If you’re planning a trip to parts of Asia or the Western Pacific, there’s a lesser-known but serious disease you should be aware of—Japanese encephalitis (JE). Spread by mosquito bites, this viral infection can lead to severe brain inflammation and, in some cases, long-term complications or even death.
The good news? There’s a vaccine that can significantly reduce your risk. But not everyone needs it—so who does, and when should you get it? Let’s take a closer look.
What Is Japanese Encephalitis?
Japanese encephalitis is a viral illness transmitted by infected mosquitoes. It’s most common in rural or agricultural regions of Asia, particularly in countries like Thailand, Vietnam, India, Cambodia, and Indonesia. The virus is carried by mosquitoes that breed in rice paddies and still water, often feeding at dusk and dawn.
Most people who are infected will experience mild or no symptoms. However, in around 1 in 250 cases, the virus affects the brain, leading to serious symptoms like:
- — High fever
- — Seizures
- — Confusion
- — Neck stiffness
- — Paralysis
- — Coma
In these severe cases, Japanese encephalitis can be fatal or leave survivors with long-term neurological issues.
Who Should Get the Japanese Encephalitis Vaccine?
The vaccine isn’t necessary for every traveller heading to Asia, but it is strongly recommended for certain groups. You may need the Japanese encephalitis vaccine if:
- — You’re travelling to rural areas in affected countries
- — Your trip will last a month or longer
- — You’ll be working or staying near rice fields or pig farms
- — You plan to spend lots of time outdoors, especially in the evening
- — You’re visiting during the rainy season, when mosquito activity is higher
- — You’re unsure of your exact travel plans and want to be safe
Backpackers, adventure travellers, and those doing volunteering or fieldwork are often at higher risk. If this sounds like you, speak to a travel health professional before you go.

How the Vaccine Works
The Japanese encephalitis vaccine used in the UK is called Ixiaro. It’s given as a course of two injections, spaced 28 days apart. Ideally, you should complete the full course at least a week before you travel to allow your body time to build up immunity.
For those needing faster protection, some clinics offer an accelerated schedule, giving both doses within 7 days—but this may not be suitable for everyone.
The vaccine offers long-lasting protection. A booster dose may be recommended if you’re travelling again a year later or are at continuous risk.
Is the Vaccine Safe?
Yes—like most travel vaccines, Ixiaro is generally safe and well tolerated. As with any injection, there can be mild side effects, including:
- — Soreness at the injection site
- — Low-grade fever
- — Headache
- — Fatigue or muscle aches
Serious side effects are extremely rare. If you have a known allergy to any component of the vaccine or have reacted badly to other vaccines in the past, make sure to mention this during your consultation.
Alternatives to Vaccination
If your risk of exposure is very low—for example, if you’re visiting a city for a short time—you might not need the vaccine. In these cases, taking steps to avoid mosquito bites becomes even more important:
- — Wear long sleeves and trousers, especially during dusk and dawn
- — Use insect repellent with DEET
- — Sleep under a mosquito net if staying somewhere without air conditioning
- — Avoid stagnant water where mosquitoes breed
Not sure if the vaccine is right for your trip? You can speak to one of our experts at our travel clinic, where we’ll assess your itinerary and health history to make personalised recommendations.
When to Book Your Appointment
As with most travel vaccines, timing is key. You should ideally book your travel health consultation at least 6 to 8 weeks before departure, especially if you need a full course of injections. This ensures there’s enough time to complete the vaccination schedule and get full protection before you travel.
At Market Harborough Pharmacy, we offer convenient, local access to Japanese encephalitis vaccines and a full range of other travel vaccinations. Whether you’re off for a short break or a long-haul adventure, we’ll help you stay protected every step of the way.
Why Choose Market Harborough Pharmacy?
We pride ourselves on making travel health simple, safe, and stress-free. Here’s what you can expect when you visit us:
- — A private consultation with a trained healthcare professional
- — Clear, tailored advice based on your travel plans
- — Access to all essential travel vaccines, including Ixiaro
- — Flexible appointment times to suit your schedule
- — Peace of mind knowing you’re properly protected
Our friendly team is here to answer all your questions—no matter how big or small—so you can set off on your journey feeling confident and cared for.

Ready to Book Your Travel Vaccine Consultation?
Planning a trip to Asia? Don’t leave your health to chance. Get in touch or book a consultation with Market Harborough Pharmacy today and let our experts guide you through what’s needed—including whether the Japanese encephalitis vaccine is right for you.
With personalised advice and convenient local access, our travel clinic is here to keep you protected wherever your adventures take you.

This blog was written on behalf of Market Harborough Pharmacy by Pharmacy Mentor.
