Japanese encephalitis vaccination

GoanCanuck · Sep 19th, 2005, 00:25

The information in that table is not very accurate. There has not been a single case of Jap E in Goa this year as per the data available from the Goa government.

edwardseco · Sep 19th, 2005, 01:12

However, in the previous year there was such. The odds are are pretty slim though and I haven't had need for the JE shots yet..

hfot2 · Sep 19th, 2005, 04:11

Re #8: Shanthi, I couldn't get your first link to work, but I did get this link to the site
<http://www.cdc.gov/travel/indianrg.htm>
All the other links within #8 worked fine for me - good info, thanks - it reinforces what IAMAT says on their world immunization chart.

Re #13: Sunray, three shots required -at VARYING intervals - and then a booster according to cdd yellow book - [link above] . I don't know what the recommendation in the UK is, nor do I know the cost:
The recommended primary immunization series is three doses of 1.0 mL each, administered subcutaneously on days 0, 7, and 30. An abbreviated schedule of days 0, 7, and 14 can be used when the longer schedule is impractical. Both regimens produce similar immunity among recipients. Two doses given a week apart may be used in unusual circumstances and will confer short-term immunity in 80% of vaccinees. The last dose should be administered at least 10 days before beginning travel to ensure an adequate immune response and access to medical care in the event of any delayed adverse reactions (Table 4-2). Many Asian countries have adopted a schedule of two primary doses approximately 4 weeks apart, followed by a booster after 1 year, with subsequent boosters at 3-year intervals. The duration of immunity after serial booster doses has not been well established.

I'm still weighing risks and benefits - I do this with this shot every time before we leave and have yet to get it. I have to get an appointment with our travel clinic scheduled...

Selfdefinition · Sep 19th, 2005, 04:43

I went for it....I did feel a bit feverish, but took some Advil and felt fine. I work in infectious disease, so I would rather be safe than sorry...

Blueskiesgirl · Sep 19th, 2005, 16:45

Hi
Further to my previous post and in agrement with hfot2, my course of injections does not take 31 days (as I didn't have that timescale either).
Day 0 - first injection
Day 7 - second injection
Day 14 - third injection
then no flying for 10 days so OK to fly after Day 24
That still may not help if you don't have that time but as I say, I took it as I shall be in a rural area for a prolonged period. Total cost £90 in Nomad Travel, Bristol, England.
Have a safe trip.

Sunray · Sep 20th, 2005, 18:33

Quote:

Originally Posted by Blueskiesgirl

Hi
Further to my previous post and in agrement with hfot2, my course of injections does not take 31 days (as I didn't have that timescale either).
Day 0 - first injection
Day 7 - second injection
Day 14 - third injection
then no flying for 10 days so OK to fly after Day 24
That still may not help if you don't have that time but as I say, I took it as I shall be in a rural area for a prolonged period. Total cost £90 in Nomad Travel, Bristol, England.
Have a safe trip.

Thing is I'm in the middle of my trip, hanging around for 24 days even in Bangkok which can be quite fun, is gonna wear me down and cost me some cash. I'm only want to go to Kolata, Darjeeling and Sikkim (no real mozzies there), Varanasi, Delhi, Agra and Amritsa. I've already spent 3 months in India already this year so not into a massive tour. Having doubts about the short trip viability if I want to go back to the UK before xmas. Might save them for the next time.

squashblossom · Sep 27th, 2005, 17:16

arrgh! so confusing. Its a pretty expensive injection, my travel doctor said $315 (aust $) all up. She recomended it. But i just dont want to spend that sort of money, all up im spending $380 on injections already (hep a + b, etc etc)
Will be traveling round for 3 months, more in the south, but a few weeks in the north, mostly in bigger towns/cities.. hhmm

Willsy · Sep 27th, 2005, 17:50

We took a while to decide and in the end we've decided not to have it. We read up on it quite a lot - looked at the statiscs etc and came to the conclusion that we would be in pretty low risk areas for all of our trip. I know that we're going to be spending virtually all our time in towns/cities that are quite a way from recent recorded outbreaks and I plan to be pretty meticulous in preventing getting bitten in the first place. Only you can decide - if you think you'll worry about it when you're there then have it done for peace of mind.

zephyr · Sep 28th, 2005, 13:49

I'm going to Delhi (1 day), Rajasthan (12 days) and Agra (1 day) on October 13th and decided against getting the JE shot. According to every website I have seen, there have been no reported cases of JE in Rajasthan and very few in Delhi. Since 1981, there have been 5 reported cases of JE in U.S. travellers (not that I'm American but I'm sure they have alot more travellers to India than Canada!) My friend did end up getting the shot for peace of mind.
What I did end up getting was the rabies vaccination. There are 30,000 reported deaths from rabies in India annually. Once symptoms occur, the disease is fatal. This summer, an English woman who had visited Goa died because of a scratch she received from a rabid puppy. If you don't get the shot, be aware of the precautions to take if scratched, bitten, etc. from a suspect animal. I don't want to scare anybody but the literature at the travel clinic and the internet are enough to drive some insane with worry. Have a safe and fun trip!

thaneb · Oct 1st, 2005, 06:28

Anyone know anything about getting the JE shots while in India? Too late for me here and am not sure if it is necessary. However if I find myself unable to fend off the mosquitoes and get super paranoid upon arrival I may want to do it even if it is a month long process.

Siena · Oct 1st, 2005, 15:28

As the outbreak is in parts of Uttapradesh and we were going to Agra, I thought I try and find out more about exactly where in UP it was. Through a WHO link I was able to email someone there.

This is my question to them -
We are traveling to India in December and will be mainly in New Delhi and Rajastan, however we will be in Agra for a couple of nights. The WHO website says
"1145 cases of Japanese encephalitis have been reported from 14 districts of Uttar Pradesh Province , India from 29 July to 30 August 2005. About one-fourth of these (n=296) have died. 90 cases from the adjoining districts of Bihar have also been admitted to the hospitals in Uttar Pradesh."

Please advise if Agra is in one of the districts affected by the outbreak.

Their answer was :

"JE problem is mainly encountered in eastern part of Uttar Pradesh, India.

The tourist should take precaution to protect themselves from mosquito bites, if they plan to visit the eastern districts of Uttar Pradesh. There are no reports of JE outbreaks from Districts of Agra. The peak season of JE is during the month of August to October and the outbreaks are expected to bean off by December.

Please refer to WHO Webpage of JE for further information."

With Warm Regards

Dr Subhash Salunke
Regional Adviser, CSR
WORLD HEALTH ORGANIZATION
WHO House, I P Estate,
Ring Road, New Delhi - 110 002, INDIA
Tel: +91 11 2330 9127 (Direct); 2337 0804; Extn: 26127
Fax: +91 11 23705663

So we are not getting it!

guerik · Oct 4th, 2005, 06:56

I got my JE jab before my last trip - mainly because I wasn't sure where I'd be staying exactly so figured better safe than sorry. My hindi's improving my I still have no idea what the words for japanese encephalitis would be

I didn't experience any side effects, except for a lightening of the wallet.

Interesting fact - the injection I got was made from mouse brains. ew, huh?
Apparently they're now using a synthetic version though so anyone that hasn't already got it is going to miss out on the fun

Adriane&Salvador · Oct 7th, 2005, 00:10

Does anyone know if and where vaccinations for Japanese E are available in Delhi? Are these vaccines easy to come by in India and affordable or is it best to try and find them in Mexico before we leave (here they are very expensive and hard to find...)

Thanks!
Adriane & Salvador

GoanCanuck · Oct 7th, 2005, 00:15

Quote:

Originally Posted by Adriane&Salvador

Does anyone know if and where vaccinations for Japanese E are available in Delhi? Are these vaccines easy to come by in India and affordable or is it best to try and find them in Mexico before we leave (here they are very expensive and hard to find...)

Thanks!
Adriane & Salvador

The injections are much cheaper in India and they should be easily available in Delhi although I don't know the exact locations where you can get them. Maybe Vinay can guide you. If you are going to Goa then I can refer you to a place in Goa where you can get the vaccination.

hfot2 · Oct 7th, 2005, 04:38

Our travel clinic visit resulted in no JE vaccination for us. The doctor said we didn't need it for where we are going. She did say the cost was high and the side effects COULD be unpleasant. Besides, it seems that it's not tourists who get the disease...

An interesting bit of info from the Travax Traveler Health Report: "Not recommended for short visits to usual rural tourist sites. Evening and nighttime insect precautions are recommended."

Sep 19th, 2005, 16:45	#20
Blueskiesgirl Member Join Date: Sep 2005 Location: Bristol, England Posts: 25	Not 31 days Hi Further to my previous post and in agrement with hfot2, my course of injections does not take 31 days (as I didn't have that timescale either). Day 0 - first injection Day 7 - second injection Day 14 - third injection then no flying for 10 days so OK to fly after Day 24 That still may not help if you don't have that time but as I say, I took it as I shall be in a rural area for a prolonged period. Total cost £90 in Nomad Travel, Bristol, England. Have a safe trip.

Sep 27th, 2005, 17:16	#22
squashblossom Member Join Date: Sep 2005 Location: australia Posts: 18	well im not sure.. arrgh! so confusing. Its a pretty expensive injection, my travel doctor said $315 (aust $) all up. She recomended it. But i just dont want to spend that sort of money, all up im spending $380 on injections already (hep a + b, etc etc) Will be traveling round for 3 months, more in the south, but a few weeks in the north, mostly in bigger towns/cities.. hhmm

Sep 28th, 2005, 13:49	#24
zephyr Member Join Date: Sep 2005 Location: Vancouver Posts: 1	JE shot vs. Rabies I'm going to Delhi (1 day), Rajasthan (12 days) and Agra (1 day) on October 13th and decided against getting the JE shot. According to every website I have seen, there have been no reported cases of JE in Rajasthan and very few in Delhi. Since 1981, there have been 5 reported cases of JE in U.S. travellers (not that I'm American but I'm sure they have alot more travellers to India than Canada!) My friend did end up getting the shot for peace of mind. What I did end up getting was the rabies vaccination. There are 30,000 reported deaths from rabies in India annually. Once symptoms occur, the disease is fatal. This summer, an English woman who had visited Goa died because of a scratch she received from a rabid puppy. If you don't get the shot, be aware of the precautions to take if scratched, bitten, etc. from a suspect animal. I don't want to scare anybody but the literature at the travel clinic and the internet are enough to drive some insane with worry. Have a safe and fun trip!

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Sep 19th, 2005, 00:25	#16
GoanCanuck Maha Guru Member Join Date: Oct 2004 Location: Vancouver Posts: 3,204	The information in that table is not very accurate. There has not been a single case of Jap E in Goa this year as per the data available from the Goa government.

Sep 19th, 2005, 01:12	#17
edwardseco Maha Guru Member Join Date: Sep 2001 Location: Land that shakes and bakes. Posts: 4,436	However, in the previous year there was such. The odds are are pretty slim though and I haven't had need for the JE shots yet..

Sep 19th, 2005, 04:11	#18
hfot2 MemberS Join Date: Aug 2004 Location: Vermont Posts: 522	Re #8: Shanthi, I couldn't get your first link to work, but I did get this link to the site <http://www.cdc.gov/travel/indianrg.htm> All the other links within #8 worked fine for me - good info, thanks - it reinforces what IAMAT says on their world immunization chart. Re #13: Sunray, three shots required -at VARYING intervals - and then a booster according to cdd yellow book - [link above] . I don't know what the recommendation in the UK is, nor do I know the cost: The recommended primary immunization series is three doses of 1.0 mL each, administered subcutaneously on days 0, 7, and 30. An abbreviated schedule of days 0, 7, and 14 can be used when the longer schedule is impractical. Both regimens produce similar immunity among recipients. Two doses given a week apart may be used in unusual circumstances and will confer short-term immunity in 80% of vaccinees. The last dose should be administered at least 10 days before beginning travel to ensure an adequate immune response and access to medical care in the event of any delayed adverse reactions (Table 4-2). Many Asian countries have adopted a schedule of two primary doses approximately 4 weeks apart, followed by a booster after 1 year, with subsequent boosters at 3-year intervals. The duration of immunity after serial booster doses has not been well established. I'm still weighing risks and benefits - I do this with this shot every time before we leave and have yet to get it. I have to get an appointment with our travel clinic scheduled...

Sep 19th, 2005, 04:43	#19
Selfdefinition Member Join Date: Jul 2005 Location: Ottawa, Ontario, Canada Posts: 55	I went for it....I did feel a bit feverish, but took some Advil and felt fine. I work in infectious disease, so I would rather be safe than sorry...

Sep 27th, 2005, 17:50	#23
Willsy Member Join Date: Sep 2005 Location: Bradford-on-Avon, England Posts: 26	We took a while to decide and in the end we've decided not to have it. We read up on it quite a lot - looked at the statiscs etc and came to the conclusion that we would be in pretty low risk areas for all of our trip. I know that we're going to be spending virtually all our time in towns/cities that are quite a way from recent recorded outbreaks and I plan to be pretty meticulous in preventing getting bitten in the first place. Only you can decide - if you think you'll worry about it when you're there then have it done for peace of mind.

Oct 1st, 2005, 06:28	#25
thaneb Member Join Date: Sep 2005 Location: BC, Canada Posts: 65	Anyone know anything about getting the JE shots while in India? Too late for me here and am not sure if it is necessary. However if I find myself unable to fend off the mosquitoes and get super paranoid upon arrival I may want to do it even if it is a month long process.

Oct 1st, 2005, 15:28	#26
Siena Member Join Date: May 2005 Location: Australia Posts: 40	As the outbreak is in parts of Uttapradesh and we were going to Agra, I thought I try and find out more about exactly where in UP it was. Through a WHO link I was able to email someone there. This is my question to them - We are traveling to India in December and will be mainly in New Delhi and Rajastan, however we will be in Agra for a couple of nights. The WHO website says "1145 cases of Japanese encephalitis have been reported from 14 districts of Uttar Pradesh Province , India from 29 July to 30 August 2005. About one-fourth of these (n=296) have died. 90 cases from the adjoining districts of Bihar have also been admitted to the hospitals in Uttar Pradesh." Please advise if Agra is in one of the districts affected by the outbreak. Their answer was : "JE problem is mainly encountered in eastern part of Uttar Pradesh, India. The tourist should take precaution to protect themselves from mosquito bites, if they plan to visit the eastern districts of Uttar Pradesh. There are no reports of JE outbreaks from Districts of Agra. The peak season of JE is during the month of August to October and the outbreaks are expected to bean off by December. Please refer to WHO Webpage of JE for further information." With Warm Regards Dr Subhash Salunke Regional Adviser, CSR WORLD HEALTH ORGANIZATION WHO House, I P Estate, Ring Road, New Delhi - 110 002, INDIA Tel: +91 11 2330 9127 (Direct); 2337 0804; Extn: 26127 Fax: +91 11 23705663 So we are not getting it!

Oct 4th, 2005, 06:56	#27
guerik Maha Guru Member Join Date: Aug 2003 Location: Australia Posts: 1,038	I got my JE jab before my last trip - mainly because I wasn't sure where I'd be staying exactly so figured better safe than sorry. My hindi's improving my I still have no idea what the words for japanese encephalitis would be I didn't experience any side effects, except for a lightening of the wallet. Interesting fact - the injection I got was made from mouse brains. ew, huh? Apparently they're now using a synthetic version though so anyone that hasn't already got it is going to miss out on the fun

Oct 7th, 2005, 00:10	#28
Adriane&Salvador Hola! Join Date: Aug 2005 Location: Delhi Posts: 68	Does anyone know if and where vaccinations for Japanese E are available in Delhi? Are these vaccines easy to come by in India and affordable or is it best to try and find them in Mexico before we leave (here they are very expensive and hard to find...) Thanks! Adriane & Salvador

Oct 7th, 2005, 04:38	#30
hfot2 MemberS Join Date: Aug 2004 Location: Vermont Posts: 522	Our travel clinic visit resulted in no JE vaccination for us. The doctor said we didn't need it for where we are going. She did say the cost was high and the side effects COULD be unpleasant. Besides, it seems that it's not tourists who get the disease... An interesting bit of info from the Travax Traveler Health Report: "Not recommended for short visits to usual rural tourist sites. Evening and nighttime insect precautions are recommended."

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