Author
Duncan, JacquelineGordon-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 HlthIssue Date
2017-08-21
Metadata
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PAN AMER HEALTH ORGANIZATIONCitation
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.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 journalISSN
1020-4989PubMed ID
28902273Version
Final published versionSponsors
Ministry of Health of Jamaicaae974a485f413a2113503eed53cd6c53
10.26633/RPSP.2017.60
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