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Japanese encephalitis virus JEV is the most important cause of viral encephalitis in Asia. It is a mosquito-borne flavivirus, and belongs to the same genus as dengue, yellow fever and West Nile viruses.

The first case of Japanese encephalitis viral disease JE was documented in in Japan. JE primarily affects children.

Most adults in endemic countries have natural immunity after childhood infection, but individuals of any age may be affected. Most JEV infections are mild fever and headache or without apparent symptoms, but approximately 1 in infections results in severe clinical illness.

The incubation period is between days. In children, gastrointestinal pain and vomiting may be the dominant initial symptoms. Severe disease is characterized by rapid onset of high fever, headache, neck stiffness, disorientation, coma, seizures, spastic paralysis and ultimately death.

JEV is transmitted to humans through bites from infected mosquitoes of the Culex species mainly Culex tritaeniorhynchus. Humans, once infected, do not develop sufficient viraemia to infect feeding mosquitoes.

The disease is predominantly found in rural and periurban settings, where humans live in closer proximity to these vertebrate hosts. In most temperate areas of Asia, JEV is transmitted mainly during the warm season, when large epidemics can occur.

In the tropics and subtropics, transmission can occur year-round but often intensifies during the rainy season and pre-harvest period in rice-cultivating regions.

Individuals who live in or have travelled to a JE-endemic area and experience encephalitis are considered a suspected JE case.

A laboratory test is required in order to confirm JEV infection and to rule out other causes of encephalitis.

Testing of CSF sample is preferred to reduce false-positivity rates from previous infection or vaccination Surveillance of the disease is mostly syndromic for acute encephalitis syndrome.

Confirmatory laboratory testing is often conducted in dedicated sentinel sites, and efforts are undertaken to expand laboratory-based surveillance.

Case-based surveillance is established in countries that effectively control JE through vaccination. There is no antiviral treatment for patients with JE.

Treatment is supportive to relieve symptoms and stabilize the patient. Safe and effective JE vaccines are available to prevent disease.

WHO recommends having strong JE prevention and control activities, including JE immunization in all regions where the disease is a recognized public health priority, along with strengthening surveillance and reporting mechanisms.

Even if the number of JE-confirmed cases is low, vaccination should be considered where there is a suitable environment for JE virus transmission.

There is little evidence to support a reduction in JE disease burden from interventions other than the vaccination of humans. You may study them by a variety of quizes there.

Japanese people describe the sound of various kinds combining these fourty characters. How to combine is somewhat complicated, occasionally a voiced consonant mark is added or some characters are written in small size.

This is a very small web directory for DXers. You may search and suggest favorite homepages there. This is my verifications gallery contains items which were sent from broadcasting stations in s and 80s.

This web site is dedicated the USA county hunters in Japan. Although all the contents are writen in Japanese, they can be translated to English automatically.

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