Japanese Encephalitis in Travelers from Non-Endemic Countries, 1973–2008
- 1 May 2010
- journal article
- Published by American Society of Tropical Medicine and Hygiene in The American Journal of Tropical Medicine and Hygiene
- Vol. 82 (5), 930-936
- https://doi.org/10.4269/ajtmh.2010.09-0676
Abstract
Japanese encephalitis (JE) is a severe disease and a risk for travelers who visit JE-endemic countries. We reviewed all published JE cases in travelers from non-endemic areas from 1973 through 2008, and assessed factors related to risk of infection. There were 55 cases that occurred in citizens of 17 countries. Age range of case-patients was 1-91 years (median = 34 years). Ten (18%) persons died and 24 (44%) had mild to severe sequelae. In a detailed risk assessment of 37 case-patients, 24 (65%) had spent > or = 1 month in JE-endemic areas, and most had factors identified that may have increased infection risk. The estimate of overall JE risk was low, < 1 case/1 million travelers to JE-endemic countries. Nonetheless, for each traveler, a careful assessment of itinerary and activities, a decision on vaccination, and information on mosquito precautions are needed to reduce the risk of this disease.Keywords
This publication has 47 references indexed in Scilit:
- Travel Health Risk Perceptions and Prevention Behaviors of US Study Abroad StudentsJournal of Travel Medicine, 2009
- Japanese Encephalitis in Travelers: Review of Cases and Seasonal RiskJournal of Travel Medicine, 2009
- Japanese Encephalitis: Defining Risk Incidence for Travelers to Endemic Countries and Vaccine Prescribing From the UK and Switzerland: Table 1Journal of Travel Medicine, 2009
- The Epidemiology, Clinical Features, and Long‐Term Prognosis of Japanese Encephalitis in Central Sarawak, Malaysia, 1997–2005Clinical Infectious Diseases, 2008
- Current use and development of vaccines for Japanese encephalitisExpert Opinion on Biological Therapy, 2007
- A Case of Imported JE Acquired During Short Travel in Vietnam. Are Current Recommendations About Vaccination Broader?Journal of Travel Medicine, 2007
- Japanese encephalitis acquired during travel in ChinaInternal Medicine Journal, 2005
- Fatal Japanese Encephalitis in a Danish Tourist Visiting Bali for 12 DaysScandinavian Journal of Infectious Diseases, 1996
- A case of Japanese B encephalitis imported into the United KingdomJournal of Infection, 1983
- Japanese B encephalitis in VietnamThe American Journal of the Medical Sciences, 1971