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Published on: March 13, 2018
[Chikungunya on Reunion Island: chronicle of an epidemic foretold]
Fabrice Paganin1, Giannandrea Borgherini, Frédéric Staikowsky
1Service de Pneumologie et Maladies Infectieuses, Groupe Hospitalier Sud Réunion, St Pierre, Réunion. f.paganin@wanadoo.fr
Abstract:
Chikungunya is a viral disease transmitted by a mosquito of the genus Aedes. It is currently epidemic on Reunion Island, in the Indian Ocean. It is essentially characterized by an influenza syndrome but associated with polyarthralgia and an eruption. The disabling and chronic nature of the arthralgia is the most remarkable clinical aspect of chikungunya infection. Severe and unusual forms have appeared, not previously described in the literature. These forms must be studied to determine whether there is a direct relation between the chikungunya virus and the severity factors. Treatment is solely symptomatic, combining analgesic and/or antiinflammatory agents. There is no vaccine. The epidemic is not limited to Reunion: cases of chikungunya have also been reported in neighboring islands (Maurice, Seychelles, and Madagascar). Travelers planning to visit the region should be counseled.
Insights
Chikungunya is a mosquito-borne viral disease causing influenza-like illness and severe joint pain. Researchers are investigating unusual, severe forms of the infection and its risk factors.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Chikungunya is a significant arboviral disease transmitted by Aedes mosquitoes.
- The disease is currently epidemic on Reunion Island and surrounding Indian Ocean territories.
- Clinical manifestations typically include fever, rash, and debilitating polyarthralgia.
Purpose of the Study:
- To investigate the emergence of severe and unusual clinical forms of chikungunya.
- To explore potential direct links between the chikungunya virus and disease severity factors.
- To inform public health strategies and traveler advisories regarding the ongoing epidemic.
Main Methods:
- Observational study of chikungunya cases on Reunion Island.
- Clinical data collection and analysis of symptomatic presentations.
- Epidemiological surveillance across affected islands.
Main Results:
- Chikungunya presents with characteristic influenza-like symptoms and prominent arthralgia.
- A notable increase in severe and previously undescribed clinical presentations has been observed.
- The chronic and disabling nature of arthralgia is a key feature of the infection.
Conclusions:
- Further research is needed to understand the factors contributing to severe chikungunya.
- Current treatment is symptomatic, with no specific antiviral therapy or vaccine available.
- Travelers to affected regions require counseling due to the widespread epidemic.
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