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Chikungunya fever
1. DR.S.M.JOSHI
MEDICAL OFFICER &
FACULTY MEMBER H.F.W.T.C.THANE
2. Chikungunya name derived from Swahili word “that
which bends up. in reference to the stooped posture
developed as a result of Arthralgia(severe joint pains)
Clinical Features:-
Fever Rash
Headache Arthralgia
Nausea Hemorrhagic manifestation-bleeding gums,
Vomiting Epistaxis, heametemesis,
myalgia Blood in stool-maleana
3. Period of illness:-illness is often acute and lasts for 3-
5days.may be up to 10days or more. Recovery is usually
prolonged and marked by weakness and pain in joints.
Incubation period:-2-12days commonly 3-5 days.
Age group:-the disease affects all age groups.
Morbidity:-30-70%of population in affected
field/area.
Mortality:-Negligible.
Virus responsible:- belongs to family togaviradae
Genus:- Alpha virus
Subgroup:-semilliki forest Venezuelan(SFV)equine
encephalitis.
4. -;Epidemiology:-
Basically recognized as URBAN disease .
Clinically very similar to dengue.misdignosis is not
unusual.
Virus was first isolated in febrile human in Tanzania in
1953.
In India outbreak reported in 1963in kolkatta,east costal
area i.e.chhenai,pondichery,vellore,vishakhapattanam in
1964.
In Maharashtra sporadic cases reported in the year 1973,
and year 1983, year 2000
The virus is maintained in nature in man-mosquito-man
cycle.
Vector-aedes aegypti mosquito through transovarian
transmission.
5. -:DIAGNOSIS:-;-
Isolation of Virus
Demonstrating of four fold or greater rise in antibody
titre.
ELISA testing foe IgM antibody.
Diagnosis by RT-PCR Test
The antibody titre will be positive after 5th day of
illness only.
PREVENTION and TREATMENT and CONTROL:_-
No Vaccine available for prevention for CHK.
Control is possible by avoidance of mosquito bites
reduction in density of vector.
Treatment is mainly symptomatic by anti
inflammatory drugs. Steroids are not to be used.
6. Case Definition of CHK fever
Suspect case:- acute onset, high fever,7days duration,
severe headache, myalgia, severe arthralgia,with or
without rash
Probable Case:-suspect case of CHK,high vector
dencity,presence of confirm case in the area .
Confirmed Case:-
Isolation of virus in early phase.
Serological test for IgM antibody after 5th day of illness.
Demonstration of 4 fold or greater rise in IgG
antibodies in paired sera.