The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017
Abstract Background Myanmar is endemic for Japanese encephalitis (JE) and has experienced several outbreaks in recent years. The vector-borne disease control (VBDC) program has collected hospital-based surveillance data since 1974. There is an urgent need to collate, analyze, and interpret the most...
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ftdoajarticles:oai:doaj.org/article:a40104f09527402c92bb51973b29d5bb 2023-05-15T15:18:17+02:00 The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 Aung Ye Naung Win Khin Thet Wai Anthony D. Harries Nang Thu Thu Kyaw Tin Oo Wint Phyo Than Htar Htar Lin Zaw Lin 2020-03-01T00:00:00Z https://doi.org/10.1186/s41182-020-00200-3 https://doaj.org/article/a40104f09527402c92bb51973b29d5bb EN eng BMC http://link.springer.com/article/10.1186/s41182-020-00200-3 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00200-3 1349-4147 https://doaj.org/article/a40104f09527402c92bb51973b29d5bb Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-11 (2020) Myanmar Japanese encephalitis Children Death Catch-up vaccination campaign Health service provider perceptions Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1186/s41182-020-00200-3 2022-12-31T13:35:18Z Abstract Background Myanmar is endemic for Japanese encephalitis (JE) and has experienced several outbreaks in recent years. The vector-borne disease control (VBDC) program has collected hospital-based surveillance data since 1974. There is an urgent need to collate, analyze, and interpret the most recent information. The study aimed to describe (i) hospital-based JE cases and deaths between 2012 and 2017, (ii) a catch-up vaccination campaign in children in 2017, and (iii) health service provider perceptions about JE in one township in 2018. Methods This was a cross-sectional study of cases, deaths, and catch-up childhood vaccinations using secondary data from program records and a survey database of health service provider perceptions. Results Between 2012 and 2017, there were 872 JE cases and 79 deaths with a case fatality rate of 91 per 1000; 2016 was the year with most cases and deaths. Most cases (n = 324) and deaths (n = 37) occurred in children aged 5–9 years. Large case numbers were reported in delta and lowland regions (n = 550) and during the wet season (n = 580). The highest case fatality rates were observed in the hills and coastal regions (120 and 112 per 1000, respectively). Nationwide coverage of the catch-up JE vaccination campaign among 13.7 million eligible children was 92%, with coverage lower in the hills and coastal regions (84%) compared with delta and lowland regions and plains (94%). More vaccinations (65%) occurred through school-based campaigns with the remainder (35%) vaccinated through community-based campaigns. Structured interviews in one township showed that service providers (n = 47) had good perceptions about various aspects of JE, although perceived benefits of specific vector control measures were poor: spraying/fumigation (38%), garbage removal (36%), larvicide use (36%), and drainage of standing/stagnant water (32%). Conclusion The catch-up vaccination campaign was a successful response to high JE case numbers and deaths in children. However, ongoing surveillance for JE needs ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 48 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Myanmar Japanese encephalitis Children Death Catch-up vaccination campaign Health service provider perceptions Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Myanmar Japanese encephalitis Children Death Catch-up vaccination campaign Health service provider perceptions Arctic medicine. Tropical medicine RC955-962 Aung Ye Naung Win Khin Thet Wai Anthony D. Harries Nang Thu Thu Kyaw Tin Oo Wint Phyo Than Htar Htar Lin Zaw Lin The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
topic_facet |
Myanmar Japanese encephalitis Children Death Catch-up vaccination campaign Health service provider perceptions Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Myanmar is endemic for Japanese encephalitis (JE) and has experienced several outbreaks in recent years. The vector-borne disease control (VBDC) program has collected hospital-based surveillance data since 1974. There is an urgent need to collate, analyze, and interpret the most recent information. The study aimed to describe (i) hospital-based JE cases and deaths between 2012 and 2017, (ii) a catch-up vaccination campaign in children in 2017, and (iii) health service provider perceptions about JE in one township in 2018. Methods This was a cross-sectional study of cases, deaths, and catch-up childhood vaccinations using secondary data from program records and a survey database of health service provider perceptions. Results Between 2012 and 2017, there were 872 JE cases and 79 deaths with a case fatality rate of 91 per 1000; 2016 was the year with most cases and deaths. Most cases (n = 324) and deaths (n = 37) occurred in children aged 5–9 years. Large case numbers were reported in delta and lowland regions (n = 550) and during the wet season (n = 580). The highest case fatality rates were observed in the hills and coastal regions (120 and 112 per 1000, respectively). Nationwide coverage of the catch-up JE vaccination campaign among 13.7 million eligible children was 92%, with coverage lower in the hills and coastal regions (84%) compared with delta and lowland regions and plains (94%). More vaccinations (65%) occurred through school-based campaigns with the remainder (35%) vaccinated through community-based campaigns. Structured interviews in one township showed that service providers (n = 47) had good perceptions about various aspects of JE, although perceived benefits of specific vector control measures were poor: spraying/fumigation (38%), garbage removal (36%), larvicide use (36%), and drainage of standing/stagnant water (32%). Conclusion The catch-up vaccination campaign was a successful response to high JE case numbers and deaths in children. However, ongoing surveillance for JE needs ... |
format |
Article in Journal/Newspaper |
author |
Aung Ye Naung Win Khin Thet Wai Anthony D. Harries Nang Thu Thu Kyaw Tin Oo Wint Phyo Than Htar Htar Lin Zaw Lin |
author_facet |
Aung Ye Naung Win Khin Thet Wai Anthony D. Harries Nang Thu Thu Kyaw Tin Oo Wint Phyo Than Htar Htar Lin Zaw Lin |
author_sort |
Aung Ye Naung Win |
title |
The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
title_short |
The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
title_full |
The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
title_fullStr |
The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
title_full_unstemmed |
The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in Myanmar: 2012–2017 |
title_sort |
burden of japanese encephalitis, the catch-up vaccination campaign, and health service providers’ perceptions in myanmar: 2012–2017 |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s41182-020-00200-3 https://doaj.org/article/a40104f09527402c92bb51973b29d5bb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-11 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s41182-020-00200-3 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00200-3 1349-4147 https://doaj.org/article/a40104f09527402c92bb51973b29d5bb |
op_doi |
https://doi.org/10.1186/s41182-020-00200-3 |
container_title |
Tropical Medicine and Health |
container_volume |
48 |
container_issue |
1 |
_version_ |
1766348487053541376 |