Retrospective survey of Chikungunya disease in Réunion Island hospital staff

Epidemiol Infect. 2008 Feb;136(2):196-206. doi: 10.1017/S0950268807008424. Epub 2007 Apr 16.

Abstract

Réunion Island (Indian Ocean) has been suffering from its first known Chikungunya virus (CHIKV) epidemic since February 2005. To achieve a better understanding of the disease, a questionnaire was drawn up for hospital staff members and their household. CHIKV infected about one-third of the studied population, the proportion increasing with age and being higher in women. Presence of a garden was associated with CHIKV infection. The geographical distribution of cases was concordant with insect vector Aedes albopictus distribution. The main clinical signs were arthralgia and fever. The disease evolved towards full recovery in 34.4% of cases, a relapse in 55.6%, or a chronic form in 10%. Paracetamol was used as a painkiller in 95% of cases, sometimes associated with non-steroidal anti-inflammatory drugs, corticoids, or traditional herbal medicine. The survey provided valuable information on the factors that favour transmission, the clinical signs, the importance of relapses and the therapies used.

MeSH terms

  • Acetaminophen / therapeutic use
  • Adult
  • Aedes
  • Age Factors
  • Alphavirus Infections / drug therapy
  • Alphavirus Infections / epidemiology*
  • Alphavirus Infections / physiopathology
  • Alphavirus Infections / virology*
  • Animals
  • Anti-Inflammatory Agents / therapeutic use
  • Chikungunya virus / isolation & purification*
  • Disease Vectors
  • Female
  • Health Personnel*
  • Hospitals
  • Humans
  • Male
  • Middle Aged
  • Plants, Medicinal
  • Retrospective Studies
  • Reunion / epidemiology
  • Sex Factors
  • Surveys and Questionnaires

Substances

  • Anti-Inflammatory Agents
  • Acetaminophen