Tracking the re-emergence of epidemic chikungunya virus in Indonesia

Trans R Soc Trop Med Hyg. 2005 Feb;99(2):128-41. doi: 10.1016/j.trstmh.2004.03.013.

Abstract

Twenty-four distinct outbreaks of probable chikungunya (CHIK) etiology were identified throughout Indonesia from September 2001 to March 2003, after a near 20-year hiatus of epidemic CHIK activity in the country. Thirteen outbreak reports were based on clinical observations alone, and 11 confirmed by serological/virological methods. Detailed epidemiological profiles of two investigated outbreaks in Bogor and Bekasi are presented. Human sera were screened using an ELISA for IgM and IgG anti-CHIK antibodies. Additionally, reverse transcriptase PCR and virus isolation were attempted for virus identification. The mean age of cases was 37 +/- 18 years in Bogor and 33 +/- 20 years in Bekasi. There was no outstanding case-clustering, although outbreak-affected households were observed to be geographically grouped within villages. The attack rates in Bogor and Bekasi were 2.8/1000 and 6.7/1000 inhabitants respectively. Both outbreaks started in the rainy season following increased Aedes aegypti and A. albopictus densities.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Alphavirus Infections / epidemiology*
  • Alphavirus Infections / immunology
  • Antibodies, Viral / blood
  • Chikungunya virus / immunology
  • Chikungunya virus / isolation & purification*
  • Child
  • Child, Preschool
  • Disease Outbreaks*
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Indonesia / epidemiology
  • Middle Aged
  • RNA, Viral / analysis
  • Reverse Transcriptase Polymerase Chain Reaction / methods
  • Risk Factors
  • Seasons

Substances

  • Antibodies, Viral
  • Immunoglobulin G
  • Immunoglobulin M
  • RNA, Viral