Wednesday, December 6, 2017

Authority reinforcing safety precautions on Japanese Encephalitis vaccination programme




December 5, 2017
The Ministry of Health and Sports is reinforcing precautions for the Japanese Encephalitis (JE) vaccination, a public programme that will be conducted from 11 to 20 December across the country to protect against the sometimes fatal disease, said Dr. Than Tun Aung, the deputy director general of the Ministry of Health and Sports.


To ensure the safety of the second phase of the vaccination programme, health staff will check the children’s medical biography to determine whether the children should receive the vaccination against Japanese encephalitis. The health staff will also post informational posters depicting symptoms and conditions in which the vaccine is not to be administered for parents. Question and answer sessions will also be widely conducted. Children will be put under observation for an hour after being vaccinated and all will be reminded to inform the doctor if any symptoms appear.

“A vaccination team will not vaccinate more than 100 children. Then, we will keep a health staff at the vaccination programme health centre as a standby to ask for the medical biography of the children. We also will keep the health group to observe the post-vaccination condition of the children. We are also planning to provide the key message of the consequences of the JE vaccination to the parents. We are also making ready to provide emergency treatment if we find any post-vaccination problems,” said Dr. Than Tun Aung.

The campaign includes two phases, beginning in all schools from 15-23 November. Health teams in all states and regions reached every school as well as religious and private institutions across the country to immunize children aged 5 to 15. According to 24 November data, the team has given the vaccination against Japanese encephalitis to 8.3 million out of 8.6 million children.

During the second phase, from 11-20 December, immunisation posts will be set up at hospitals, health centres, ward and village administrators’ offices, monasteries and other community locations to reach children aged 9 months to 5 years and those who have missed the first round. The health department targeted another five million children in a community-based vaccination programme.

83 per cent in Rakhine State, 90 per cent in Yangon Region, 91 per cent in Northern Shan State, 94 per cent in Southern Shan State and Kayah State and over 95 per cent in other states and regions were being vaccinated against Japanese encephalitis by the Ministry of Health and Sports. During the first vaccination campaign, five children died after receiving the JE vaccination, creating worry for parents whose children are being vaccinated for JE.

“I am really worried for my child to take JE vaccination when I heard of some children dying after being vaccinated. Now, I am considering to see a doctor before my child take JE vaccination,” said the mother of a 3-year old child in North Okkalapa Township. An inquiry into the incident revealed that the vaccination was not the cause of death.

“Our team from the central vaccination programme immediately went to find out the cause of the death and to see whether there was any connection to the vaccination. We have conducted laboratory tests and autopsies on those five children. We have found that those five children died because of other diseases” said Dr. Htar Htar Lin.

Health officials said the vaccination being used is very safe and has been tested extensively.

“The Japanese encephalitis vaccine was manufactured in China. Currently, over 400 million children from 11 countries were vaccinated against JE with the recommendation of the World Health Organization. The JE vaccine is also recommended by Global Advisory Committee on Vaccine Safety,” said Prof Saw Win, child specialist and vice chairman of the National Committee for Immunization Practices.

Myanmar people have suffered from JE and a total of 315 JE cases were reported in 2017. The Ministry of Health and Sports has decided to add Japanese encephalitis (JE) vaccine to the National Immunisation Programme beginning in January 2018. Currently, they have provided the Japanese encephalitis vaccines to the children aged nine months to 15 years.

Japanese encephalitis is caused by a virus transmitted to humans by the Culextritaeniorhyncus mosquito. The Culex mosquito breeds in water pools and flooded rice fields and picks up the virus from pigs and water birds. It does not spread from person to person.

Japanese Encephalitis is a serious infection that occurs mainly in rural parts of Asia. The symptoms of JE are initially mild fever, headache and vomiting. When it becomes serious it can cause seizures, brain swelling, loss of consciousness and death. There is no effective treatment for JE. Taking the vaccination is the best way to prevent JE.

If children receive the JE vaccination once, it prevent JE 90 per cent of the time and if the children take the JE vaccination twice, it can prevent JE 99 per cent of the time.

In Myanmar and 24 countries of the Asia Pacific region, there are an estimated 68,000 cases of JE disease infection per 100,000 per year and most of those infected are children under 15 years old. Of this, the fatalities are estimated to be from 13,600 to 20,400, according to the World Health Organization. (Translation: Haymar Tin Win)

May Thet Hnin
Ref; The Global New Light of Myanmar

No comments:

Post a Comment