Chikungunya virus disease outbreak in Yap State, Federated States of Micronesia.

Autor: Pastula DM; Epidemic Intelligence Service Program Office, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America., Hancock WT; Yap State Department of Health, Colonia, Yap State, Federated States of Micronesia., Bel M; Yap State Department of Health, Colonia, Yap State, Federated States of Micronesia., Biggs H; Epidemic Intelligence Service Program Office, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.; Rickettsial Zoonoses Branch, DVBD, CDC, Atlanta, Georgia, United States of America., Marfel M; Yap State Department of Health, Colonia, Yap State, Federated States of Micronesia., Lanciotti R; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America., Laven J; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America., Chen TH; Division of Global Migration and Quarantine, CDC, Honolulu, Hawaii, United States of America., Staples JE; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America., Fischer M; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America., Hills SL; Arboviral Diseases Branch, Division of Vector-Borne Diseases (DVBD), CDC, Fort Collins, Colorado, United States of America.
Jazyk: angličtina
Zdroj: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2017 Mar 01; Vol. 11 (3), pp. e0005410. Date of Electronic Publication: 2017 Mar 01 (Print Publication: 2017).
DOI: 10.1371/journal.pntd.0005410
Abstrakt: Background: Chikungunya virus is a mosquito-borne alphavirus which causes an acute febrile illness associated with polyarthralgia. Beginning in August 2013, clinicians from the Yap State Department of Health in the Federated States of Micronesia (FSM) identified an unusual cluster of illness which was subsequently confirmed to be chikungunya virus disease. Chikungunya virus disease previously had not been recognized in FSM.
Methodology/principal Findings: Information from patients presenting to healthcare facilities was collected and analyzed. During August 11, 2013, to August 10, 2014, a total of 1,761 clinical cases were reported for an attack rate of 155 clinical cases per 1,000 population. Among residents of Yap Main Island, 3% were hospitalized. There were no deaths. The outbreak began on Yap Main Island and rapidly spread throughout Yap Main Island and to three neighboring islands.
Conclusions/significance: Chikungunya virus can cause explosive outbreaks with substantial morbidity. Given the increasing globalization of chikungunya virus, strong surveillance systems and access to laboratory testing are essential to detect outbreaks.
Databáze: MEDLINE
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