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Chikungunya virus infections among travellers returning to Spain, 2008 to 2014
- Maria Dolores Fernandez-Garcia1,2,3 , Mathieu Bangert1,3,4,5 , Fernando de Ory1 , Arantxa Potente1 , Lourdes Hernandez1 , Fatima Lasala1 , Laura Herrero1 , Francisca Molero1 , Anabel Negredo1 , Ana Vázquez1 , Teodora Minguito1 , Pilar Balfagón1 , Jesus de la Fuente1 , Sabino Puente6 , Eva Ramírez de Arellano1 , Mar Lago6 , Miguel Martinez7,8 , Joaquim Gascón7 , Francesca Norman9 , Rogelio Lopez-Velez9 , Elena Sulleiro10,11 , Diana Pou11 , Nuria Serre11 , Ricardo Fernández Roblas12 , Antonio Tenorio1 , Leticia Franco1,3,13 , Maria Paz Sanchez-Seco1,3
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View Affiliations Hide AffiliationsAffiliations: 1 Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, Spain 2 Current affiliation: Institut Pasteur de Dakar, Dakar, Senegal 3 These authors contributed equally to this manuscript 4 Current affiliation: World Health Organization, Geneva, Switzerland 5 European Union Public Health Microbiology training programme (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden 6 Hospital Carlos III-La Paz, Madrid, Spain 7 ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain 8 Department of Clinical Microbiology, Hospital Clínic, Barcelona, Spain 9 Hospital Ramon y Cajal, Madrid, Spain 10 Department of Microbiology, Hospital Universitari Vall d’Hebron, Barcelona, Spain 11 Tropical Medicine and International Health Unit Drassanes-Vall d’Hebron, PROSICS Barcelona, Barcelona, Spain 12 Fundación Jimenez Diaz, Madrid, Spain 13 Current affiliation: Gorgas Memorial Institute, Panama City, PanamaLeticia Francofrancolet gmail.com
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Citation style for this article: Fernandez-Garcia Maria Dolores, Bangert Mathieu, de Ory Fernando, Potente Arantxa, Hernandez Lourdes, Lasala Fatima, Herrero Laura, Molero Francisca, Negredo Anabel, Vázquez Ana, Minguito Teodora, Balfagón Pilar, de la Fuente Jesus, Puente Sabino, Ramírez de Arellano Eva, Lago Mar, Martinez Miguel, Gascón Joaquim, Norman Francesca, Lopez-Velez Rogelio, Sulleiro Elena, Pou Diana, Serre Nuria, Roblas Ricardo Fernández, Tenorio Antonio, Franco Leticia, Sanchez-Seco Maria Paz. Chikungunya virus infections among travellers returning to Spain, 2008 to 2014. Euro Surveill. 2016;21(36):pii=30336. https://doi.org/10.2807/1560-7917.ES.2016.21.36.30336 Received: 26 Aug 2015; Accepted: 10 Mar 2016
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Abstract
Since the first documented autochthonous transmission of chikungunya virus in the Caribbean island of Saint Martin in 2013, the infection has been reported within the Caribbean region as well as North, Central and South America. The risk of autochthonous transmission of chikungunya virus becoming established in Spain may be elevated due to the large numbers of travellers returning to Spain from countries affected by the 2013 epidemic in the Caribbean and South America, as well as the existence of the Aedes albopictus vector in certain parts of Spain. We retrospectively analysed the laboratory diagnostic database of the National Centre for Microbiology, Institute of Health Carlos III (CNM-ISCIII) from 2008 to 2014. During the study period, 264 confirmed cases, of 1,371 suspected cases, were diagnosed at the CNM-ISCIII. In 2014 alone, there were 234 confirmed cases. The highest number of confirmed cases were reported from the Dominican Republic (n = 136), Venezuela (n = 30) and Haiti (n = 11). Six cases were viraemic in areas of Spain where the vector is present. This report highlights the need for integrated active case and vector surveillance in Spain and other parts of Europe where chikungunya virus may be introduced by returning travellers.
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