Chikungunya epidemiology and demographics: Difference between revisions

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==Overview==


==Overview==
Chikungunya was first described in Tanzania, Africa in 1952. Chikungunya [[outbreaks]] have occurred in countries in Africa, Asia, Europe, and the Indian and Pacific Oceans. In late 2013, the first local transmission of chikungunya [[virus]] in America was identified in the countries and territories. Local transmission means that the [[mosquitoes]] in the area have been infected with the [[virus]] and are spreading it to people.
Chikungunya was first described in [[Tanzania]], Africa in [[1952]]. The first [[outbreak]] in [[India]] was in [[1963]] in Kolkata([[Calcutta]]).<ref>{{cite web |url= http://www.medindia.net/patients/patientinfo/chikungunya-history.htm|title= Chikungunya-History|accessdate=2007-05-20}}</ref> An outbreak of chikungunya was also discovered in [[Port Klang]] in [[Malaysia]] in [[1999]] affecting 27 people . There was an outbreak in [[Italy]] late 2007, with 160 cases.


==Epidemiology and Demographics==
==Epidemiology and Demographics==
{| style="float: right;"
In December 2013, the World Health Organization (WHO) reported local transmission of chikungunya in Saint Martin. Local transmission means that [[mosquitoes]] in the area have been infected with chikungunya and are spreading it to people. This was the first time that local transmission of chikungunya has been reported in the Americas.
|[[File:Chikungunya cases.png|400px|right|thumb|Countries and territories where chikungunya cases have been reported (June 2, 2014)]]
|}


Chikungunya outbreaks have occurred in countries in Africa, Asia, Europe, and the Indian and Pacific Oceans.
In 2014, 28 cases of chikungunya have been reported by the CDC <ref name="Chukungunya in Americas">{{Cite web| title = CDC 2014, Chikungunya in the Americas| url = http://www.cdc.gov/chikungunya/geo/americas.html }}</ref> up to June 2. Florida is the state with the most reported cases (16 patients). Virgina had 3 reported cases while Connecticut had 2 reported cases, and only one other case was reported in other states (Arkansas, California, Maryland, Nevada, New York, Puerto Rico and US Virgin Islands).
In late 2013, the first local transmission of chikungunya virus in the Americas was identified in Caribbean countries and territories. Local transmission means that mosquitoes in the area have been infected with the virus and are spreading it to people.


In December 2013, the World Health Organization (WHO) reported local transmission of chikungunya in Saint Martin. Local transmission means that mosquitoes in the area have been infected with chikungunya and are spreading it to people. This is the first time that local transmission of chikungunya has been reported in the Americas.
Local transmission of chikungunya is now being reported in other countries in the Caribbean. As of June 4, 2014, the following Caribbean countries have reported cases of chikungunya:
Anguilla, Antigua, British Virgin Islands, Dominica, Dominican Republic, French Guiana, Guadeloupe, Guyana, Haiti, Martinique, Puerto Rico, Saint Barthelemy, Saint Kitts, Saint Lucia, Saint Martin (French), Saint Vincent and the Grenadines, Sint Maarten (Dutch).


Chikungunya is generally not fatal. However, in [[2005]]-[[2006]], 200 deaths were associated with chikungunya on [[Réunion]] island and a widespread outbreak in [[India]], primarily in [[Tamil Nadu]], [[Karnataka]], [[Kerala]], and [[Andhra Pradesh]].
===Prior Outbreaks===


After flood and heavy rains in [[Rajasthan]], [[India]] in August 2006, thousands of cases were detected in [[Rajsamand]], [[Bhilwara]], [[Udaipur]], and [[Chittorgarh]] districts and also in adjoining regions of [[Gujarat]] and [[Madhya Pradesh]], and in the neighbouring country of [[Sri Lanka]]. In the southern Indian state of Kerala, 125 deaths  were attributed to Chikungunya with the majority of the casualties reported in the district of [[Alapuzha]], primarily in [[Cherthala]].
Chikungunya is generally not fatal. However, in 2005-2006, 200 deaths were associated with chikungunya on Réunion island and a widespread [[outbreak]] in India, primarily in Tamil Nadu, Karnataka, Kerala, and Andhra Pradesh.


In December 2006, an outbreak of 3,500 confirmed cases occurred in [[Maldives]], and over 60,000 cases in Sri Lanka, with over 80 deaths. In October 2006 more than a dozen cases of Chikungunya were reported in [[Pakistan]].
After flood and heavy rains in Rajasthan, India in August 2006, thousands of cases were detected in Rajsamand, Bhilwara, Udaipur, and Chittorgarh districts and also in adjoining regions of Gujarat and Madhya Pradesh, and in Sri Lanka. In the southern Indian state of Kerala, 125 deaths were attributed to Chikungunya with the majority of the casualties reported in the district of Alapuzha, primarily in Cherthala.


A recent outbreak of the disease during June 2007 in [[Pathanamthitta]], [[Kottayam]] and [[Alappuzha]] districts of South Kerala, India claimed more than 50 lives. It is confirmed officially that there are 7000 confirmed Chikungunya patients in these areas. Unofficial reports suggest that more than one hundred thousand are suffering from symptoms of chikungunya. The European Network for Diagnostics of "Imported" Viral Diseases [http://www.enivd.de/index.htm] claims that new phylogenetic variants of the virus which are fatal have been identified on Réunion. [http://www.enivd.de/index.htm].
In December 2006, an [[outbreak]] of 3,500 confirmed cases occurred in Maldives, and over 60,000 cases in Sri Lanka, with over 80 deaths. In October 2006 more than a dozen cases of Chikungunya were reported in Pakistan.


In August/September 2007 some 160 people were infected in Italy's northern [[Ravenna]] region, resulting in one fatality.
An [[outbreak]] of the disease during June 2007 in Pathanamthitta, Kottayam and Alappuzha districts of South Kerala, India claimed more than 50 lives. It is confirmed officially that there are 7000 confirmed Chikungunya patients in these areas. Unofficial reports suggest that more than one hundred thousand are suffering from symptoms of chikungunya. The European Network for Diagnostics of "Imported" Viral Diseases [http://www.enivd.de/index.htm] claims that new phylogenetic variants of the [[virus]] which are fatal have been identified on Réunion. [http://www.enivd.de/index.htm].


In August/September 2007 some 160 people were infected in Italy's northern Ravenna region, resulting in one fatality.


{|style="border: 2px solid #696969;"
{|
!colspan="5"|Countries and territories where chikungunya cases have been reported
| valign=top |
{| style="border: 2px solid #696969;"
! style="background: #DCDCDC;" colspan="5" |Countries and territories where chikungunya cases have been reported
|-
|-
|style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px; text-align:center"|'''Africa''' || style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px; text-align:center"| '''Asia''' ||style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px; text-align:center"|'''Americas'''|| style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px; text-align:center"| '''Europe''' || style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px; text-align:center"| '''Oceania / Pacific Islands'''
| style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 170px; text-align:center"|'''Africa''' || style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 170px; text-align:center"| '''Asia''' ||style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 170px; text-align:center"|'''Americas'''|| style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 170px; text-align:center"| '''Europe''' || style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 170px; text-align:center"| '''Oceania / Pacific Islands'''
|-
|-
|style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 200px"|
| style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 170px; font-size: 85%; vertical-align: top;" |
* Benin
* Benin
* Burundi
* Burundi
Line 60: Line 60:
* Uganda
* Uganda
* Zimbabwe
* Zimbabwe
|style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 200px"|
| style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 170px; font-size: 85%; vertical-align: top;" |
* Bangladesh
* Bangladesh
* Bhutan
* Bhutan
Line 80: Line 80:
* Vietnam
* Vietnam
* Yemen
* Yemen
|style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 200px"|
| style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 170px; font-size: 85%; vertical-align: top;"|
* Anguilla
* Anguilla
* Antigua and Barbuda
* Antigua and Barbuda
Line 98: Line 98:
* Saint Lucia
* Saint Lucia
* Saint Vincent and the Grenadines
* Saint Vincent and the Grenadines
|style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 200px"|
| style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 170px; font-size: 85%; vertical-align: top;" |
* Italy
* Italy
* France
* France
|style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 200px"|
| style="background: #F5F5F5; border: 0px solid #696969; padding: 0 5px; width: 170px; font-size: 85%; vertical-align: top;" |
* Federal States of Micronesia
* Federal States of Micronesia
* New Caledonia
* New Caledonia
* Papua New Guinea
* Papua New Guinea
|}
| valign=top |
{|
|[[File:Chikungunya cases.png|250px|thumb|none|Countries and territories where chikungunya cases have been reported (June 2, 2014)]]
|-
|-
|[[File:CHIK Americas Larger Area Map-060414.jpg|250px|thumb|none|Countries and territories in the Americas where chikungunya cases have been reported (June 2, 2014)]]
|-
|[[File:CHIK Caribbean Map-060214.jpg|250px|thumb|none|Countries and territories in the Caribbean where chikungunya cases have been reported (June 2, 2014)]]
|}
|}
|}


==References==
==References==
{{Reflist|2}}
 
{{reflist|2}}
 
==External Links==
 
* [http://www.cdc.gov/Chikungunya/index.html CDC Chikungunya virus]
 
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Latest revision as of 17:23, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2], Alonso Alvarado, M.D. [3]

Overview

Chikungunya was first described in Tanzania, Africa in 1952. Chikungunya outbreaks have occurred in countries in Africa, Asia, Europe, and the Indian and Pacific Oceans. In late 2013, the first local transmission of chikungunya virus in America was identified in the countries and territories. Local transmission means that the mosquitoes in the area have been infected with the virus and are spreading it to people.

Epidemiology and Demographics

In December 2013, the World Health Organization (WHO) reported local transmission of chikungunya in Saint Martin. Local transmission means that mosquitoes in the area have been infected with chikungunya and are spreading it to people. This was the first time that local transmission of chikungunya has been reported in the Americas.

In 2014, 28 cases of chikungunya have been reported by the CDC [1] up to June 2. Florida is the state with the most reported cases (16 patients). Virgina had 3 reported cases while Connecticut had 2 reported cases, and only one other case was reported in other states (Arkansas, California, Maryland, Nevada, New York, Puerto Rico and US Virgin Islands).

Local transmission of chikungunya is now being reported in other countries in the Caribbean. As of June 4, 2014, the following Caribbean countries have reported cases of chikungunya: Anguilla, Antigua, British Virgin Islands, Dominica, Dominican Republic, French Guiana, Guadeloupe, Guyana, Haiti, Martinique, Puerto Rico, Saint Barthelemy, Saint Kitts, Saint Lucia, Saint Martin (French), Saint Vincent and the Grenadines, Sint Maarten (Dutch).

Prior Outbreaks

Chikungunya is generally not fatal. However, in 2005-2006, 200 deaths were associated with chikungunya on Réunion island and a widespread outbreak in India, primarily in Tamil Nadu, Karnataka, Kerala, and Andhra Pradesh.

After flood and heavy rains in Rajasthan, India in August 2006, thousands of cases were detected in Rajsamand, Bhilwara, Udaipur, and Chittorgarh districts and also in adjoining regions of Gujarat and Madhya Pradesh, and in Sri Lanka. In the southern Indian state of Kerala, 125 deaths were attributed to Chikungunya with the majority of the casualties reported in the district of Alapuzha, primarily in Cherthala.

In December 2006, an outbreak of 3,500 confirmed cases occurred in Maldives, and over 60,000 cases in Sri Lanka, with over 80 deaths. In October 2006 more than a dozen cases of Chikungunya were reported in Pakistan.

An outbreak of the disease during June 2007 in Pathanamthitta, Kottayam and Alappuzha districts of South Kerala, India claimed more than 50 lives. It is confirmed officially that there are 7000 confirmed Chikungunya patients in these areas. Unofficial reports suggest that more than one hundred thousand are suffering from symptoms of chikungunya. The European Network for Diagnostics of "Imported" Viral Diseases [4] claims that new phylogenetic variants of the virus which are fatal have been identified on Réunion. [5].

In August/September 2007 some 160 people were infected in Italy's northern Ravenna region, resulting in one fatality.

Countries and territories where chikungunya cases have been reported
Africa Asia Americas Europe Oceania / Pacific Islands
  • Benin
  • Burundi
  • Cameroon
  • Central African Republic
  • Comoros
  • Democratic Republic of the Congo
  • Equatorial Guinea
  • Gabon
  • Guinea
  • Kenya
  • Madagascar
  • Malawi
  • Mauritius
  • Mayotte
  • Nigeria
  • Republic of Congo
  • Reunion
  • Senegal
  • Seychelles
  • Sierra Leone
  • South Africa
  • Sudan
  • Tanzania
  • Uganda
  • Zimbabwe
  • Bangladesh
  • Bhutan
  • Cambodia
  • China
  • India
  • Indonesia
  • Laos
  • Malaysia
  • Maldives
  • Myanmar (Burma)
  • Pakistan
  • Philippines
  • Singapore
  • Sri Lanka
  • Taiwan
  • Thailand
  • Timor
  • Vietnam
  • Yemen
  • Anguilla
  • Antigua and Barbuda
  • British Virgin Islands
  • Dominica
  • Dominican Republic
  • French Guiana
  • Guadeloupe
  • Guyana
  • Haiti
  • Martinique
  • Puerto Rico
  • Saint Barthelemy
  • Saint Kitts and Nevis
  • Saint Martin
  • Sint Maarten
  • Saint Lucia
  • Saint Vincent and the Grenadines
  • Italy
  • France
  • Federal States of Micronesia
  • New Caledonia
  • Papua New Guinea
Countries and territories where chikungunya cases have been reported (June 2, 2014)
Countries and territories in the Americas where chikungunya cases have been reported (June 2, 2014)
Countries and territories in the Caribbean where chikungunya cases have been reported (June 2, 2014)

References

  1. "CDC 2014, Chikungunya in the Americas".

External Links