doctors say this is not Chikungunya but an unknown viral fever. Government doctors also repeat the same. One doctor describes it as a cross breeding of denque and Chikungunya. So it is undoubtedly the notorius Chikungunya. But even the newspapers and TV channels describe it as unknown viral fever. Government declares that there is an unidentified viral fever and it is not Chikungunya and research is going on to find what it is. But according to common men who is standing with the knee bending it is Chikungunya and say “I am having Chikungunya for the past three months” when they describe their sufferings. My doubt is why the media and the Government hesitate to declare that it is Chikungunya. Whether the World Health Organisation (W.H.O) will declare the country as ugly country if it has Chikungunya? Or whether the World Bank will refuse to give loans to the country if Chikungunya is there in that country? Or whether the opposing party members will cry that the Government has failed to control an epidemic decease in Parliament and in Assembly? God only knows.....

1. Net news
I suffered from this disease a couple of years back. i had severe joint pains and also fever. I
consulted a doctor, was given medicines. I took them regularly . The fever stopped but the
joint pain was much after that. I suffered for nearly 6 months with the pain. One cannot stand
erect after sitting for sometime. It is very dfficult actually. I could resume routine only after 6-8
months. Pain killers on the advise of the dr. is best. Also you could ask your mil to take lots of
oranges, it may help.
Chikungunya virus (CHIKV) is responsible for major epidemics worldwide. Autochthonous cases
were recently reported in several European countries. Acute infection is thought to be
monophasic. However reports on chronic pain related to CHIKV infection have been made. In
particular, the fact that many of these patients do not respond well to usual analgesics suggests
that the nature of chronic pain may be not only nociceptive but also neuropathic. Neuropathic
pain syndromes require specific treatment and the identification of neuropathic characteristics
(NC) in a pain syndrome is a major step towards pain control.
The mean intensity of pain on the visual-analogical scale (VAS) was 5.8 ± 2.1, and its mean
duration was 89 ± 2 days. Fifty-six patients fulfilled the definition of chronic pain. Pain had NC in
18.9% according to the DN4 questionnaire. Conversely, about two thirds (65%) of patients with
NC had chronic pain. The average pain intensity was similar between patients with or without
NC (6.0 ± 1.7 vs 6.1 ± 2.0). However, the total score of the Short Form-McGill Pain
Questionnaire (SF-MPQ)(15.5 ± 5.2 vs 11.6 ± 5.2; p < 0.01) and both the affective (18.8 ± 6.2 vs
13.4 ± 6.7; p < 0.01) and sensory subscores (34.3 ± 10.7 vs 25.0 ± 9.9; p < 0.01) were
significantly higher in patients with NC. The mean pain interference in life activities calculated
from the Brief Pain Inventory (BPI) was significantly higher in patients with chronic pain than in
patients without it (6.8 ± 1.9 vs 5.9 ± 1.9, p < 0.05). This score was also significantly higher in
patients with NC than in those without such a feature (7.2 ± 1.5 vs 6.1 ± 1.9, p < 0.05).
Chikungunya (in the Makonde language "that which bends up") virus (CHIKV) is an insect-
borne virus, of the genus Alphavirus, that is transmitted to humans by virus-
carrying Aedesmosquitoes.[1] There have been recent outbreaks of CHIKV associated with
severe illness. CHIKV causes an illness with symptoms similar to dengue fever. CHIKV
manifests itself with an acutefebrile phase of the illness lasting only two to five days, followed by
a prolonged arthralgic disease that affects the joints of the extremities. The pain associated with
CHIKV infection of the joints persists for weeks or months, or in some cases years.[2][3]
The incubation period of Chikungunya disease is from two to four days. Symptoms of the
disease include a fever up to 40 °C (104 °F), apetechial or maculopapular rash of the trunk and
occasionally the limbs, and arthralgia or arthritis affecting multiple joints.[4] Other nonspecific
symptoms can include headache, conjunctival Injection, and slight photophobia. Typically, the
fever lasts for two days and then ends abruptly. However, other symptoms—namely joint pain,
intense headache, insomnia and an extreme degree of prostration—last for a variable period;

2. usually for about 5 to 7 days.[4] Patients have complained of joint pains for much longer time
periods depending on their age.[5][6]
Post-Epidemic Chikungunya Disease on Reunion Island: Course of Rheumatic Manifestations
and Associated Factors over a 15-Month Period
At the 15-month-period evaluation after diagnosis, 84 of 147 participants (57%) self-reported
rheumatic symptoms. Of these 84 patients, 53 (63%) reported permanent trouble while 31
(37%) had recurrent symptoms. Age ≥45 years (OR = 3.9, 95% CI 1.7–9.7), severe initial joint
pain (OR = 4.8, 95% CI 1.9–12.1), and presence of underlying osteoarthritis comorbidity (OR =
2.9, 95% CI 1.1–7.4) were predictors of nonrecovery. Our findings suggest that long-term
CHIKV rheumatic manifestations seem to be a frequent underlying post-epidemic condition.
Three independent risk factors that may aid in early recognition of patients with the highest risk
of presenting prolonged CHIKV illness were identified. Such findings may be particularly useful
in the development of future prevention and care strategies for this emerging virus infection.
We found that rheumatic symptoms lasted for at least 15 months in 57% of the participants. Of
these, 63% reported permanent trouble while 37% had recurrent symptoms. Factors such as
age ≥45 years, severe initial joint pain, and presence of underlying osteoarthritis comorbidity
were associated with nonrecovery over the 15-month period. Our findings suggest that long-
term CHIKV rheumatic manifestations seem to be a hidden, frequent, post-epidemic condition.
These findings should be considered in the development of preventive measures.
Chikungunya fever, an emerging mosquito-borne viral disease,
has affected Mauritius with two recent outbreaks in 2005 and 2006
respectively. A study was carried out in 2007 to describe the clinical
complications post-Chikungunya infection. Ethical clearance was obtained for
this study. Data collection was carried out in February and March 2007 on a
sample of people who had suffered from Chikungunya fever by means of a
comprehensive questionnaire. Participants comprised 77 people; there were 41
males and 36 females. Participants ranged from 6 to 69 years. 70 participants
experienced persisting joint pains for at least 6 months following the acute
phase. Of these, 35 had residual joint complaints after 6 months. 44
participants suffered from psychological sequelae. 10 participants had
dermatological sequelae, 6 had iatrogenic complications due to non-steroidal
anti-inflammatory drug (NSAID)-induced gastritis, and 3 participants with
serologically confirmed Chikungunya fever had neurological manifestations
and changes on CT/MRI which could correspond to demyelination. Statistical
analysis demonstrated that there was a weak linear relationship between the
number of complications and increasing age; there was a significant difference
in the number of complications according to gender, females being more
affected than males; participants with co-morbidities had more complications
and psychological sequelae than previously healthy participants. This study
highlights that Chikungunya fever, which causes a significant impact on health
in the acute phase, can have significant sequelae months afterwards and this
includes psychological sequelae.

3. Chikungunya or unknown viral fever
I have Chikungunya fever during December 2009. Doctor describes it as viral fever and give
some medicines. Fever gone but the pain persists even after three months. The fever is
having all the symptoms that are described in net sites.
The Chikungunya will be there only for three or four days. My fever has gone on fourth day.
It will reach 104 degrees. I have 104 degrees for two days.
Chikungunya ends abruptly for ordinary medicines. I have taken paracetamol and declofenac
and the fever ends.
Rheumatic pain will be there even upto six months. I am still have pain even after three
months.
It is epidemic and spreads quickly. During december and january in my town alone each and
every house has four or five patients.
But doctors say this is not Chikungunya but an unknown viral fever. Government doctors also
repeat the same. One doctor describes it as a cross breeding of denque and Chikungunya.
So it is undoubtedly the notorius Chikungunya. But even the newspapers and TV channels
describe it as unknown viral fever. Government declares that there is an unidentified viral fever
and it is not Chikungunya and research is going on to find what it is.
But according to common men who is standing with the knee bending it is Chikungunya and say
“I am having Chikungunya for the past three months” when they describe their sufferings.
My doubt is why the media and the Government hesitate to declare that it is Chikungunya.
Whether the World Health Organisation (W.H.O) will declare the country as ugly country if it has
Chikungunya?
Or whether the World Bank will refuse to give loans to the country if Chikungunya is there in that
country?
Or whether the opposing party members will cry that the Government has failed to control an
epidemic decease in Parliament and in Assembly?
God only knows.....
But the pain and the doubt persist............