title: Disability from Japanese encephalitis in Cambodia and Viet Nam.
abstract: 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.
authors.affiliation: Japanese encephalitis project, PATH, Seattle, WA, 98107, USA. shills@cdc.gov
authors.forename: Susan L
authors.initials: SL
authors.lastname: Hills
authors.forename: Nguyen
authors.initials: N
authors.lastname: Van Cuong
authors.forename: Sok
authors.initials: S
authors.lastname: Touch
authors.forename: Hoang Hong
authors.initials: HH
authors.lastname: Mai
authors.forename: Sann Chan
authors.initials: SC
authors.lastname: Soeung
authors.forename: Tran Thi Huong
authors.initials: TT
authors.lastname: Lien
authors.forename: Chham
authors.initials: C
authors.lastname: Samnang
authors.forename: Ly
authors.initials: L
authors.lastname: Sovann
authors.forename: Pham
authors.initials: P
authors.lastname: Van Diu
authors.forename: Luc Duy
authors.initials: LD
authors.lastname: Lac
authors.forename: Seng
authors.initials: S
authors.lastname: Heng
authors.forename: Vu Minh
authors.initials: VM
authors.lastname: Huong
authors.forename: John J
authors.initials: JJ
authors.lastname: Grundy
authors.forename: Chea
authors.initials: C
authors.lastname: Huch
authors.forename: Penny
authors.initials: P
authors.lastname: Lewthwaite
authors.forename: Tom
authors.initials: T
authors.lastname: Solomon
authors.forename: Julie A
authors.initials: JA
authors.lastname: Jacobson
mesh_terms: D000293:Adolescent; D002160:Cambodia / Q000453:epidemiology; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000209:etiology; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology* / Q000401:mortality; D015331:Cohort Studies; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000706:statistics & numerical data; D004672:Encephalitis, Japanese / Q000150:complications* / Q000175:diagnosis* / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D011788:Quality of Life; D018570:Risk Assessment; D018571:Sentinel Surveillance; D012720:Severity of Illness Index; D014744:Vietnam / Q000453:epidemiology