Tracking the re-emergence of epidemic chikungunya virus in Indonesia
Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed b...
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| Published in: | Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 99; no. 2; p. 128 |
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| Language: | English |
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| ISSN: | 0035-9203 |
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| Abstract | Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies. Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi. There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages. The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities. |
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| AbstractList | Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies. Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi. There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages. The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities. Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies. Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi. There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages. The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities.Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies. Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi. There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages. The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities. |
| Author | Laras, Kanti Kosim, Rizal Djauzi Sedyaningsih, Endang R Bangs, Michael J Master, John Sukri, Nono C Beecham, 3rd, H James Beckett, Charmagne Hartati, Sri Larasati, Ria P Wandra, Tony Kosasih, Herman Corwin, Andrew L |
| Author_xml | – sequence: 1 givenname: Kanti surname: Laras fullname: Laras, Kanti organization: US Naval Medical Research Unit No. 2 (US NAMRU-2), Box 3, Unit 8132, Jakarta, Indonesia – sequence: 2 givenname: Nono C surname: Sukri fullname: Sukri, Nono C – sequence: 3 givenname: Ria P surname: Larasati fullname: Larasati, Ria P – sequence: 4 givenname: Michael J surname: Bangs fullname: Bangs, Michael J – sequence: 5 givenname: Rizal surname: Kosim fullname: Kosim, Rizal – sequence: 6 surname: Djauzi fullname: Djauzi – sequence: 7 givenname: Tony surname: Wandra fullname: Wandra, Tony – sequence: 8 givenname: John surname: Master fullname: Master, John – sequence: 9 givenname: Herman surname: Kosasih fullname: Kosasih, Herman – sequence: 10 givenname: Sri surname: Hartati fullname: Hartati, Sri – sequence: 11 givenname: Charmagne surname: Beckett fullname: Beckett, Charmagne – sequence: 12 givenname: Endang R surname: Sedyaningsih fullname: Sedyaningsih, Endang R – sequence: 13 givenname: H James surname: Beecham, 3rd fullname: Beecham, 3rd, H James – sequence: 14 givenname: Andrew L surname: Corwin fullname: Corwin, Andrew L |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15693148$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Adolescent Adult Age Distribution Aged Aged, 80 and over Alphavirus Infections - epidemiology Alphavirus Infections - immunology Antibodies, Viral - blood Chikungunya virus - immunology Chikungunya virus - isolation & purification Child Child, Preschool Disease Outbreaks Humans Immunoglobulin G - blood Immunoglobulin M - blood Indonesia - epidemiology Middle Aged Reverse Transcriptase Polymerase Chain Reaction - methods Risk Factors RNA, Viral - analysis Seasons |
| Title | Tracking the re-emergence of epidemic chikungunya virus in Indonesia |
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