The ecology of Japanese encephalitis (JE) in different agro-climatological areas of Sri Lanka was studied in relation to the abundance of mosquito vectors, infection in domestic livestock, and human infection and disease. There was an inverse correlation between altitude and the abundance of potential JE vectors, as well as JE seroprevalence in domestic livestock and in man. Little or no JE infection was documented above 1200 m elevation. JE seroprevalences in cattle and goats were better predictors of human infection risk than was porcine seroprevalence. In areas with asynchronous porcine infection occurring over many months, high overall JE seroprevalence in pigs was found with little evidence of human infection. Porcine JE infection occurring in synchronous bursts associated with monsoonalrains was correlated with significant bovine, ovine and human seroprevalence in 2 low elevation study areas, Anuradhapura (dry zone) and Ragama (wet zone), with epidemic human JE in the former area and endemic disease in the latter.
Studies on arboviruses carried out between 1984-1990 at the University of Peradeniya are summarized here. The isolation of Nairobi sheep disease virus, Getah, Batai and Arkonam and serological evidence of the circulation of California encephalitis serogroup and Chandipura viruses have been reported for the first time in Sri Lanka. The ecology of Japanese encephalitis (JE) in areas with epidemic disease and sylvatic infection has been compared. A synchronous pattern of seroconversion in pigs and seroprevalence in cattle are more predictive of epidemic JE risk than overall porcine seroprevalence which is a good indicator of the presence of sylvatic JE rather than of human epidemic risk. Relatively modest changes in vector abundance associated with rainfall or agricultural practices have dramatic changes on the emergence of epidemic JE. Chandipura virus which is known to cause major outbreaks of encephalitis in India is endemic in Sri Lanka as are viruses belonging to the California encephalitis serogroup. Both these viruses are potential causes of human encephalitis and should be sought in patients with undiagnosed encephalitis. Nairobi sheep disease virus is endemic in animals (especially goats) and infects humans working closely with such livestock. Arboviruses remain an under-recognised cause of human and animal disease and an inter-sectoral multidisciplinary approach is needed to confront such emerging infectious disease threat.
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