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Japanese Encephalitis: Is its Vaccine Necessary?

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October 31, 2022
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JE disease has symptoms of headache, fever, vomiting, disorientation, or even coma. Although most people don’t show any symptom but still it can be fatal if ignored. Since there is vaccine available for this disease, so better get vaccinated and stay prevented from the fatal disease. It is a viral infection which attacks on brain cells and spreads via mosquito bite. This virus is found in animals like pig and birds, so when mosquito bite pig and then bites human, that leads to virus transmission into humans causing JE. Human to human transmission via mosquito bite is not there. WHO has reported upto 68,000 cases of JE every year.

Symptoms of JE:-

It can start just like flu with symptoms seen in between 5-10 days post bite of mosquito Factors involve while considering custom skin care boxes

  • High grade fever
  • Seizures
  • Rigid neck
  • Delirium
  • Tremors
  • Muscle weakness

Prevention of JE-

Since it is caused by bite of mosquito, so all precautions should be directed toward prevention of insect bite during day or night time.

  • Use of insect repellant, which are recommended by certified agency like those containing DEET, Picardin, oil of lemon eucalyptus etc. avoid these repellants in less than 3 years of child. Avoid on cuts, abrasions, open wound etc. Don’t spray directly on skin, use spray on clothes
  • Dressing properly to cover full legs and arms
  • Treated clothes like garments washed with permethrin can also be used
  • Use of screen, nets on windows and entry gates
  • Use of mosquito nets properly, it should not be torned, it should be tied well from all sides. It should be pulled from all four sides properly so that no risk of chocking is there even if it falls on children. As it can catch fire, so better to keep flammable things like cigarette, candle etc away from nets.

JE vaccine: –

JE vaccine is US FDA approved for Japanese encephalitis disease and is manufactured in USA by IXIARO. It can be given at age of 2 months and older. It is given in 2 dosage format which means two shoots are needed for full protection. The gap between two doses should be 28 days.

For children more than 3 years of age and adults; it is given in 0.5ml dosage whereas in children of age 2months to 3 years, it is given in 0.25ml dosage. It is sometimes required in form of booster dose also, when someone is travelling from non JE countries (countries where no single case of JE has been reported so far) to JE endemic countries like southeast asia. Traveler having long stay, rural stay, outdoor activities related work, staying in area where there is no measures being followed to control mosquitoes, must be vaccinated.

As such no specific side effects have been reported post JE vaccine shots, only mild fever, malaise, injection site reaction, pain or tenderness were reported.

Precautionary Measures

Most people can safely receive the Japanese encephalitis vaccine, but you should tell your doctor or nurse before getting the vaccine if you have a high temperature (fever) or if you are pregnant or breast-feeding.

The vaccine may be delayed if you have a fever.

It is also not recommended if you are pregnant or breast-feeding because of the theoretical risk of problems delivering the vaccine to your baby.

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