Japanese B encephalitis

This mosquito-borne flavivirus infection presents a real dilemma to the traveller and doctor because it is a very severe infection (mortality rate 20-40%) with high infectivity and high prevalence in endemic countries. The vaccine is prone to give anaphylaxis and is unlicensed in Australia and the United States. It may be obtained only in very restricted circumstances but can be obtained more readily abroad.

The disease is prevalent during summer in the region bound in the west by Nepal and Siberian Russia and in the east by Japan and Singapore, especially in Nepal, Burma, Korea, Vietnam, Thailand, China, eastern Russia and the lowlands of India. Rice paddies and pig farms are areas of risk. The usual preventive measures against mosquito bites are important.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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