MMWR Morb Mortal Wkly Rep. 2013 Aug 23;62(33):658-62.
Japanese encephalitis (JE) virus is a leading cause of encephalitis in Asia, causing an estimated 67,900 JE cases annually. To control JE, the World Health Organization (WHO) recommends that JE vaccine be incorporated into immunization programs in all areas where JE is a public health problem. For many decades, progress mainly occurred in a small number of high-income Asian countries. Recently, prospects for control have improved with better disease burden awareness as a result of increased JE surveillance and wider availability of safe, effective vaccines. This report summarizes the status of JE surveillance and immunization programs in 2012 in Asia and the Western Pacific. Data were obtained from the WHO/United Nations Children's Fund (UNICEF) Joint Reporting Form (JRF), published literature, meeting reports, and websites. In 2012, 18 (75%) of the 24 countries with areas of JE virus transmission risk conducted at least some JE surveillance, and 11 (46%) had a JE immunization program. Further progress toward JE control requires increased awareness of disease burden at the national and regional levels, availability of WHO-prequalified pediatric JE vaccines, and international support for surveillance and vaccine introduction in countries with limited resources.
日本脑炎 (JE) 病毒是亚洲脑炎的主要病因,每年估计有 67900 例 JE 病例。为了控制 JE,世界卫生组织 (WHO) 建议在 JE 是公共卫生问题的所有地区将 JE 疫苗纳入免疫规划。几十年来,进展主要发生在少数几个高收入亚洲国家。最近,由于 JE 监测的增加和更安全、有效的疫苗的广泛使用,提高了对疾病负担的认识,控制前景有所改善。本报告总结了 2012 年亚洲和西太平洋地区 JE 监测和免疫规划的状况。数据来自世卫组织/联合国儿童基金会 (UNICEF) 联合报告表 (JRF)、已发表的文献、会议报告和网站。2012 年,24 个具有 JE 病毒传播风险地区的国家中,有 18 个(75%)至少进行了一些 JE 监测,11 个(46%)国家制定了 JE 免疫规划。进一步推进 JE 控制工作需要提高国家和区域各级对疾病负担的认识、获得世卫组织资格预审的儿童用 JE 疫苗,以及向资源有限的国家提供监测和疫苗引进方面的国际支持。