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Bob Lowndes
18th May 2006, 04:52 PM
Some uncertainty as to whether or not I shall need protection against japanese encephalitis for my late setember / early october EBC/Gokyo trek. Your advice please. Thank you.

Spaceman347
18th May 2006, 06:55 PM
I personally have not heard of it being required but I am no more qualified to offer advice on this subject than I am qualified to operate to remove your appendix.

My personal opinion on issues of health and taxation - always consult with a specialist, the ramifications of getting it wrong on either count aren't worth considering.

Sharon
18th May 2006, 10:16 PM
I have never gotten it for Nepal. I believe the concern starts when you are several months in Nepal. I always go to a travel specialist for my vaccinations.

critter2722
20th May 2006, 11:01 PM
Only trying to help with any explanation for this. I am a medical student who just finished my Microbiology requirements (including Virology). I am currently planning my first visit to Nepal so I check out this forum often. I hope this helps someone.

Japaneses Encepalitis can be a very nasty virus (deadly). Everyone I am sure has heard of West Nile Virus, this is Jap E. (Also called St Louis Encephalitis) But Jap E is also related to Dengue, Yellow Fever, and certain Tick-borne encephalitis viruses found in Europe and temperate Asia. All these viruses are transmitted via ticks or mosquitoes. The virus will enter the bloodstream and enter the brain via several types of endothelial cells (usually introduced to the brain via the olfactory(nose) nerve).

Early reaction to the virus presents with severe fever. Organ failure is the end result. There is unfortuantely no specific treatment for Jap encephalitis however there is a vaccine for Yellow Fever which may help. Check for ticks whenever you can. I don't think that leeches are a host so I won't worry if you get leeched.

Nick Nepal
17th June 2006, 03:37 PM
Never say never

You are unlikely to get this desease unless (and then exceptionally) you are travelling to the South ..the Terai....bit like you do not need malaria (for all it is worth) .Middle hills Kathmadu etc no problem.

Nick

Rishi
17th June 2006, 04:13 PM
My little knowledge could be Danger for you!if you really scar about from that stay at home is better!!:rolleyes:

hoot72
18th June 2006, 10:35 PM
My little knowledge could be Danger for you!if you really scar about from that stay at home is better!!:rolleyes:

If thats the case, you might as well not travel anywhere in asia if we had that attitude.

we are talking about taking proper precautions and going prepared in the event something does happen so having a medical insurance with evacuation, having the correct shots and also a decent medical kit and keeping as clean as possible do make a difference in avoiding JE..

JE happens in Malaysia, Indonesia, Thailand and many many other countries in Asia.

The person was concerned but didnt say they wouldnt visit Nepal. Thats what the forum is for..to get opinions...

webmaster
19th June 2006, 10:58 AM
It's simple. Ask the experts:

http://www.ciwec-clinic.com/immune/je04.html

Weka
21st June 2006, 06:04 AM
AND ... while you are at it, jot down the address and phone number of the CIWEC clinic (above link). They really saved by bacon on one occation: they are fabulous - pricy but fabulous. Which brings up the subject of health cover. You can't have too much when travelling. This becomes apparent the instant you need it. Which brings me back to the CIWEC clinic ... ad infinitum....