印度西部农村的低强度基孔肯雅疫情表明其他地区也可能爆发类似疫情

A. Deoshatwar, D. Parashar, M. Gokhale, A. More
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摘要

基孔肯雅病(CHIK)是一种在印度日益引起公众健康关注的疾病。它是由Togaviridae科阿尔法病毒属的基孔肯雅病毒(CHIKV)引起的。自1952年坦桑尼亚疫情爆发以来,CHIKV已在非洲各地引发疫情。1963年至1964年,印度报告了大规模的CHIK疫情。自1963年在加尔各答首次隔离以来,印度不同地区也有报道,即Vellore、Chennai和那格浦尔[1]。在该国西部,1973年马哈拉施特拉邦索拉普尔区Barsi报告了高发病率的重大疫情[2]。随后,在没有主动或被动监测的情况下,该病毒似乎已经从该国消失,直到2005年底。然而,包括2005-2006年马哈拉施特拉邦在内的印度几个邦爆发的这种病毒引起的大规模发烧已经证实了它的再次出现。在该国西部,2005-2006年报告了高发病率的重大疫情[1,35]。此后,马哈拉施特拉邦仍有零星病例记录[6]。本研究旨在调查2012年10月至11月在马哈拉施特拉邦西部浦那市Talegaon Dhamdhere镇农村爆发的CHIK疫情。
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Low intensity Chikungunya outbreak in rural Western India indicates potential for similar outbreaks in other regions
Chikungunya (CHIK) is a disease of growing public health concern in India. It is caused by the Chikungunya virus (CHIKV) of the genus Alphavirus from the Togaviridae family. Since the 1952 Tanzania outbreak, CHIKV has caused outbreaks in various parts of Africa. Major CHIK outbreaks were reported from India in 1963–1964. Since its first isolation in Kolkata in 1963, there had been reports from different parts of India viz. Vellore, Chennai, Nagpur[1]. In the western part of the country, major outbreaks with high morbidity were reported from Barsi, Solapur District, Maharashtra in 1973[2]. Subsequently, in the absence of either active or passive surveillance, it seemed that the virus had disappeared from the country until the end of 2005. However, large scale outbreaks of fever caused by this virus in several states of India including Maharashtra in 2005–2006 have confirmed its reemergence. In the western part of the country, major outbreak with high morbidity was reported in 2005–2006[1,3-5]. Thereafter, sporadic cases continue to be recorded in Maharashtra State[6]. The present study was conducted to investigate the CHIK outbreak in rural Talegaon Dhamdhere Town of Pune City in Western Maharashtra in October–November 2012.
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