Increased risk of chikungunya infection in travellers to Thailand during ongoing outbreak in tourist areas: cases imported to Europe and the Middle East, early 2019

doi:10.2807/1560-7917.ES.2019.24.10.1900146

. 2019 Mar;24(10):1900146.

doi: 10.2807/1560-7917.ES.2019.24.10.1900146.

Increased risk of chikungunya infection in travellers to Thailand during ongoing outbreak in tourist areas: cases imported to Europe and the Middle East, early 2019

Emilie Javelle^{1

2

3}, Simin-Aysel Florescu⁴, Hilmir Asgeirsson^{5

6}, Shilan Jmor⁷, Gilles Eperon⁸, Eyal Leshem⁹, Johannes Blum¹⁰, Israel Molina¹¹, Vanessa Field^{12

7}, Nancy Pietroski¹³, Carole Eldin², Victoria Johnston⁷, Ioana Ani Cotar¹⁴, Corneliu Popescu⁴, Davidson H Hamer^{15

16}, Philippe Gautret^{1

2}

Affiliations

¹ Aix Marseille Université, IRD, AP-HM, SSA, VITROME, Marseille, France.
² IHU-Méditerranée Infection, Marseille, France.
³ Laveran Military Teaching Hospital, Marseille, France.
⁴ Carol Davila University of Medicine and Pharmacy, Clinical Hospital of Infectious and Tropical Diseases 'Dr. Victor Babes', Bucharest, Romania.
⁵ Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.
⁶ Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
⁷ Hospital for Tropical Diseases, London, United Kingdom.
⁸ Division of Tropical and Humanitarian Medicine, Department of Primary Care, Geneva University Hospitals (HUG), Geneva, Switzerland.
⁹ The Center for Travel and Tropical Medicine, Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel.
¹⁰ FMH Innere Medizin und Tropen- und Reisemedizin, Schweizerisches Tropen- und Public Health Institut, Basel, Switzerland.
¹¹ Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain.
¹² Chair of the Tracking and Communications Working Group, GeoSentinel, London, United Kingdom.
¹³ International Society of Travel Medicine, Dunwoody, United States.
¹⁴ 'Cantacuzino' National Medico-Military Institute for Research and Development, Bucharest, Romania.
¹⁵ Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, United States.
¹⁶ Department of Global Health, Boston University School of Public Health, Boston, United States.

PMID: 30862335
PMCID: PMC6415502
DOI: 10.2807/1560-7917.ES.2019.24.10.1900146

Free PMC article

Increased risk of chikungunya infection in travellers to Thailand during ongoing outbreak in tourist areas: cases imported to Europe and the Middle East, early 2019

Emilie Javelle et al. Euro Surveill. 2019 Mar.

Free PMC article

. 2019 Mar;24(10):1900146.

doi: 10.2807/1560-7917.ES.2019.24.10.1900146.

Authors

Affiliations

¹ Aix Marseille Université, IRD, AP-HM, SSA, VITROME, Marseille, France.
² IHU-Méditerranée Infection, Marseille, France.
³ Laveran Military Teaching Hospital, Marseille, France.
⁴ Carol Davila University of Medicine and Pharmacy, Clinical Hospital of Infectious and Tropical Diseases 'Dr. Victor Babes', Bucharest, Romania.
⁵ Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.
⁶ Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
⁷ Hospital for Tropical Diseases, London, United Kingdom.
⁸ Division of Tropical and Humanitarian Medicine, Department of Primary Care, Geneva University Hospitals (HUG), Geneva, Switzerland.
⁹ The Center for Travel and Tropical Medicine, Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel.
¹⁰ FMH Innere Medizin und Tropen- und Reisemedizin, Schweizerisches Tropen- und Public Health Institut, Basel, Switzerland.
¹¹ Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain.
¹² Chair of the Tracking and Communications Working Group, GeoSentinel, London, United Kingdom.
¹³ International Society of Travel Medicine, Dunwoody, United States.
¹⁴ 'Cantacuzino' National Medico-Military Institute for Research and Development, Bucharest, Romania.
¹⁵ Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, United States.
¹⁶ Department of Global Health, Boston University School of Public Health, Boston, United States.

PMID: 30862335
PMCID: PMC6415502
DOI: 10.2807/1560-7917.ES.2019.24.10.1900146

Abstract

We report nine travellers with confirmed chikungunya virus infection, returning from tourist areas of Thailand to Sweden, Switzerland, the United Kingdom, Romania, Israel and France, diagnosed in January and February 2019. These sentinel tourists support the intensification of chikungunya virus circulation in Thailand and highlight the potential for importation to areas at risk of local transmission.

Keywords: Thailand; chikungunya; importation; outbreak; travellers.

Conflict of interest statement

Conflict of interest: None declared.

Figures

**Figure**
Places of exposure visited by travellers before chikungunya virus infection, Thailand, January–February 2019 (n = 9)

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Comment in

Letter to the editor: Chikungunya infection in travellers to Thailand: additional United Kingdom cases identified by specialist laboratory.
MacGregor K, Buckland-Merrett G, Bailey D, Aarons E. MacGregor K, et al. Euro Surveill. 2019 Jun;24(24):19-00333. doi: 10.2807/1560-7917.ES.2019.24.24.19-00333. Euro Surveill. 2019. PMID: 31213218 Free PMC article. No abstract available.

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References

1. Pastorino B, Bessaud M, Grandadam M, Murri S, Tolou HJ, Peyrefitte CN. Development of a TaqMan RT-PCR assay without RNA extraction step for the detection and quantification of African Chikungunya viruses. J Virol Methods. 2005;124(1-2):65-71. 10.1016/j.jviromet.2004.11.002 - DOI - PubMed
1. Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 4861): Chikungunya. Mueang Nonthaburi District: MoPH; 2018. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y61/en/d84_4861_en.pdf
1. Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 5262): Chikungunya. Mueang Nonthaburi District: MoPH; 2019. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y62/en/d84_0562_en.pdf
1. Simon F, Javelle E, Cabie A, Bouquillard E, Troisgros O, Gentile G, et al. French guidelines for the management of chikungunya (acute and persistent presentations). November 2014. Med Mal Infect. 2015;45(7):243-63. 10.1016/j.medmal.2015.05.007 - DOI - PubMed
1. Malay Mail. Health DG: Selangor records highest number of Chikungunya cases. Petaling Jaya: Dato' Siew Ka Wai; 2019. Available from: https://www.malaymail.com/news/malaysia/2019/02/09/health-dg-selangor-re...

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[1] Pastorino B, Bessaud M, Grandadam M, Murri S, Tolou HJ, Peyrefitte CN. Development of a TaqMan RT-PCR assay without RNA extraction step for the detection and quantification of African Chikungunya viruses. J Virol Methods. 2005;124(1-2):65-71. 10.1016/j.jviromet.2004.11.002 - DOI - PubMed

[2] Pastorino B, Bessaud M, Grandadam M, Murri S, Tolou HJ, Peyrefitte CN. Development of a TaqMan RT-PCR assay without RNA extraction step for the detection and quantification of African Chikungunya viruses. J Virol Methods. 2005;124(1-2):65-71. 10.1016/j.jviromet.2004.11.002 - DOI - PubMed

[3] Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 4861): Chikungunya. Mueang Nonthaburi District: MoPH; 2018. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y61/en/d84_4861_en.pdf

[4] Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 4861): Chikungunya. Mueang Nonthaburi District: MoPH; 2018. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y61/en/d84_4861_en.pdf

[5] Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 5262): Chikungunya. Mueang Nonthaburi District: MoPH; 2019. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y62/en/d84_0562_en.pdf

[6] Bureau of Epidemiology, Ministry of Public Health, Thailand (MoPH). National disease surveillance (Report 506, 5262): Chikungunya. Mueang Nonthaburi District: MoPH; 2019. Available from: http://www.boe.moph.go.th/boedb/surdata/506wk/y62/en/d84_0562_en.pdf

[7] Simon F, Javelle E, Cabie A, Bouquillard E, Troisgros O, Gentile G, et al. French guidelines for the management of chikungunya (acute and persistent presentations). November 2014. Med Mal Infect. 2015;45(7):243-63. 10.1016/j.medmal.2015.05.007 - DOI - PubMed

[8] Simon F, Javelle E, Cabie A, Bouquillard E, Troisgros O, Gentile G, et al. French guidelines for the management of chikungunya (acute and persistent presentations). November 2014. Med Mal Infect. 2015;45(7):243-63. 10.1016/j.medmal.2015.05.007 - DOI - PubMed

[9] Malay Mail. Health DG: Selangor records highest number of Chikungunya cases. Petaling Jaya: Dato' Siew Ka Wai; 2019. Available from: https://www.malaymail.com/news/malaysia/2019/02/09/health-dg-selangor-re...

[10] Malay Mail. Health DG: Selangor records highest number of Chikungunya cases. Petaling Jaya: Dato' Siew Ka Wai; 2019. Available from: https://www.malaymail.com/news/malaysia/2019/02/09/health-dg-selangor-re...

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Increased risk of chikungunya infection in travellers to Thailand during ongoing outbreak in tourist areas: cases imported to Europe and the Middle East, early 2019

Affiliations

Increased risk of chikungunya infection in travellers to Thailand during ongoing outbreak in tourist areas: cases imported to Europe and the Middle East, early 2019

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Abstract

Conflict of interest statement

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