Japanese Encephalitis: Strategies for Prevention and Control in India
Japanese Encephalitis (JE) is an important re-emerging vector-borne zoonotic disease of the 21st century which is the most important cause of morbidity and mortality due to pediatric viral encephalitis in Asian populations. India and China together report 95% of the disease burden where it is also a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Medical Specialities |
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| Online Access: | https://journals.lww.com/10.4103/INJMS.INJMS_22_18 |
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| author | Ruchir Rustagi Saurav Basu Suneela Garg |
| author_facet | Ruchir Rustagi Saurav Basu Suneela Garg |
| author_sort | Ruchir Rustagi |
| collection | DOAJ |
| description | Japanese Encephalitis (JE) is an important re-emerging vector-borne zoonotic disease of the 21st century which is the most important cause of morbidity and mortality due to pediatric viral encephalitis in Asian populations. India and China together report 95% of the disease burden where it is also an important cause of acute encephalitis syndrome. JE is a neglected tropical disease which disproportionately afflicts poor and economically disadvantaged populations in rural regions of low and middle-income countries which often lack well-equipped tertiary care centers for the management of JE cases presenting with central nervous system manifestations and related complications. JE has large animal reservoirs among pigs and water birds which renders JE elimination difficult. Hence, current strategy for JE prevention and control pursues a combined approach inclusive of expansion of JE vaccination coverage in endemic regions, vector control, and surveillance. Unfortunately, the lack of public health infrastructure, economic resources, and lack of political commitment has resulted in most endemic countries in the developing world failing to take adequate steps for achieving these recommended measures for JE control, especially with regard to developing surveillance capacities and reference laboratories for the diagnosis of JE. Moreover, the threat of JE has increased in recent years due to factors such as climate change and lack of economic development in several endemic zones even as the disease has begun affecting adult populations. Evidence from surveillance data in some countries also suggests that increase in vaccination coverage for JE does not necessarily correlate with decline in JE disease burden. Ultimately, JE is likely to persist as a major public health problem in the developing world and impede their economic development unless it receives adequate attention from the global health community. |
| format | Article |
| id | doaj-art-3a6d4bce56e04a1689c9b1d3492015fb |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-3a6d4bce56e04a1689c9b1d3492015fb2025-08-25T08:30:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922019-01-01101121710.4103/INJMS.INJMS_22_18Japanese Encephalitis: Strategies for Prevention and Control in IndiaRuchir RustagiSaurav BasuSuneela GargJapanese Encephalitis (JE) is an important re-emerging vector-borne zoonotic disease of the 21st century which is the most important cause of morbidity and mortality due to pediatric viral encephalitis in Asian populations. India and China together report 95% of the disease burden where it is also an important cause of acute encephalitis syndrome. JE is a neglected tropical disease which disproportionately afflicts poor and economically disadvantaged populations in rural regions of low and middle-income countries which often lack well-equipped tertiary care centers for the management of JE cases presenting with central nervous system manifestations and related complications. JE has large animal reservoirs among pigs and water birds which renders JE elimination difficult. Hence, current strategy for JE prevention and control pursues a combined approach inclusive of expansion of JE vaccination coverage in endemic regions, vector control, and surveillance. Unfortunately, the lack of public health infrastructure, economic resources, and lack of political commitment has resulted in most endemic countries in the developing world failing to take adequate steps for achieving these recommended measures for JE control, especially with regard to developing surveillance capacities and reference laboratories for the diagnosis of JE. Moreover, the threat of JE has increased in recent years due to factors such as climate change and lack of economic development in several endemic zones even as the disease has begun affecting adult populations. Evidence from surveillance data in some countries also suggests that increase in vaccination coverage for JE does not necessarily correlate with decline in JE disease burden. Ultimately, JE is likely to persist as a major public health problem in the developing world and impede their economic development unless it receives adequate attention from the global health community.https://journals.lww.com/10.4103/INJMS.INJMS_22_18controlencephalitisindiaprevention |
| spellingShingle | Ruchir Rustagi Saurav Basu Suneela Garg Japanese Encephalitis: Strategies for Prevention and Control in India Indian Journal of Medical Specialities control encephalitis india prevention |
| title | Japanese Encephalitis: Strategies for Prevention and Control in India |
| title_full | Japanese Encephalitis: Strategies for Prevention and Control in India |
| title_fullStr | Japanese Encephalitis: Strategies for Prevention and Control in India |
| title_full_unstemmed | Japanese Encephalitis: Strategies for Prevention and Control in India |
| title_short | Japanese Encephalitis: Strategies for Prevention and Control in India |
| title_sort | japanese encephalitis strategies for prevention and control in india |
| topic | control encephalitis india prevention |
| url | https://journals.lww.com/10.4103/INJMS.INJMS_22_18 |
| work_keys_str_mv | AT ruchirrustagi japaneseencephalitisstrategiesforpreventionandcontrolinindia AT sauravbasu japaneseencephalitisstrategiesforpreventionandcontrolinindia AT suneelagarg japaneseencephalitisstrategiesforpreventionandcontrolinindia |