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Japanese Encephalitis.

Definition of Disease Continued...

The vaccine is also available in many Asian countries and travelers needing the JE vaccine abroad are advised to contact the local U.S. Embassy or consulate for a list of reputable clinics that may have the vaccine. In China, the vaccine may be obtained at the U.S. Embassy and consulates in major cities, but only by citizens who will live in China for an extended period.

Because of the potential for other mosquito-borne diseases in Asia, all travelers are advised to use precautions to avoid mosquito bites. The mosquitoes which transmit Japanese encephalitis feed chiefly outdoors during the cooler hours at dusk and at dawn. Travelers are advised to minimize outdoor exposure at these times, to wear mosquito repellents containing DEET as an active ingredient, and to stay in air-conditioned or well-screened rooms. Repellents containing high concentrations of DEET should be used with care on children, because of the potential for neurological side effects. Travelers to rural areas should bring a portable bednet, which can be obtained at backpacking and army-navy surplus stores, and aerosol room insecticides to kill indoor mosquitoes. Permethrin, a mosquito repellent/insecticide can be applied to clothing.

WHO SHOULD NOT BE VACCINATED

Some people should generally not receive the vaccine. The CDC recommends that the vaccine not be administered to the following persons unless the benefit of the vaccine clearly outweighs the risk:

Persons with a history of multiple allergies or hypersensitivity to components of the vaccine.
Pregnant women unless there is a high risk of Japanese encephalitis during the woman's stay in Asia.


All content courtesy of the Center For Disease Control (c) 1998

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C. Michael Lewis, D.O.
9463 N Holly Road
Suite 104
Grand Blanc, MI 48439

Phone: (810) 694-5393
Fax: (810) 694-5394




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