Dear netters,

Menurut temanku itu, penyakit ini dapat menyerang semua orang dari semua
usia.
Gejalanya tiada lain yaitu pusing yg luar biasa dan disertai dgn demam.
Saya coba browse mengenai penyakit ini di yahoo dan menemukan 6260 cerita yg
berhubungan dgn encephalitis indonesia.
Ceritanya akan lebih banyak bila kata encephalitis saja yg di search.
Di bbrp cerita malah ada negara2 yg melarang warganya utk travel ke asia
tenggara, 
tidak boleh berenang sembarangan di negara yg jadi victim tsb.
Berikut ini saya lampirkan salah satu cerita yg lebih terstruktur.
Tolong di emphasis pas baca mengenai treatment :( 
Btw, tolong dong netters yg mau consult ke dsa, mohon ditanyakan ttg
vaksinnya.


Japanese encephalitis

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Definition
Japanese encephalitis is an infection of the brain caused by a virus. The
virus is transmitted to humans by mosquitoes.

Description
The virus that causes Japanese encephalitis is called an arbovirus, which is
an arthropod-borne virus. Mosquitoes are a type of arthropod. Mosquitoes in
a number of regions carry this virus and are responsible for passing it
along to humans. Many of these areas are in Asia, including Japan, Korea,
China, India, Thailand, Indonesia, Malaysia, Vietnam, Taiwan, and the
Philippines. Areas where the disease-causing arbovirus is always present are
referred to as being endemic for the disease. In such areas, blood tests
will reveal that more than 70% of all adults have been infected at some
point with the arbovirus.

Because the virus that causes Japanese encephalitis is carried by
mosquitoes, the number of people infected increases during those seasons
when mosquitoes are abundant. This tends to be in the warmest, rainiest
months. In addition to humans, other animals like wild birds, pigs, and
horses are susceptible to infection with this arbovirus. Because the
specific type of mosquito carrying the Japanese encephalitis arbovirus
frequently breeds in rice paddies, the disease is considered to be primarily
a rural problem.

Causes and symptoms
The virus is transferred to a human when an infected mosquito sucks that
person's blood. Once in the body, the virus travels to various glands where
it multiplies. The virus can then enter the bloodstream. Ultimately, the
virus settles in the brain, where it causes serious problems.

Japanese encephalitis begins with fever, severe headache, nausea, and
vomiting. As the tissue covering the brain and spinal cord (the meninges)
becomes infected and swollen, the patient will develop a stiff and painful
neck. By day two or three, the patient begins to suffer the effects of
swelling in the brain. These effects include:

Problems with balance and coordination 
Paralysis of some muscle groups 
Tremors 
Seizures 
Lapses in consciousness 
A stiff, mask-like appearance of the face.
The patient becomes dehydrated and loses weight. If the patient survives the
illness, the fever will decrease by about day seven and the symptoms will
begin to improve by about day 14. Other patients will continue to have
extremely high fevers and their symptoms will get worse. In these cases,
coma and then death occur in 7-14 days. Many patients who recover have
permanent disabilities due to brain damage.

Diagnosis
Most diagnostic techniques for Japanese encephalitis do not yield results
very quickly. The diagnosis is made primarily on the basis of the patient's
symptoms and the knowledge of the kinds of illnesses endemic to a particular
geographic region.

Immunofluorescence tests, where special viral markers react with human
antibodies that have been tagged with a fluorescent chemical, are used to
verify the disease. However, these results tend to be unavailable until week
two of the infection. Other tests involve comparing the presence and
quantity of particular antibodies in the blood or spinal fluid during week
one with those present during week two of the illness.

Treatment
There are no treatments available to stop or slow the progression of
Japanese encephalitis. Only the symptoms of each patient can be treated.
Fluids are given to decrease dehydration and medications are given to
decrease fever and pain. Medications are available to attempt to decrease
brain swelling. Patients in a coma may require mechanical assistance with
breathing.

Prognosis
While the majority of people infected with arbovirus never become sick,
those who develop Japanese encephalitis become very ill. Some outbreaks have
a 50% death rate. A variety of long-term problems may haunt those who
recover from the illness. These problems include:

Movement difficulties where the arms, legs, or body jerks or writhes
involuntarily 
Shaking 
Paralysis 
Inability to control emotions 
Loss of mental abilities 
Mental disturbances, including schizophrenia (which may affect as many as
75% of Japanese encephalitis survivors).
Young children are most likely to have serious, long-term problems after an
infection.

Prevention
A three-dose vaccine is available for Japanese encephalitis and is commonly
given to young children in areas where the disease is endemic. Travelers to
these regions can also receive the vaccine.

Controlling the mosquito population with insecticides is another preventive
measure. Visitors to regions with high rates of Japanese encephalitis should
take precautions (like using mosquito repellents and sleeping under a bed
net) to avoid contact with mosquitoes.

Terms:  
Antibody  
A type of cell made by the immune system that has the ability to recognize
markers (antigens) on the surface of invading organisms, like bacteria and
viruses.  
Encephalitis  
A swelling of the brain, potentially causing serious brain damage.  
Endemic  
Naturally and consistently present in a certain geographical region.  
 

Resources:
Books

Douglas, R. Gordon. "Other Arthropod-Borne Viruses." In Cecil Textbook of
Medicine, ed. J. Claude Bennett and Fred Plum. Philadelphia: W. B. Saunders
Co., 1996. 
Ray, C. George. "Arthropod-Borne and Other Zoonotic Viruses." In Sherris
Medical Microbiology: An Introduction to Infectious Diseases. 3rd ed. Ed.
Kenneth J. Ryan. Norwalk, CT: Appleton & Lange, 1994. 
Organizations

Centers for Disease Control and Prevention. 1600 Clifton Rd., NE, Atlanta,
GA 30333. (800) 311-3435, (404) 639-3311. http://www.cdc.gov


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 The above information is an educational aid only. It is not intended as
medical advice for individual conditions or treatments. Talk to your doctor,
nurse or pharmacist before following any medical regimen to see if it is
safe and effective for you.   
 Copyright 2002. The Thomson Corporation. All rights reserved.   

 
Thanks & regards,
Novarika Widowati
P6 Financial Analyst
(Telnet: 570-7628 
(Phone: [62] (21) 5798-7628
4 Fax: [62] (21) 5798-1288 
:[EMAIL PROTECTED]
 


-----Original Message-----
From: Indah Hapsari Dewi [mailto:[EMAIL PROTECTED]
Sent: Thursday, March 20, 2003 12:12 PM
To: [EMAIL PROTECTED]
Subject: FW: [balita-anda] Radang otak Ensevalitis



Mbak Widowati dan netters..
Mungkin bisa sharing apa penyebab dan tanda-2 dari penyakit radang
otak-ensevalitis ini..yang dialami oleh keponakan temannya  mbak..?
Apa bedanya dengan demam tifoid ? Mohon penjelasannya agar kita dapat
mengetahui dan mencegah lebih awal
Thanks

Ibunya Dhika


-----Original Message-----
From: WIDOWATI,NOVARIKA (HP-Indonesia,ex1)
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, March 19, 2003 5:25 PM
To: 'balita-anda'
Subject: [balita-anda] Radang otak Ensevalitis


Dear netters,
 
Mohon pencerahannya atas penyakit radang otak Ensevalitis.
Menurut rekan saya yg tertimpa kemalangan ini, 
ensevalitis berbeda dgn meningitis yg menyerang selaput otak 
dan notabene sudah ada vaksinnya MMR (cwiiw).
Keponakannya sudah mendapatkan vaksin MMR sebelumnya, 
selalu sehat hanya sakit batuk pilek biasa.
Tetapi tiba2 kurang lebih 2 bulan sebelum kematiannya, 
dia menderita sakit kepala yg luar biasa.
Dokter di Mitra Jatinegara bilang karena virus, yg penularannya dari udara
(?)
Lebih beruntung krn dia bisa bertahan hidup lumayan lama,
pasien lain anak2 juga, masuk malem paginya sudah meninggal.
Kalau netters ada yg tau mengenai virus yg mematikan ini, 
mohon di share agar kita lebih waspada...
 
NB: sebenarnya email dari teman ada attachment foto keponakannya, 
ttp saya pernah coba forward lewat milis ini mental.
 
Wassalam,
Ibunya Fathan
 
 

 

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/>

-----Original Message-----
From: FAJARWATI,CHATHARINA-ASRI (HP-Indonesia,ex1) 
Sent: Monday, February 24, 2003 10:31 AM
Subject: Terima kasih


 
Dear All,
 
Telah berpulang ke rumah Bapa di surga, keponakanku: CHRISTIAN VIERI
SERVIANO (Umur 3,5 Tahun)setelah selama 25 hari dirawat di ICU anak RS
Mitra-Jatinegara, karena sakit terkena virus radang otak (Ensevalitis),
meninggal pada hari Jumat pagi jam 3.00 dan dimakamkan siang hari di TPU
Menteng Pulo.
 
Kami sekeluarga mengucapkan banyak terima kasih kepada teman-2 semua atas
segala doa dan dukungan yang diberikan selama dia sakit dan pada saat
pemakaman.
Kami mohon doa kiranya arwahnya dapat beristirahat dengan damai dan
ketabahan bagi kami sekeluarga yang ditinggalkan.
 
Kiranya Tuhan memberkati kita semua
 
Best Rgds,
Asri
 
 
 
 


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