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DR.S.M.JOSHI
            MEDICAL OFFICER &
FACULTY MEMBER H.F.W.T.C.THANE
 Chikungunya name derived from Swahili word “that


  which bends up. in reference to the stooped posture


  developed as a result of Arthralgia(severe joint pains)
  Clinical Features:-
Fever                   Rash

Headache                 Arthralgia

Nausea                   Hemorrhagic manifestation-bleeding gums,

Vomiting                 Epistaxis, heametemesis,


myalgia                  Blood in stool-maleana
 Period of illness:-illness is often acute and lasts for 3-
    5days.may be up to 10days or more. Recovery is usually
    prolonged and marked by weakness and pain in joints.
   Incubation period:-2-12days commonly 3-5 days.
   Age group:-the disease affects all age groups.
   Morbidity:-30-70%of population in affected
    field/area.
   Mortality:-Negligible.
   Virus responsible:- belongs to family togaviradae
   Genus:- Alpha virus
   Subgroup:-semilliki forest Venezuelan(SFV)equine
    encephalitis.
                     -;Epidemiology:-
   Basically recognized as URBAN disease .
   Clinically very similar to dengue.misdignosis is not
    unusual.
   Virus was first isolated in febrile human in Tanzania in
    1953.
   In India outbreak reported in 1963in kolkatta,east costal
    area i.e.chhenai,pondichery,vellore,vishakhapattanam in
    1964.
   In Maharashtra sporadic cases reported in the year 1973,
      and year 1983, year 2000
   The virus is maintained in nature in man-mosquito-man
    cycle.
   Vector-aedes aegypti mosquito through transovarian
    transmission.
                  -:DIAGNOSIS:-;-
 Isolation of Virus
 Demonstrating of four fold or greater rise in antibody
  titre.
 ELISA testing foe IgM antibody.
 Diagnosis by RT-PCR Test
 The antibody titre will be positive after 5th day of
  illness only.
 PREVENTION and TREATMENT and CONTROL:_-
 No Vaccine available for prevention for CHK.
 Control is possible by avoidance of mosquito bites
  reduction in density of vector.
 Treatment is mainly symptomatic by anti
  inflammatory drugs. Steroids are not to be used.
         Case Definition of CHK fever
 Suspect case:- acute onset, high fever,7days duration,
  severe headache, myalgia, severe arthralgia,with or
  without rash

 Probable Case:-suspect case of CHK,high vector
    dencity,presence of confirm case in the area .

 Confirmed Case:-
 Isolation of virus in early phase.
 Serological test for IgM antibody after 5th day of illness.
 Demonstration of 4 fold or greater rise in IgG
    antibodies in paired sera.
Thank You
 Very Much
 For Listening

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Chikungunya fever

  • 1. DR.S.M.JOSHI MEDICAL OFFICER & FACULTY MEMBER H.F.W.T.C.THANE
  • 2.  Chikungunya name derived from Swahili word “that  which bends up. in reference to the stooped posture  developed as a result of Arthralgia(severe joint pains)  Clinical Features:- Fever Rash Headache Arthralgia Nausea Hemorrhagic manifestation-bleeding gums, Vomiting Epistaxis, heametemesis, myalgia Blood in stool-maleana
  • 3.  Period of illness:-illness is often acute and lasts for 3- 5days.may be up to 10days or more. Recovery is usually prolonged and marked by weakness and pain in joints.  Incubation period:-2-12days commonly 3-5 days.  Age group:-the disease affects all age groups.  Morbidity:-30-70%of population in affected field/area.  Mortality:-Negligible.  Virus responsible:- belongs to family togaviradae  Genus:- Alpha virus  Subgroup:-semilliki forest Venezuelan(SFV)equine encephalitis.
  • 4. -;Epidemiology:-  Basically recognized as URBAN disease .  Clinically very similar to dengue.misdignosis is not unusual.  Virus was first isolated in febrile human in Tanzania in 1953.  In India outbreak reported in 1963in kolkatta,east costal area i.e.chhenai,pondichery,vellore,vishakhapattanam in 1964.  In Maharashtra sporadic cases reported in the year 1973,  and year 1983, year 2000  The virus is maintained in nature in man-mosquito-man cycle.  Vector-aedes aegypti mosquito through transovarian transmission.
  • 5. -:DIAGNOSIS:-;-  Isolation of Virus  Demonstrating of four fold or greater rise in antibody titre.  ELISA testing foe IgM antibody.  Diagnosis by RT-PCR Test  The antibody titre will be positive after 5th day of illness only.  PREVENTION and TREATMENT and CONTROL:_-  No Vaccine available for prevention for CHK.  Control is possible by avoidance of mosquito bites reduction in density of vector.  Treatment is mainly symptomatic by anti inflammatory drugs. Steroids are not to be used.
  • 6. Case Definition of CHK fever  Suspect case:- acute onset, high fever,7days duration, severe headache, myalgia, severe arthralgia,with or without rash  Probable Case:-suspect case of CHK,high vector dencity,presence of confirm case in the area .  Confirmed Case:-  Isolation of virus in early phase.  Serological test for IgM antibody after 5th day of illness.  Demonstration of 4 fold or greater rise in IgG antibodies in paired sera.
  • 7. Thank You  Very Much  For Listening