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Disability from Japanese encephalitis in Cambodia and Viet Nam

2010; Oxford University Press; Volume: 57; Issue: 4 Linguagem: Inglês

10.1093/tropej/fmp133

1465-3664

Susan L. Hills, Nguyễn Văn Cường, Sok Touch, H. H., Sann Chan Soeung, Trinh Thi Lien, Chham Samnang, Ly Sovann, P. Van Diu, L. D., S. Heng, Vu Minh Huong, John Grundy, Chea Huch, Penny Lewthwaite, Tom Solomon, J. A. Jacobson,

Vector-borne infectious diseases

A cohort of Japanese encephalitis (JE) survivors in Cambodia and Viet Nam were assessed at least 4 months after hospital discharge in order to understand the extent of disability after JE. We used a simple assessment tool which focuses on the impact on daily life. In total, 64 disability assessments were conducted: 38 in Cambodia and 26 in Viet Nam. In Cambodia, 4 (11%) children had severe sequelae, suggesting the children would likely be dependent, 15 (39%) had moderate sequelae and 17 (45%) had mild sequelae. In Viet Nam, two (8%) persons had severe sequelae, five (19%) had moderate sequelae and eight (31%) had mild sequelae. In many JE-endemic areas there are no multi-disciplinary teams with sophisticated equipment to assess patients after JE disease. This assessment tool can assist with patient management and generate data to support the need for programmes to prevent disease and improve outcomes for survivors.