Diseases
Chikungunya Virus 

Chikungunya is an arboviral disease.  It is vectored by the Aedes aegypti and Aedes albopictus mosquito(images). External Link  Comparison of the vectors External Link

Chikungunya Clinical Symptoms:

  • Chikungunya infection is typically manifested as acute fever with severe polyarthralgia
  • High-grade fever (up to 104°F) can last up to ten days, although usually three to five
  • Polyarthralgia, or pain in multiple joints, usually begins two to five days after fever onset
  • Polyarthralgia is typically symmetrical and most commonly involves (in order) the hands, wrists, and ankles, although any combination can be seen
  • Pain may be intense and incapacitating, and may last for months after the initial infection
  • Maculopapular rash is common (images) External Link
  • Other signs and symptoms that have been observed are bullous skin lesions, headache, muscle pain, gastrointestinal symptoms, joint edema and effusions, conjunctivitis, and swollen lymph nodes
  • Chikungunya can rarely cause severe manifestations and death, especially in adults over 65 years of age.

Source: UpToDate. “Chikungunya fever.” Accessed 1 Feb 2016 External Link 

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General

For Healthcare Providers

Diagnostic Testing and Reporting

More information for Military Personnel and their Families  

Mosquito Bite Prevention



New and updated content 

APHC: Pesticides and Child Safety External Link 5 May 2016

APHC: Using Insect Repellents on Children External Link 5 May 2016

WHO: Chikungunya Fact Sheet External Link Updated May 2015

APHC: Chikungunya Virus Fact Sheet External Link Updated Nov 2015

AFSHB: Detecting and Reporting DoD Cases of Chikungunya Infection External Link

Geographic Distribution of CHIKV External Link

Geographic Distribution of the Vector(s) in the U.S. External Link

CDC: Chikungunya External Link

PAHO: Chikungunya External Link

WHO: Dengue Control -- Chikungunya External Link

 

General

CDC: Chikungunya Virus External Link

CDC: Chikungunya Virus in the U.S. External Link

PAHO/WHO: Chikungunya Autochthonous Transmission in the Americas External Link

HealthMap: Map External Link

PAHO: Vector Born Diseases in the Region of the Americas External Link

AFHSB: Chikungunya Virus in the Americas Surveillance Summary External Link Updated Dec 2015

 

For Healthcare Providers

CDC: Information for Health Care Providers External Link

CDC Yellow Book: Chikungunya External Link

 PAHO: A Global Overview of the Chikungunya Problem (presentation) External Link

 PAHO: Epidemiology External Link

 

Diagnostic Testing and Reporting

CDC: Diagnostic Testing External Link

 PAHO: Laboratory External Link

 PAHO: Laboratory Testing for Chikungunya Virus (presentation) External Link

 

More information for Military Personnel and their Families

Chikungunya is a viral disease that is widespread, found mainly in Africa, Asia and areas where the mosquitoes Aedes albopictus and Aedes aegypti are found.  There is no vaccine against the Chikungunya virus (CHKV).  Soldiers deployed or stationed in an area where there is ongoing transmission of the virus must protect themselves and their families by wearing permethrin-treated uniforms/clothing, using insect repellents containing DEET, picaridin and IR3535, and following the Personal Protection Measures outlined in Technical Guide 36 External LinkMosquitoes that spread Chikungunya virus bite both indoors and outdoors, and mostly during the daytime; therefore, it is important to ensure protection from mosquitoes throughout the entire day.

 

Mosquito Bite Prevention

Government

APHC: Pesticides and Child Safety External Link

APHC: Using Insect Repellents on Children External Link

APHC Webpage: Mosquito Borne Disease and Control External Link 

APHC Video: Control of Mosquitoes in and around the Home External Link 

APHC Fact Sheet: DoD Insect Repellent System External Link 

APHC Fact Sheet: DoD Insect Repellent System and Permethrin Treatment of Military Uniforms External Link

APHC Fact Sheet: Mosquito Control around the Home External Link 

APHC Fact Sheet: DoD Insect Repellent System External Link 

 Fight mosquitoes with these simple tips! video External Link    
2/26/16    
Fight mosquitoes with these simple tips! Video

APHC Fact Sheet: DoD Insect Repellent System and Permethrin Treatment of Military Uniforms External Link

APHC Fact Sheet: Mosquito Control around the Home External Link 

APHC Fact Sheet: Mosquito Trap-N-Kill Lethal Ovitrap External Link 

APHC Brochure: Use the DOD Insect Repellent System External Link

EPA: Find the Insect Repellent that is Right for You External Link

APHC Video: DEET Works External Link

APHC Video: How to apply DEET  External Link

APHC Video: Permethrin Effectiveness - Mosquitoes on ACU that has been treated with permethrin External Link

APHC Video: Deploying a pop-up bed net External Link

APHC Video: Deploying a bed net with poles External Link

APHC Video: Treating Civilian Clothing with Permethrin Repellent  External Link

AFPMB: Technical Guide 36 - Personal Protective Measures Against Insects and Other Arthropods of Military Significance External Link

AFPMB: Technical Guide 47 - Aedes Mosquito Vector Control March 2016 External Link