Investigating transmission in a two-wave epidemic of Chikungunya fever, Réunion Island. 2008

P-Y Boëlle, and G Thomas, and E Vergu, and P Renault, and A-J Valleron, and A Flahault
Université Pierre et Marie Curie - Parisó, UMR S 707, Paris, France. boelle@U707.jussieu.fr

An epidemic of Chikungunya fever, a mosquito-borne viral disease, spectacularly swept through Réunion Island (population 780,000) in 2005-2006. There were 3,000 cases in a first wave (March-June 2005) and more than 250,000 cases in a second (December 2005-April 2006). Adapting newly developed epidemiological tools to vector-borne diseases, we show that despite this massive difference in magnitude, the transmission potential as measured by the number of secondary cases per index case (or reproduction number), remained similar during the two consecutive waves. The best estimate for the initial reproduction number R(0) was 3.7, with a possible range from 2 to 11 depending on incubation duration and lifespan of the mosquito. We conclude that an increase in virulence between the two seasons was not necessary to explain the change in magnitude of the epidemics, and that the attack rate may be well over 50% in Chikungunya fever epidemics in the absence of intervention.

UI MeSH Term Description Entries
D007303 Insect Vectors Insects that transmit infective organisms from one host to another or from an inanimate reservoir to an animate host. Insect Vector,Vector, Insect,Vectors, Insect
D009033 Culicidae A family of the order DIPTERA that comprises the mosquitoes. The larval stages are aquatic, and the adults can be recognized by the characteristic WINGS, ANIMAL venation, the scales along the wing veins, and the long proboscis. Many species are of particular medical importance. Mosquitoes,Mosquitos,Mosquito
D002646 Chikungunya virus A species of ALPHAVIRUS causing an acute dengue-like fever.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D017508 Reunion One of the Indian Ocean Islands, east of Madagascar. Its capital is Saint-Denis. It was discovered in 1507 by the Portuguese and claimed by France in 1638. It was first colonized in 1662 as Isle de Bourbon but renamed Reunion in 1793. In 1946 it was made an overseas department of France. The name commemorates the reunion of the revolutionaries from Marseilles with the National Guard in Paris in 1792. (From Webster's New Geographical Dictionary, 1988, p1011; Room, Brewer's Dictionary of Names, 1992, p454; French Embassy)
D018354 Alphavirus Infections Virus diseases caused by members of the ALPHAVIRUS genus of the family TOGAVIRIDAE. Getah Virus Infection,Sagiyama Virus Infection,Semliki Forest Virus Infection,Sindbis Fever,Sindbis Virus Infection,Alpha Virus Infections,Barmah Forest Virus Infection,Infections, Alphavirus,Mayaro Virus Infection,O'nyong-nyong Virus Infection,Alpha Virus Infection,Alphavirus Infection,Fever, Sindbis,Infection, Alphavirus,Infection, Getah Virus,Infection, Mayaro Virus,Infection, O'nyong-nyong Virus,Infection, Sagiyama Virus,Infection, Sindbis Virus,O'nyong nyong Virus Infection,O'nyong-nyong Virus Infections,Sindbis Fevers,Sindbis Virus Infections,Virus Infection, Alpha,Virus Infection, Getah,Virus Infection, Mayaro,Virus Infection, O'nyong-nyong,Virus Infection, Sagiyama,Virus Infection, Sindbis

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