen were vomiting (51%), seizure(44%), and altered sensorium (18.75%). Neeru Gupta et al 13 found fever in 100% cases and convulsion in 51.71% of cases. The fi ndings of our study are similar with fi ndings of other studies.…”

Study on acute encephalitis syndrome in children and their correlation with clinical parameters and etiological factors

“…Other studies also documented prevalence of disease during these months. 11,14 This is because of increase mosquito density during post monsoon period.…”