Epidemiology of Japanese Encephalitis in Central India after Implementing Immunization

Author:

Tandale Babasaheb V.1ORCID,Khude Poornima M.1,Deshmukh Pravin S.1,Qazi Mohiuddin S.2,Padmaja Goteti V.3,Narang Rahul,Deshmukh Pradeep R.,Rajderkar Shekhar S.4,Tomar Shilpa J.1,Bondre Vijay P.5,Sapkal Gajanan N.5,Damle Rekha G.5,Jain Manish6,Jain Dipty7,Guduru Vijay Kumar8,Jain Jyoti9,Gosavi Rajesh V.10,Sekhar V. Chandra11,Raut Abhishek V.12,Narlawar Uday W.13,Jha Punam Kumari14,Niswade Abhimanyu K.10,Talapalliwar Manoj13,Rathod Pragati13,Soujanya B. Padmini8,Kumar M. Pavan11,Kumar K. J. Kishore14,

Affiliation:

1. Epidemiology Group, ICMR – National Institute of Virology, Pune, Maharashtra, India

2. Department of Microbiology, Government Medical College, Nagpur, Maharashtra, India

3. Department of Microbiology, Kakatiya Medical College, Warangal, Telangana, India

4. Department of Community Medicine, Government Medical College, Miraj, Maharashtra, India

5. Encephalitis Group, ICMR – National Institute of Virology, Pune, Maharashtra, India

6. Department of Pediatrics, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India

7. Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India

8. Department of Pediatrics, Kakatiya Medical College, Warangal, Telangana, India

9. Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India

10. Department of Medicine, Government Medical College, Nagpur, Maharashtra, India

11. Department of Medicine, Kakatiya Medical College, Warangal, Telangana, India

12. Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India

13. Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India

14. Department of Community Medicine, Kakatiya Medical College, Warangal, Telangana, India

Abstract

Abstract Objective We report the epidemiology of Japanese encephalitis (JE) disease after the implementation of routine immunization in medium-endemic districts in the states of Maharashtra and Telangana in Central India. Methods We investigated acute encephalitis syndrome (AES) patients hospitalized from October 2018 to September 2020. Field visits were also made to the residences of 262 AES cases, including 54 JE cases. Results The overall case fatality ratio was 31%. Maharashtra state contributed 72% of JE and 67% of AES cases. The rural localities had a significantly higher number of JE cases than the urban areas. The occurrence of JE was reported year round, with most JE cases reported during the rainy season. Both AES and JE cases were reported mostly among children, with JE in 66% and non-JE AES in 70% of children. Conclusion The JE disease continues to affect the population after routine immunization. Surveillance, prevention, and control need to be enhanced to achieve accelerated control.

Publisher

Georg Thieme Verlag KG

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