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    Chikungunya: important lessons from the Jamaican experience

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    Author
    Duncan, Jacqueline
    Gordon-Johnson, Kelly Ann
    Tulloch-Reid, Marshall K
    Cunningham-Myrie, Colette
    Ernst, Kacey
    McMorris, Nathlee
    Grant, Andriene
    Graham, Marcia
    Chin, Daisylyn
    Webster-Kerr, Karen
    Affiliation
    Univ Arizona, Epidemiol & Biostat Dept, Mel & Enid Zuckerman Coll Publ Hlth
    Issue Date
    2017-08-21
    Keywords
    Chikungunya virus
    chikungunya
    prevention & control
    epidemics
    Jamaica
    
    Metadata
    Show full item record
    Publisher
    PAN AMER HEALTH ORGANIZATION
    Citation
    Duncan J, Gordon-Johnson KA, Tulloch-Reid MK, Webster-Kerr K, Cunningham-Myrie C, Ernst K, et al. Chikungunya: important lessons from the Jamaican experience. Rev Panam Salud Publica. 2017; 41:e60.
    Journal
    REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH
    Rights
    Copyright © Pan American Health Organization.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Objectives. To describe the clinical presentation of chikungunya virus (CHIKV) illness in adults during the 2014 outbreak in Jamaica and to determine the predictive value of the case definition. Methods. A cross-sectional study was conducted using clinical data from suspected cases of CHIKV that were reported to the Ministry of Health in April - December 2014. In addition, charts were reviewed of all individuals over 15 years of age with suspected CHIKV based on a diagnosis of CHIKV or "acute viral illness" that presented to four major health centers in Jamaica during the week prior to and the peak week of the epidemic. Data abstracted from these charts using a modified CHIKV Case Investigation Form included demographics, clinical findings, and laboratory tests. Results. In 2014, the Ministry of Health of Jamaica received 4 447 notifications of CHIKV infection. PCR testing was conducted on 137 suspected CHIKV cases (56 men and 81 women; median age 28 years) and was positive for 89 (65%) persons. In all, 205 health charts were identified that met the selection criteria (51 men and 154 women, median age 43 years). The most commonly reported symptoms were arthralgia (86%) and fever (76%). Of those who met the epidemiologic case definition for CHIKV as defined by the Pan American Health Organization, only 34% had this diagnosis recorded. Acute viral illness was the most frequently recorded diagnosis (n = 79; 58%). Conclusions. Broader case definitions for acute CHIKV illness may be needed to identify suspected cases during an outbreak. Standardized data collection forms and validation of case definitions may be useful for future outbreaks.
    Note
    Open access journal
    ISSN
    1020-4989
    PubMed ID
    28902273
    DOI
    10.26633/RPSP.2017.60
    Version
    Final published version
    Sponsors
    Ministry of Health of Jamaica
    ae974a485f413a2113503eed53cd6c53
    10.26633/RPSP.2017.60
    Scopus Count
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    UA Faculty Publications

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