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Seroepidemiological Studies on Japanese Encephalitis: A Systematic Review
Nur Suhada Ramli1, Norayuni Mohd Ismail1, Na'eemah Zaini1
1Department of Community Health, Faculty of Medicine, National University of Malaysia, Cheras, Kuala Lumpur, Malaysia.
Japanese encephalitis virus (JEV) seroprevalence increases with age, highlighting the need for vaccination. Continuous monitoring of JEV immunity and susceptibility is crucial for public health strategies.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Japanese encephalitis (JE) is a significant mosquito-borne illness in the Western Pacific, causing 20%-30% mortality.
- Fluctuating JE virus (JEV) seroprevalence necessitates ongoing research for effective prevention and control.
- Understanding age-specific JEV seroprevalence aids in identifying population immunity and susceptibility for vaccination planning.
Purpose of the Study:
- To determine the trend of age-specific Japanese encephalitis virus (JEV) seroprevalence.
- To map JEV seroprevalence across different age groups to inform public health interventions.
Main Methods:
- A systematic review of JEV seroprevalence studies published between 2010 and 2019 was conducted.
- PubMed and Web of Science databases were searched, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Data from eligible studies were extracted and analyzed to identify trends in age-specific seroprevalence.
Main Results:
- Four studies from Taiwan, Sri Lanka, South Korea, and India met the inclusion criteria.
- An increasing trend of JEV seropositivity was observed with advancing age across all included countries.
- South Korea exhibited the highest seroprevalence (97.8%-98.3%), likely due to early and mandatory vaccination, while India had the lowest (12.9%-18.1%).
Conclusions:
- Immunization has significantly reduced reported JE cases.
- The persistence of JEV in nature and zoonotic cycles means infection risk remains.
- Integrating JEV vaccination into national immunization programs, particularly for young children, is essential for continued control.
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