Disability from Japanese encephalitis in Cambodia and Viet Nam.
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.
Hills
Susan L
SL
Japanese encephalitis project, PATH, Seattle, WA, 98107, USA. shills@cdc.gov
Van Cuong
Nguyen
N
Touch
Sok
S
Mai
Hoang Hong
HH
Soeung
Sann Chan
SC
Lien
Tran Thi Huong
TT
Samnang
Chham
C
Sovann
Ly
L
Van Diu
Pham
P
Lac
Luc Duy
LD
Heng
Seng
S
Huong
Vu Minh
VM
Grundy
John J
JJ
Huch
Chea
C
Lewthwaite
Penny
P
Solomon
Tom
T
Jacobson
Julie A
JA
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