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A clinico-epidemiological study of Chikungunya outbreak in Maharashtra State, India

Prakash Prabhakarrao Doke1, Deorao Satvaji Dakhure, Archana Vasantrao Patil

  • 1Government of Maharashtra, Mumbai, India. prakash.doke@mail.com

Indian Journal of Public Health
|February 3, 2012
PubMed

Insights

Chikungunya fever outbreaks in Maharashtra affected adult females more, with joint pain and swelling common. Health education improved vector control behaviors.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Diseases

Background:

  • Chikungunya fever is a significant arboviral disease.
  • An extensive outbreak occurred in Maharashtra in 2006.

Purpose of the Study:

  • To analyze the clinical and epidemiological features of the 2006 Chikungunya outbreak in Maharashtra.
  • To evaluate the impact of health education on vector control behaviors.

Main Methods:

  • Retrospective study of 804 serologically confirmed Chikungunya cases.
  • Patient interviews to gather data on sickness experience and joint involvement.
  • Assessment of health education effectiveness on vector control.

Main Results:

  • Adult females in rural areas were disproportionately affected.
  • Fever and polyarticular involvement were near-universal symptoms.
  • Joint pain and swelling persisted for over a month in many patients.
  • Health education led to improved vector control behaviors, with interpersonal communication being most effective.

Conclusions:

  • The 2006 Maharashtra outbreak highlighted specific demographic vulnerabilities.
  • Effective health education strategies, particularly interpersonal communication, are crucial for controlling Chikungunya transmission.
  • Paramedical workers and government doctors played a key role in health education efforts.

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