Chikungunya fever in two German tourists returning from the Maldives, September, 2009

M Pfeffer1, I Hanus, T Löscher

  • 1Institute of Animal Hygiene and Veterinary Public Health, Veterinary Faculty, University of Leipzig, Germany. pfeffer@vetmed.uni-leipzig.de

Insights

Chikungunya virus was isolated from German tourists returning from the Maldives. The virus harbored a mutation enabling adaptation to the Asian tiger mosquito, Aedes albopictus.

Area of Science:

  • Virology
  • Molecular Biology
  • Epidemiology

Background:

  • Chikungunya virus (CHIKV) poses a significant public health threat, particularly in tropical and subtropical regions.
  • The emergence and spread of CHIKV are influenced by viral genetic mutations and vector adaptation.
  • Surveillance of CHIKV in non-endemic regions is crucial for early detection and control.

Observation:

  • Two German tourists developed chikungunya fever after traveling to the Maldives in September 2009.
  • The isolated CHIKV strain was successfully cultured and molecularly characterized.
  • The presence of the E1 A226V mutation was identified in the viral genome.

Findings:

  • The E1 A226V mutation is associated with enhanced CHIKV adaptation to the Asian tiger mosquito, Aedes albopictus.
  • The E1 gene sequence of the isolated virus closely matched strains from Sri Lanka.
  • Minor nucleotide mismatches were observed when compared to a previously reported Maldives CHIKV E1 sequence.

Implications:

  • This finding highlights the potential for CHIKV introduction and transmission in new geographical areas via international travel.
  • The adaptation to Aedes albopictus suggests a potential for increased local transmission if the vector is present.
  • Continuous molecular surveillance of CHIKV is essential for understanding viral evolution and spread.

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