Abstract

Japanese encephalitis (JE) virus is the leading cause of vaccinepreventable encephalitis in Asia and the western Pacic. For most travelers to Asia, the risk for JE is very low but varies based on destination, length of travel, season, and activities1. A visit for JE case investigation was carried out by state IDSP team in november in Keshoraipatan & Arnetha village. During the visit complete history of patient was recorded. House to house and Entomological survey was carried out along with district team in affected area. There was abundance larvae of Culex mosquitoes found and were collected from drain adjoining with paddy eld. Pig's population found just in front of the house and piggeries situated within 500mts from patient's house. Paddy elds with water frequenting birds (Egret) found within 2 km range of the patient's house. Seven blood samples were collected of suspected patients out of which two were found JE positive, two were borderline for JE and one was dengue positive. Recommendations were given to district team about fever surveillance and anti-larval activities on regular basis, dedicated staff(MPW,MI &IC) for anti larval activities, IEC , all the reporting units (health institutions)in endemic areas both in public and private sector should further notify all these suspected JE cases based on standard case denitions

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