In 2006, an outbreak of chikungunya fever — an arthralgicdisease caused by a mosquito-borne alphavirus — sweptover 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 clinicalcases (an incidence of 34%), and the disease was implicatedin 237 deaths (about 1 per 1000 clinical cases); a recent reportby Reunion health authorities indicated that the seroprevalencewas 35%, with very few asymptomatic cases. The epidemic hadstarted with outbreaks in Kenya in 2004 and the Comoros earlyin . . . [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.
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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.
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