“…[1][2][3] Over the past three decades, the incidence of Japanese encephalitis (JE) has increased in parts of India, Nepal, and southeast Asia, with outbreaks of JE occurring in several areas that were previously not endemic for this disease. 2,[4][5][6][7][8][9] The reasons for this increased geographic distribution are uncertain, but may include population shifts, and changes in agricultural practices, animal husbandry, migratory bird patterns, and movement of vector mosquitoes to wider areas. 1 It is estimated that JEV causes at least 50,000 cases of encephalitis each year in Asia, resulting in approximately 10,000 deaths with 15,000 survivors developing neurological and psychiatric sequelae.…”