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dc.contributor.authorDuncan, Jacqueline
dc.contributor.authorGordon-Johnson, Kelly Ann
dc.contributor.authorTulloch-Reid, Marshall K
dc.contributor.authorCunningham-Myrie, Colette
dc.contributor.authorErnst, Kacey
dc.contributor.authorMcMorris, Nathlee
dc.contributor.authorGrant, Andriene
dc.contributor.authorGraham, Marcia
dc.contributor.authorChin, Daisylyn
dc.contributor.authorWebster-Kerr, Karen
dc.date.accessioned2019-11-20T19:36:54Z
dc.date.available2019-11-20T19:36:54Z
dc.date.issued2017-08-21
dc.identifier.citationDuncan 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.en_US
dc.identifier.issn1020-4989
dc.identifier.pmid28902273
dc.identifier.doi10.26633/RPSP.2017.60
dc.identifier.urihttp://hdl.handle.net/10150/636216
dc.description.abstractObjectives. 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.en_US
dc.description.sponsorshipMinistry of Health of Jamaicaen_US
dc.language.isoenen_US
dc.publisherPAN AMER HEALTH ORGANIZATIONen_US
dc.rightsCopyright © Pan American Health Organizationen_US
dc.subjectChikungunya virusen_US
dc.subjectchikungunyaen_US
dc.subjectprevention & controlen_US
dc.subjectepidemicsen_US
dc.subjectJamaicaen_US
dc.titleChikungunya: important lessons from the Jamaican experienceen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Epidemiol & Biostat Dept, Mel & Enid Zuckerman Coll Publ Hlthen_US
dc.identifier.journalREVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTHen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleRevista panamericana de salud publica = Pan American journal of public health
refterms.dateFOA2019-11-20T19:36:54Z


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