A One Health approach to Japanese encephalitis

Animal health and veterinary sciences, Biological and life sciences, Biomedical and clinical sciences, Environmental sciences and technologies, Healthcare and social services

Scientists at CSIRO’s Australian Centre for Disease Preparedness (ACDP) provided diagnostic testing and outbreak response support when a widespread outbreak of Japanese encephalitis occurred in piggeries in southern Queensland, New South Wales, Victoria and South Australia.

What is Japanese encephalitis?

Japanese encephalitis (JE) virus is a potentially fatal disease that infects about 100,000 people worldwide every year. Caused by an arbovirus (an arthropod-borne virus), it is transmitted by mosquitoes.

Most JE virus infections in people cause no symptoms, but in rare cases it can develop into a serious infection of the brain called encephalitis.

JE occurs throughout most of Asia and parts of the western Pacific, including neighbouring Papua New Guinea, and is the most common cause of human viral encephalitis in Southeast Asia.

Even though an effective vaccine is available, JE still poses a threat to our region, including Australia. So CSIRO is working on ways to prevent it from spreading further on our shores.

A row of plastic bottles filled with green liquid containing mosquitoes sitting on a laboratory bench.
ACDP’s Insectary is a physical containment level 3 facility enabling research on vector-borne disease that affect animals and people.
A mosquito sitting on the arm of a person.

Transmission of the virus

The JE virus is maintained in the environment in a transmission cycle between mosquitoes and animal hosts.

Research has shown that some animals develop more virus than others. These animals are called ‘reservoir hosts’ because the virus circulates in their system for longer and at higher concentrations, providing more opportunities for blood feeding mosquitoes to pick up and transmit the virus.

The ‘reservoir hosts’ for JE are primarily pigs and waterbirds. Occasionally an infected mosquito will transmit the virus to a human. Humans don’t contribute to the environmental transmission cycle as we do not create high concentrations of virus in our blood.

Japanese encephalitis in Australia

In 1995, there was an outbreak on the islands of the Torres Strait. The outbreak was unprecedented because it had never before been detected so far southeast.

Isolated cases also occurred in the Torres Strait islands and Cape York Peninsula in 1998.

More recently, JE has also been found in the northern parts of Cape York Peninsula of Queensland and in early 2021, the first case of JE was reported in the Tiwi Islands of the Northern Territory. This was the first locally acquired human case in Australia since 1998.

The 2021 case was found to be caused by a particular type of the JE virus (genotype 4) that had previously only rarely been found, and mainly in Indonesia, but it’s also now known that it exists in Papua New Guinea.

In late February and early March 2022, a widespread outbreak of JE occurred in piggeries in southern Queensland, New South Wales, Victoria and South Australia.

Scientists at CSIRO’s Australian Centre for Disease Preparedness assisted with the outbreak response. They were heavily involved in diagnostic testing for affected states, particularly for piggeries suspected of being infected.

As part of this ongoing diagnostic support, ACDP scientists provided information and advice to animal and public health laboratories on laboratory diagnostics. This included testing guidelines and information, including the first genome sequence of the outbreak strain, to assist with accurate diagnostic testing.

ACDP’s scientists also provided expert advice to various government and animal health working groups involved in outbreak response. These groups worked closely with public health counterparts in a One Health approach to coordinate and manage the outbreak in Australia.