Chikungunya, La Réunion and Mayotte, 2005-2006: an epidemic without a story?

Autor(es): Flahault Antoine, Aumont Gilles, Boisson Véronique, de Lamballerile Xavier, Favier François, Fontenille Didier, Gaüzère Bernard-Alex, Journeaux Sophie, Lotteau Vincent, Paupy Christophe, Sanquer Marie-Anne, Setbon Michel


Resumo: Many triggering factors for onset of emerging infectious diseases are now recognised, such as: globalisation, demographic increase, population movements, international trade, urbanisation, forest destruction, climate changes, loss in biodiversity, - extreme life conditions such as poverty, famine - war. Epidemic burden is often leading to disasters, in terms of human losses, as well as economic, political or social consequences. These outbreaks may jeopardize within a few weeks or months, industry, trade, or tourism. While dengue - its most severe forms (hemorrhagic - shock syndrome) is spreading all over the tropical world, another arbovirosis, chikungunya disease dramatically spread in Indian Ocean isl-s where 30 to 75% of population were infected in 2005 - 2006, - then extended its progression towards India, Sri Lanka, Indonesia, Malaysia, Maldives isl-s with more than a million people infected with the East-African strain, replacing the former Asian strain which was known to prevail more than 30 years ago in India. Patients experience sequelae with disability, work loss, - rarely severe outcome recently identified in La Réunion - Mayotte (French overseas territories). No country, no part of the world may consider itself as protected against such events. However, consequences of emerging or re-emerging diseases are more - more unacceptable when they impact the poorest countries of the world. Viruses, bacteria, as well as wild animals, birds, or arthropods are not stopped by borders. It is time now to promote barriers against infectious diseases, including prevention, anticipation, disease surveillance - research. This is not only for humanitarian reasons, but also for contributing to a sustainable development with equity for worldwide population. This report presents comprehensive actions taken in 2006 for tracing the epidemic - mobilise research, as requested to the task force set up by the Prime Minister by March 20, 2006.


Imprenta: Sante? Publique, v. 19, supl 3, p. S165-S95, 2007


Descritores: Chikungunya virus - Infectious diseases; Chikungunya virus - Viral infections; Chikungunya Virus - Virus; Chikungunya virus - Vaccine; Chikungunya virus - Dengue; Chikungunya virus - Epidemic; Chikungunya virus - Epidemiology; Chikungunya virus - Public health


Data de publicação: 2007