Chikungunya fever: a threat to global public health

Pathog Glob Health. 2018 Jun;112(4):182-194. doi: 10.1080/20477724.2018.1478777. Epub 2018 May 28.

Abstract

Chikungunya fever is an emerging arbovirus infection, representing a serious public health problem. Its etiological agent is the Chikungunya virus (CHIKV). Transmission of this virus is mainly vector by mosquitoes of the genus Aedes, although transmission by blood transfusions and vertical transmission has also been reported. The disease presents high morbidity caused mainly by the arthralgia and arthritis generated. Cardiovascular and neurological manifestations have also been reported. The severity of the infection seems to be directly associated with the action of the virus, but also with the decompensation of preexisting comorbidities. Currently, there are no therapeutic products neither vaccines licensed to the infection CHIKV control, although several vaccine candidates are being evaluated and human polyvalent immunoglobulins anti-CHIKV had been tested. Antibodies can protect against the infection, but in sub-neutralizing concentrations can augment virus infection and exacerbate disease severity. So, the prevention still depends on the use of personal protection measures and vector control, which are only minimally effective.

Keywords: Chikungunya virus; arboviruses; chikungunya fever; chikungunya virus infection; chikungunya virus pathogenesis.

Publication types

  • Review

MeSH terms

  • Aedes
  • Animals
  • Chikungunya Fever / epidemiology*
  • Chikungunya Fever / pathology
  • Chikungunya Fever / prevention & control
  • Chikungunya Fever / transmission
  • Communicable Disease Control / methods*
  • Communicable Diseases, Emerging / epidemiology
  • Communicable Diseases, Emerging / pathology
  • Communicable Diseases, Emerging / prevention & control
  • Communicable Diseases, Emerging / transmission
  • Disease Transmission, Infectious / prevention & control*
  • Global Health
  • Humans