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Chikungunya Esha Baichoo. Chikungunya Virus(CHIKV). Rare form of viral fever I solated for the first time from a Tanzanian outbreak in 1952 Transmitted by the Aedes aegypti and Aedes albopictus(mutated form) mosquitoes , !! No human-human transmission!!
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ChikungunyaVirus(CHIKV) • Rare form of viral fever • Isolated for the first time from a Tanzanian outbreak in 1952 • Transmitted by the Aedes aegypti and Aedes albopictus(mutated form) mosquitoes, • !! No human-human transmission!! • Alphavirus belonging to the family of Togaviridae
Etymiology • Name derived from the Makonde word meaning ‘that which bends up’, referring to the stooped posture of the patients • First described by Marion Robinson and W.H.R. Lumsden in 1955, following an outbreak on the Makonde Plateau, along the border between Tanganyika and Mozamique, in 1952.
Epidemiology • Geographically distributed in Africa, India and South-East Asia • First outbreak in 1963, in India • Major epidemics appear cyclically • Recent outbreak in the Indian Ocean after 20 years of dormancy • First case, in Mauritius, reported in 2005
Symptoms Typically debilitating poly-arthralgia Fever reaching 39°C Petechial or maculopapular rash on limbs and trunk Epitaxis, minor hemorrhage Self-limiting- usually last 5-7 days May become chronic in the elderly !!Not life-threatening!!
Laboratory Diagnosis and Treatment Clinical manifestations resemble those of dengue Serological examination No vaccine available Chloroquine phosphate (250 mg/day) non-steroidal anti-inflammatory drugs (NSAID) Analgesics Aspirin usually avoided
Prevention and Control • Avoiding mosquito bite (chemical repellents,protective clothings, mosquito nets) • Prevent mosquito breeding by drainage of all stagnant water • Intense government-sponsored eradication of mosquitoes by insecticide spraying • National health campaign aimed at greater awareness • Close monitoring of travellers coming from infected zones
Socio-Economic Impact • Severe impact on the tourism industry and foreign investment • Greater awareness of epidemics • Improvement in the health sector
Acknowledgement • www.wikipedia.org • file:///E:/chikungunya/articlerender.fcgi.htm • World Health Organisation • PudMed • www.gov.mu