Japanese Encephalitis

About Japanese encephalitis

Japanese encephalitis is caused by the Japanese encephalitis virus (JEV). It is spread through bites from mosquitos, which become infected through biting infected pigs and waterbirds. JEV is endemic to parts of Asia and the Torres Strait region of Australia. JEV has now also been detected in humans, animals and mosquitos in mainland Australia. Infection in humans is most commonly asymptomatic, but on rare occasions it can result in severe disease and even death. Animals can be infected with JEV but they cannot transmit the virus to humans. It cannot be transmitted from human to human, or by eating meat from an infected animal. For information about JEV and animals visit the Department of Agriculture, Water and the Environment website.
Disease type:
Vectorborne
Vaccination available under NIP:
No
Notifiable disease:
Yes

How to protect yourself

There are 2 ways to protect yourself from JEV infection:

  1. Avoid being bitten by mosquitos
  2. Receive a vaccination for the virus.

You can protect yourself from being bitten by mosquitos by:

  • applying and regularly reapplying an effective insect repellent on exposed skin- the best repellents contain diethyltoluamide (DEET), picaridin, or oil of lemon eucalyptus (always follow label directions)
  • wearing long, loose fitting clothing when outside
  • ensuring accommodation, including tents, are properly fitted with mosquito nettings or screens
  • using insecticide sprays, vapour dispensing units (indoors) and mosquito coils (outdoors) to clear rooms and repel mosquitoes from an area
  • covering all windows, doors, vents and other entrances with insect screens
  • removing any water-holding containers where mosquitoes may breed.

Symptoms

Most cases of Japanese encephalitis in people are asymptomatic, however, those with severe infection may experience: neck stiffness, coma, and more rarely, permanent neurological complications or death.

Encephalitis is the most serious clinical consequence of a JEV infection.

The illness usually begins with symptoms such as:

  • sudden onset of fever
  • headache
  • vomiting.

If you believe you may be infected with the JEV, seek urgent medical assistance.

Diagnosis

Japanese encephalitis is confirmed through a combination of laboratory testing and clinical assessment.

Treatment

There are no treatments for Japanese encephalitis. You can relieve the symptoms by:

  • getting plenty of rest
  • drinking plenty of fluids
  • taking paracetamol for pain or fever.

In more severe cases, hospitalisation for supportive care and close observation may be required.

Vaccination

Free vaccination is available for priority groups through the states and territories (see JEV local information below for further details).

Find out more about the JEV vaccine.

JEV vaccine for travelers to Asia and the Torres Strait

Vaccination against JEV is recommended if you are traveling to Asia and the Torres Strait region of Australia and plan to:

  • travel in rural areas and undertake outdoor activities associated with an increased risk of mosquito bites (such as camping and hiking), or will be staying in an accommodation without air-conditioning, screens, or bed nets
  • spend a month or more in the region.

You should avoid mosquito bites when you are in these areas.
Talk to your GP about how to access a vaccine if you are not eligible for a free vaccination.

JEV local information

You can find more information about JEV in your local area, including vaccination eligibility, via your state or territory page:

Book for JEV Now

Protect yourself and your family against this disease by getting vaccinated.