Autor(es): Tomasello Danilo, Schlagenhauf Patricia

Resumo: A large number of autochthonous cases of dengue fever (2237) - chikungunya fever (231) occurred in Europe (Italy, France, Croatia, Madeira) during the period covered by our analysis (2007-2012). In all dengue outbreaks, the circulating strain, identified by means of molecular analysis, was the DENV-1 strain. Dengue - chikungunya are infectious diseases that often result in hospitalizations - are associated with high public health costs. The dengue epidemic on the isl- of Madeira resulted in 122 hospitalizations. Only one death (from chikungunya) occurred but long-term sequelae were described after the chikungunya outbreak in Emilia-Romagna, Italy. Vector control is key to reducing the impact of these diseases. During the chikungunya outbreak in Italy - the dengue outbreak in Madeira, appropriate measures for the control of mosquitoes (Aedes aegypti - Aedes albopictus) were effectively implemented. The effectiveness of these measures (reducing the number of breeding sites, application of pesticides - insecticides, public health education) was shown in the context of these real-life outbreaks. All the pre-requisites for autochthonous transmission of both dengue virus - chikungunya virus (vectors, viremic returned travellers, climatic conditions) are present in Europe. Constant surveillance is imperative.

Palavras-Chave: Aedes; Autochthonous; Chikungunya; Dengue; Europe

Imprenta: Travel Medicine and Infectious Disease, v. 11, n. 5, p. 274-284, 2013

Identificador do objeto digital: 10.1016/j.tmaid.2013.07.006

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

Data de publicação: 2013

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