Theme
 
Chickungunya... Epidemiology
 
1952 Tanzania Few cases
1999 Port Klang in Malaysia 27 cases
2005 French island of Reunion 258,000 cases
2006 Mauritius 3,500 cases
2006 India, Andrapradesh

The initial cases were reported from Hyderabad and Secunderabad as well as from Anantpur district as early as November and December 2005.In Hyderabad alone an average practioner sees any where between 10 to 20 cases every day. On average there are around 5,300 cases being treated everyday. This figure is only from public sector. The figures from the private sector combined would be much higher.
5,300/- per day
2005 India, Karnataka

Gulbarga, Tumkur, Bidar, Raichur, Bellary, Chitradurga, Davanagere, Kolar and Bijapur districts in Karnataka state are known to have been affected since December 2005.
80,000 cases
2006 All the North Karnataka districts specially Gulbarga, Koppal, Bellary, Gadag, Dharwad were affected.Earlier it was found spreading mostly in the outskirts of Bangalore, but now it has started spreading in the city also. 300000 cases
2006,March India, Maharastra

A separate outbreak of Chikungunya fever was reported from Malegaon town in Nasik district, Maharashtra state, in the first two weeks of March 2006.
2000 cases
2006, July India, Tamil Nadu

More people were affected in Salem, Tamil Nadu
50,000 cases
2006 , July India, South Districts

Fresh cases of this diesease has been reported in local hospitals. A heavy effect has been reflected in south TN districs like Nagercoil. Residents of Chennai are warned against the painful disease
 






      Chikungunya is a rare form of viral fever caused by an alphavirus that is spread by mosquito bites from the Aedes aegypti mosquito.The symptoms of Chikungunya include fever which can reach 39°C, (102.2 °F) a petechial or maculopapular rash usually involving the limbs and trunk, and arthralgia or arthritis affecting multiple joints which can be debilitating. There can also be headache, conjunctival injection and slight photophobia.In the present epidemic in the state of Andhrapradesh in India high fever and criplling joint pain is the presenting complaint. Fever typically lasts for two days and abruptly comes down, however joint pain intense headache,insomnia and extreme degrree of prostration lasts for variable period,usualy for about 5 to 7 days.The diagnostic tests include detection of antigens or antibodies in the blood, using ELISA (or EIA - enzyme immunoassay) or molecular techniques like polymerase chain reaction (PCR). The antibodies detected by serological assays like ELISA require an IgM capture assay to distinguish it from dengue fever.