Contribution of Research in the West Indies and Northeast Amazonia to Knowledge of the 2014-2015 Chikungunya Epidemic in the Americas.

IF 3.6 Q2 INFECTIOUS DISEASES Current Tropical Medicine Reports Pub Date : 2021-01-01 Epub Date: 2021-06-19 DOI:10.1007/s40475-021-00242-5
Timothee Bonifay, Lidvine Godaert, Yanouk Epelboin, Dominique Rousset, Maylis Douine, Hélène Hilderal, Cyril Clavel, Sylvie Abel, Fatiha Najioullah, Laurence Fagour, Margarete do Socorro Mendonça Gomes, Marcus Lacerda, Raymond Cézaire, Narcisse Elenga, Moustapha Dramé, Bruno Hoen, André Cabié, Félix Djossou, Loïc Epelboin
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引用次数: 2

Abstract

Purpose of review: Although the chikungunya virus was discovered more than 60 years ago, it has only really been studied since the outbreak in La Reunion in 2005-2006. Ten years later, between 2014 and 2015, the chikungunya virus spread throughout the Americas, affecting millions of people. The objective of this review is to describe the contributions of research on chikungunya virus infection gained from epidemic in the West Indies and the Guiana Shield.

Recent findings: Prevalence data were similar to those found in the Indian Ocean or Asia during epidemics. Clinically, there is now a better understanding of the typical, atypical, and severe forms. Several studies have insisted on the presence of neurological forms of chikungunya infection, such as encephalitis or Guillain-Barré syndrome. Cases of septic shock due to chikungunya virus as well as thrombotic thrombocytopenic purpura were described for the first time. Given the magnitude of the epidemic and the large number of people affected, this has led to a better description and new classifications of chikungunya virus infections in specific populations such as pregnant women, the elderly, and children. Several studies also described the behavior of populations faced with an emerging disease.

Summary: Current epidemiological data from tropical regions highlights the risk of spreading emerging diseases at higher latitudes, especially concerning arboviruses, since the vector Aedes albopictus is already established in many parts of northern countries. A better understanding of the disease and its epidemic dynamics will foster better management, the crucial importance of which was demonstrated during the COVID-19 epidemic.

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西印度群岛和东北亚马逊地区研究对了解2014-2015年美洲基孔肯雅热流行的贡献。
审查目的:虽然基孔肯雅病毒是在60多年前发现的,但直到2005-2006年留尼汪岛爆发疫情后才真正对其进行了研究。十年后,即2014年至2015年期间,基孔肯雅病毒在整个美洲传播,影响了数百万人。本文综述了基孔肯雅病毒感染在西印度群岛和圭亚那地盾流行的研究成果。最近的发现:流行率数据与流行病期间在印度洋或亚洲发现的数据相似。临床上,现在对典型、非典型和严重形式有了更好的理解。一些研究坚持认为存在神经系统形式的基孔肯雅感染,如脑炎或格林-巴罗综合征。基孔肯雅病毒引起的脓毒性休克和血栓性血小板减少性紫癜均为首次报道。鉴于这一流行病的规模和受影响的人数众多,这导致对孕妇、老人和儿童等特定人群的基孔肯雅病毒感染有了更好的描述和新的分类。几项研究还描述了面临新出现疾病的人群的行为。摘要:目前来自热带地区的流行病学数据强调了在高纬度地区传播新发疾病的风险,特别是关于虫媒病毒,因为媒介白纹伊蚊已经在北方国家的许多地区确立。更好地了解该疾病及其流行动态将促进更好的管理,这在COVID-19流行期间得到了证明。
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来源期刊
Current Tropical Medicine Reports
Current Tropical Medicine Reports Medicine-Infectious Diseases
CiteScore
9.30
自引率
1.90%
发文量
23
期刊介绍: Current Tropical Medicine Reports provides expert views on recent advances in the field of tropical medicine in a clear and readable form. This journal offers reviews by domestic and international contributors that highlight the most important, recent papers and findings related to this specific field. We accomplish this by appointing renowned leaders in major tropical medicine subject areas to select topics addressing virology, bacteriology, parasitology, entomology, immunology, cell and molecular biology, epidemiology, ecology, behavioral science and clinical medicine for review by experts who assess the latest developments and highlight significant papers published over the last few years on their topics. These review articles also stress recently published papers of importance in the references, which are accompanied by annotations explaining their importance. In addition to these Section Editors, our international Editorial Board ensures our journal upholds its standards.
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