Japanese Encephalitis

is a serious mosquito-borne viral disease transmitted by mosquitoes, primarily found in rural areas of many Asian countries.
• recommended for travellers spending extended periods in rural areas, especially during the rainy season. It’s most important if you’ll be engaging in outdoor activities in areas where mosquitoes are prevalent.
• risk is highest in rural agricultural areas, particularly rice paddies and pig farms.
• JE is rare but serious: estimated 1 in 250 infections results in severe illness; case fatality rate is 20–30%.

Who should get vaccinated?

According to the Australian Immunisation Handbook:

• Travelers spending ≥1 month in endemic rural areas during transmission season.
• Shorter-term travellers with high-risk activities (e.g., camping, field work, staying near rice fields or pig farms).
• Repeated travellers or expatriates in endemic areas.
• Lab personnel working with JEV.

Vaccination Information

Brand (Common in Australia)

Notes

Schedule

Imojev®

not suitable for immunocompromised individuals or pregnant women (live vaccine).

Single dose ≥12 months of age. Protective within 1–2 weeks.

Jespect®

suitable for a broader population including immunocompromised.

2 doses, 28 days apart. Booster at 12 months may be needed.

Japanese Encephalitis Travel Risk Table (Asia)

Country

JE Risk Level

Peak Season

Vaccination Recommended For

India

High (rural)

May–October (monsoon)

≥1 month rural travel, shorter travel with high exposure (e.g., pig farms, rice fields)

Nepal

Moderate–High

July–December

Rural areas in Terai region during monsoon or longer stays

Bangladesh

Moderate

May–October

Long-term travelers or rural exposure

Sri Lanka

Moderate

October–January

Travelers spending time in rural areas during season

Pakistan

Low–Sporadic

July–October

Generally not required unless special circumstances

Thailand

High

May–October

All rural or extended travelers, particularly in north and northeast

Vietnam

High

May–October (north); year-round (south)

All rural travelers, especially in rice-farming areas

Cambodia

High

May–October

All rural travelers, even short-term

Laos

High

May–October

Rural travelers, backpackers, volunteers

Myanmar

High

May–October

Travelers to rural areas or staying >1 month

Indonesia

High

Year-round

Bali and Java (low risk); other islands (moderate–high) — rural exposure

Philippines

Moderate–High

July–November

Rural travel or extended stay

Malaysia

Low–Moderate

Year-round (esp. Sabah, Sarawak)

Rural exposure in Borneo, long-term travel

Japan

Low–Moderate

August–October

Rural Hokkaido and Honshu only; vaccine rarely needed

China

High (south), Moderate (north)

June–September (north); year-round (south)

Extended rural travel, esp. in Yunnan, Sichuan, Hunan, etc.

Taiwan

Moderate

May–October

Rural travel during peak season

South Korea

Moderate

July–October

Mainly rural areas; low risk for urban tourists

Timor-Leste

Moderate–High

Year-round

Long-term travel, rural exposure

Papua New Guinea

High

Year-round

Vaccine advised for all rural travel

 

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