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CDC: Chikungunya Rising in Caribbean; U.S. Cases Likely to Increase — Physician’s First Watch

Medical News |
June 6, 2014

CDC: Chikungunya Rising in Caribbean; U.S. Cases Likely to Increase

By Amy Orciari Herman

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

The mosquito-borne chikungunya virus has now been identified in 17 countries or territories in the Caribbean and South America, according to an MMWR article. Local transmission of the virus first hit the Western Hemisphere in December.

As of late May, some 103,000 suspected and 4,400 laboratory-confirmed cases had been reported from these areas, with the case count almost doubling in the preceding 2 weeks. The most affected regions: the Dominican Republic, Martinique, Guadeloupe, Haiti, and Saint Martin.

Twenty-eight cases have been reported in the U.S. and its territories this year — all but one among travelers returning from affected areas. The CDC warns that given the recent outbreaks, cases among U.S. travelers are likely to increase, which could result in local transmission of the virus.

Clinicians should consider chikungunya virus in patients, especially travelers, with acute-onset fever and polyarthralgia, the CDC says. Treatment is palliative and may include rest, liquids, and analgesics. Clinicians should report suspected cases to their health departments.

Reader Comments (3)

John Rhicard DMD Other Healthcare Professional, Dentistry, 19 College St.

How about pictures of the vector/mosquito, when and where encountered.
Is it possible to get Dengue and Chikunyunga from the same bite?

Will Wiggins Medical Student, Cuba

I assume the treatment would be similar to that for dengue, no? Palliative measures?
Asumo que el tratamiento seria lo mismo que se usa en el dengue no? Muchos liquidos y antipireticos si hay fiebre?

EDUARDO SAGARO Physician, Pediatric Subspecialty, Juan M. Márquez Pediatric Hospital, Havana, Cuba

This is of special interest because we are under this threat and as an emergent disease it is important to be updated takin into consideration here is no experience in the management of this disease.

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