Chikungunya outbreak in the Caribbean region, December 2013 to March 2014, and the significance for Europe

被引:127
作者
Van Bortel, W. [1 ]
Dorleans, F. [2 ]
Rosine, J. [2 ]
Blateau, A. [2 ]
Rousset, D. [3 ]
Matheus, S. [3 ]
Leparc-Goffart, I. [4 ]
Flusin, O. [4 ]
Prat, C. M. [4 ]
Cesaire, R. [5 ]
Najioullah, F. [5 ]
Ardillon, V. [6 ]
Balleydier, E. [7 ]
Carvalho, L. [6 ]
Lemaitre, A. [8 ]
Noel, H. [8 ]
Servas, V. [9 ]
Six, C. [10 ]
Zurbaran, M. [8 ]
Leon, L. [8 ]
Guinard, A. [11 ]
van den Kerkhof, J. [12 ]
Henry, M. [13 ]
Fanoy, E. [12 ,14 ,15 ]
Braks, M. [12 ]
Reimerink, J. [12 ]
Swaan, C. [12 ]
Georges, R. [16 ]
Brooks, L. [17 ]
Freedman, J. [18 ]
Sudre, B. [1 ]
Zeller, H. [1 ]
机构
[1] European Ctr Dis Prevent & Control, Stockholm, Sweden
[2] French Inst Publ Hlth Surveillance, Fort De France, Martinique, France
[3] Inst Pasteur, Natl Reference Ctr, Cayenne, French Guiana
[4] IRBA, Natl Reference Ctr, Marseille, France
[5] Univ Hosp Lab Virol, Fort De France, France
[6] French Inst Publ Hlth Surveillance, Cayenne, French Guiana
[7] French Inst Publ Hlth Surveillance, St Denis, Reunion, France
[8] French Inst Publ Hlth Surveillance, Paris, France
[9] French Inst Publ Hlth Surveillance, Bordeaux, France
[10] French Inst Publ Hlth Surveillance, Marseille, France
[11] French Inst Publ Hlth Surveillance, Toulouse, France
[12] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[13] Dept Collect Prevent Serv, Sect Gen Publ Hlth, Sint Maarten, Netherlands
[14] European Programme Intervent & Epidemiol Training, Stockholm, Sweden
[15] Publ Hlth Serv Reg Utrecht, Zeist, Netherlands
[16] Minist Hlth & Social Dev, British Virgin Isl, England
[17] Govt Anguilla, Minist Social Dev, Anguilla, England
[18] Publ Hlth England, London, England
关键词
VIRUS-INFECTION; CONCURRENT CHIKUNGUNYA; FEVER; EPIDEMIC; DENGUE; DISEASE; TRANSMISSION; CIRCULATION; ARBOVIRUS; SINGAPORE;
D O I
10.2807/1560-7917.ES2014.19.13.20759
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
On 6 December 2013, two laboratory-confirmed cases of chikungunya without a travel history were reported on the French part of the Caribbean island of Saint Martin, indicating the start of the first documented outbreak of chikungunya in the Americas. Since this report, the virus spread to several Caribbean islands and French Guiana, and between 6 December 2013 and 27 March 2014 more than 17,000 suspected and confirmed cases have been reported. Further spread and establishment of the disease in the Americas is likely, given the high number of people travelling between the affected and non-affected areas and the widespread occurrence of efficient vectors. Also, the likelihood of the introduction of the virus into Europe from the Americas and subsequent transmission should be considered especially in the context of the next mosquito season in Europe. Clinicians should be aware that, besides dengue, chikungunya should be carefully considered among travellers currently returning from the Caribbean region.
引用
收藏
页码:17 / 27
页数:11
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