Outbreak of Chikungunya in the French Caribbean Islands of Martinique and Guadeloupe: Findings from a Hospital-Based Surveillance System (2013–2015)
Résumé
Chikungunya virus (CHIKV) emerged in the Caribbean island of Saint-Martin in December 2013. We
implemented a hospital-based surveillance system to detect and describe CHIKV cases including severe forms of the
infection and deaths in the islands of Martinique and Guadeloupe. A case was defined as a patient with a CHIKV laboratory
confirmation cared for in a public hospital for chikungunya for at least 24 hours, and a severe CHIKV case was defined as a
CHIKV case presenting one or more organ failures. Sociodemographic, clinical, and laboratory data were collected and
cases classified into severe or nonsevere based on medical records. From December 2013 to January 2015, a total of
1,836 hospitalized cases were identified. Rate of hospital admissions for CHIKV infection was 60 per 10,000 suspected
clinical CHIKV cases and severity accounted for 12 per 10,000. A total of 74 deaths related to CHIKV infection occurred.
Infants and elderly people were more frequently hospitalized compared with others and severity was more frequently
reported in elderly subjects and subjects with underlying health condition. Fifteen neonatal infections consecutive to
mother-to-child transmission were diagnosed, seven of which were severe. The most vulnerable groups of the population,
such as the elderly, infants, individuals with comorbidities, and pregnant women, should remain the main targets of public
health priorities.
Domaines
Santé publique et épidémiologie
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2018, Dorléans - Outbreak of Chikungunya in the French Caribbean Islands of Martinique and Guadeloupe.pdf (433.96 Ko)
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Origine : Publication financée par une institution
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