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Previous Volume 356:769-771 February 22, 2007 Number 8 Next

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In 2006, an outbreak of chikungunya fever — an arthralgic disease caused by a mosquito-borne alphavirus — swept over a number of islands in the Indian Ocean (the Comoros, Mauritius, the Seychelles, Madagascar, Mayotte, and Reunion). In Reunion, which has a population of 770,000, there were 265,000 clinical cases (an incidence of 34%), and the disease was implicated in 237 deaths (about 1 per 1000 clinical cases); a recent report by Reunion health authorities indicated that the seroprevalence was 35%, with very few asymptomatic cases. The epidemic had started with outbreaks in Kenya in 2004 and the Comoros early in . . . [Full Text of this Article]

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Drs. Charrel and de Lamballerie are professors in the Unité des Virus Emergents, and Dr. Raoult a professor in the Unité des Rickettsies, both in the Faculté de Médecine, Université de la Méditerranée, Marseilles, France.

Related Letters:

Chikungunya Outbreaks
Brisse S., Iteman I., Schuffenecker I., Hall J., Charrel R. N., de Lamballerie X., Raoult D.
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N Engl J Med 2007; 356:2650-2652, Jun 21, 2007. Correspondence

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