Japanese Encephalitis is a rare but serious arboviral infection which occurs in most of the Far East and South East Asia countries. The endemic zone extends from India and Nepal across the whole of South East Asia to Japan and Korea in the Far East.
Japanese Encephaliti is transmitted by the bite of an infected mosquito just like malaria but it is a viral infection rather than a protozoan as in malaria. Mosquitoes become infected by feeding on domestic pigs and wild birds infected with the Japanese encephalitis virus. Infected mosquitoes then transmit the Japanese encephalitis virus to humans and animals during the feeding process although the illness cannot be passed on from person to person. Mild infections can sometimes occur without apparent symptoms other than mild fever with headache. More severe infection is marked by quick onset, headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, occasional convulsions (especially in infants) and spastic paralysis.
The risk of infection is greatest in long term visitors to rural areas, but the risk to short term visitors and visitors to major cities is small. There is an effective vaccine available and should be considered by anyone travelling to Asia for more than a month or visiting rural areas. However, precautions against mosquito bites will also greatly reduce the chances of infection. It is usually mild but in some cases it can cause inflammation (swelling) of the brain (encephalitis), leading to permanent brain damage or death. High risk areas include tropical north east Australia and East Asia - including China, Myanmar (Burma), Thailand, Vietnam, Cambodia, Laos, Nepal, India, Philippines, Sri Lanka, Korea, Malaysia, Indonesia and Singapore.
Cost: £125 per dose
Information: The course needs to be completed at least 10-14 days before you leave in case of an allergic reaction. The vaccine requires two doses, with the second dose given 28 days after the first. The vaccine will require a booster between 12 months and 24 months later. This will provide a further 12 months cover This vaccine is only licensed for people aged over 18 and not recommended for children. There is no data on the duration of protection a course provides.
If you are unsure which vaccines you require for an upcoming trip IGP provide a travel telephone consultation with a trained practice Nurse to advise on the vaccine requirements for your upcoming travel. During this appointment the Nurse will conduct a detailed assessment and create a schedule of your required vaccinations.
On booking your travel consultation you will receive an email confirming your appointment details with a link to a 'Travel Risk Assessment Form' that we ask you to completed prior to your appointment.
Time: 10 minutes
Cost: £30 (Discounted from the total cost of any future vaccines administered)
Please note that vaccine cost is the cost per dose to have the vaccine with a nurse and not a GP. There is an additional fee of £25 for the vaccine to be administered by a GP. The number of doses required indicates the number of doses for a standard course. An accelerated course can impact the number of doses required. It is strongly advised that you leave plenty of time to complete the course before your trip. Some vaccination courses, with more than one vaccine required, may take up to a month or longer and many vaccinations will not become fully effective until weeks after the course completion. The brand of vaccine we supply may also vary depending on the current supply status of a particular vaccine.
If you cancel your appointment 24 hours before it starts, then you will receive a full refund. However, If you cancel your appointment within the 24-hour period before the appointment is due, then you will be liable to pay the cost of the consultation. If you do need to reschedule please contact us as soon as possible.
We want to ensure that all of our patients receive the information they need to make an informed decision about their healthcare. If you have any questions or if you require assistance with anything, please let us know.