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Japanese encephalitis in travelers from non-endemic countries, 1973-2008.
Am J Trop Med Hyg 2010; 82(5):930-6AJ

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.

Authors+Show Affiliations

Arboviral Diseases Branch, Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, 3150 Rampart Road, Fort Collins, CO 80521, USA. shills@cdc.govNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20439978

Citation

Hills, Susan L., et al. "Japanese Encephalitis in Travelers From Non-endemic Countries, 1973-2008." The American Journal of Tropical Medicine and Hygiene, vol. 82, no. 5, 2010, pp. 930-6.
Hills SL, Griggs AC, Fischer M. Japanese encephalitis in travelers from non-endemic countries, 1973-2008. Am J Trop Med Hyg. 2010;82(5):930-6.
Hills, S. L., Griggs, A. C., & Fischer, M. (2010). Japanese encephalitis in travelers from non-endemic countries, 1973-2008. The American Journal of Tropical Medicine and Hygiene, 82(5), pp. 930-6. doi:10.4269/ajtmh.2010.09-0676.
Hills SL, Griggs AC, Fischer M. Japanese Encephalitis in Travelers From Non-endemic Countries, 1973-2008. Am J Trop Med Hyg. 2010;82(5):930-6. PubMed PMID: 20439978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Japanese encephalitis in travelers from non-endemic countries, 1973-2008. AU - Hills,Susan L, AU - Griggs,Anne C, AU - Fischer,Marc, PY - 2010/5/5/entrez PY - 2010/5/5/pubmed PY - 2010/5/28/medline SP - 930 EP - 6 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 82 IS - 5 N2 - 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. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/20439978/full_citation L2 - http://www.ajtmh.org/content/journals/10.4269/ajtmh.2010.09-0676?crawler=true&amp;mimetype=application/pdf DB - PRIME DP - Unbound Medicine ER -