Nepal Eliminates Rubella, But Battles Japanese Encephalitis — Vax-Before-Travel

(Vax-Before-Travel News)

The World Health Organization (WHO) recently announced that the Federal Democratic Republic of Nepal, a country located high in the Himalaya Mountains in southeast Asia, has eliminated rubella as a public health problem.

Rubella, or German measles, is a vaccine-preventable disease that is a highly contagious viral infection. It is severe for pregnant women as infection can lead to a range of lifelong and debilitating congenital disabilities, says the WHO.

“Nepal’s success reflects the unwavering commitment of its leadership, persistent efforts of the health care workers and volunteers, and unstinting support of engaged and informed communities, for a healthy start for babies and a future free of rubella disease,” said Dr Catharina Boehme, Officer-In-Charge WHO Southeast Asia, in a press release on August 18, 2025.

Unfortunately, this disease eradication success has not translated to the Japanese Encephalitis (JE), a flavivirus transmitted by mosquitoes that is often contracted from infected pigs and sheep.

As of August 2025, JE infections are the leading cause of viral encephalitis in 24 countries in the WHO Southeast Asia and Western Pacific/Oceania Regions, exposing more than 3 billion people to infection risks.

In Nepal, Japanese Encephalitis has been a significant public health concern since 1978, especially in the Terai region, an area that borders India.

JE is also a vaccine-preventable disease. The WHO indicated in August 2025 that Nepal’s national JE vaccination coverage surpasses 95%. The government integrated JY vaccinations beginning in 2015.

However, as of August 19, 2025, the Health Ministry’s data show 33 JE cases and three fatalities this year.

In 2024, 23 people died, and 80 others were infected with the JE virus.

The WHO and the U.S. CDC recommend that international travelers visiting Nepal consider vaccination. Proven JE vaccines are available in the United States, commercially offered at various travel clinics and pharmacies in 2025.

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