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Dorléans F, Hoen B, Najioullah F, Herrmann-Storck C, Schepers KM, Abel S, Lamaury I, Fagour L, Césaire R, Guyomard S, Troudard R, Adélaïde Y, Romagne MJ, Davidas M, Rochais S, Boa S, de Saint-Alary F, Preira A, Saint-Martin P, Vaidie A, Melin M, Daudens-Vaysse E, Rosine J, Blateau A, Carvalho L, Septfons A, Paty MC, Leduc G, Cassadou S, Ledrans M, Cabié A. Outbreak of Chikungunya in the French Caribbean Islands of Martinique and Guadeloupe: Findings from a Hospital-Based Surveillance System (2013-2015). Am J Trop Med Hyg 2018; 98:1819-1825. [PMID: 29692295 PMCID: PMC6086161 DOI: 10.4269/ajtmh.16-0719] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Accepted: 07/21/2017] [Indexed: 11/26/2022] Open
Abstract
Chikungunya virus (CHIKV) emerged in the Caribbean island of Saint-Martin in December 2013. We implemented a hospital-based surveillance system to detect and describe CHIKV cases including severe forms of the infection and deaths in the islands of Martinique and Guadeloupe. A case was defined as a patient with a CHIKV laboratory confirmation cared for in a public hospital for chikungunya for at least 24 hours, and a severe CHIKV case was defined as a CHIKV case presenting one or more organ failures. Sociodemographic, clinical, and laboratory data were collected and cases classified into severe or nonsevere based on medical records. From December 2013 to January 2015, a total of 1,836 hospitalized cases were identified. Rate of hospital admissions for CHIKV infection was 60 per 10,000 suspected clinical CHIKV cases and severity accounted for 12 per 10,000. A total of 74 deaths related to CHIKV infection occurred. Infants and elderly people were more frequently hospitalized compared with others and severity was more frequently reported in elderly subjects and subjects with underlying health condition. Fifteen neonatal infections consecutive to mother-to-child transmission were diagnosed, seven of which were severe. The most vulnerable groups of the population, such as the elderly, infants, individuals with comorbidities, and pregnant women, should remain the main targets of public health priorities.
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Affiliation(s)
- Frédérique Dorléans
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Bruno Hoen
- Université des Antilles, Faculté de Médecine Hyacinthe Bastaraud, Pointe-à-Pitre, France
- Infectious Diseases Department, University Hospital, Pointe-à-Pitre, Guadeloupe
- Centre Hospitalier Universitaire de Pointe-à-Pitre, Inserm CIC1424, Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Pointe-à-Pitre, France
| | - Fatiha Najioullah
- Virology Laboratory, University Hospital, Fort-de-France, Martinique
| | | | | | - Sylvie Abel
- Infectious Diseases Department, University Hospital, Fort-de-France, Martinique
| | - Isabelle Lamaury
- Infectious Diseases Department, University Hospital, Pointe-à-Pitre, Guadeloupe
| | - Laurence Fagour
- Virology Laboratory, University Hospital, Fort-de-France, Martinique
| | - Raymond Césaire
- Virology Laboratory, University Hospital, Fort-de-France, Martinique
| | | | - Ruth Troudard
- Infectious Diseases Department, University Hospital, Fort-de-France, Martinique
| | - Yvette Adélaïde
- Regional Health Authority of Martinique, Fort-de-France, Martinique
| | | | - Magguy Davidas
- Regional Health Authority of Martinique, Fort-de-France, Martinique
| | - Séverine Rochais
- Regional Health Authority of Martinique, Fort-de-France, Martinique
| | - Sylvie Boa
- Regional Health Authority of Guadeloupe, Gourbeyre, Guadeloupe
| | | | - Annabel Preira
- Regional Health Authority of Guadeloupe, Gourbeyre, Guadeloupe
| | - Patrick Saint-Martin
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
- Infectious Diseases Department, University Hospital, Fort-de-France, Martinique
- Université des Antilles, Faculté de Médecine Hyacinthe Bastaraud, Pointe-à-Pitre, France
- Virology Laboratory, University Hospital, Fort-de-France, Martinique
- Virology Laboratory, University Hospital, Pointe-à-Pitre, Guadeloupe
- Institut Pasteur de Guadeloupe, Les Abymes, Guadeloupe
- Regional Health Authority of Martinique, Fort-de-France, Martinique
- Regional Health Authority of Guadeloupe, Gourbeyre, Guadeloupe
- Santé Publique France, French National Public Health Agency, Saint-Maurice, France
- Infectious Diseases Department, University Hospital, Pointe-à-Pitre, Guadeloupe
- Université des Antilles, Faculté de Médecine Hyacinthe Bastaraud, Fort-de-France, France
- Centre Hospitalier Universitaire de Martinique, INSERM CIC1424, Service de Maladies Infectieuses et Tropicales, Médecine Polyvalente, Fort-de-France, France
- Centre Hospitalier Universitaire de Pointe-à-Pitre, Inserm CIC1424, Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Pointe-à-Pitre, France
| | - Amandine Vaidie
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Mathilde Melin
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Elise Daudens-Vaysse
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Jacques Rosine
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Alain Blateau
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Luisiane Carvalho
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Alexandra Septfons
- Santé Publique France, French National Public Health Agency, Saint-Maurice, France
| | - Marie-Claire Paty
- Santé Publique France, French National Public Health Agency, Saint-Maurice, France
| | - Ghislain Leduc
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Sylvie Cassadou
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - Martine Ledrans
- Santé Publique France, French National Public Health Agency, Regional Unit (Cire), Antilles-Guyane, Saint-Maurice, France
| | - André Cabié
- Université des Antilles, Faculté de Médecine Hyacinthe Bastaraud, Fort-de-France, France
- Centre Hospitalier Universitaire de Martinique, INSERM CIC1424, Service de Maladies Infectieuses et Tropicales, Médecine Polyvalente, Fort-de-France, France
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