Chikungunya in the Caribbean/Americas Region (Update)

The outbreak of chikungunya virus infection in various Caribbean islands and the Americas is ongoing; WHO/PAHO has published further epidemiological data on countries reporting autochthonous transmission.

Countries reporting imported cases but no ongoing transmission include: Bahamas, Bermuda, Bolivia, Colombia, Cuba, France, Jamaica, Peru and Spain.

Thirty five of the United States of America have reported imported cases. Florida has reported the most (105) and has also reported two locally acquired cases.

(Via Pan American Health Organisation - accessed 31/07/14)

Most of the areas previously affected by the outbreak that has been on-going since December 2013, continue to report cases. TRAVAX will continue to monitor the situation and only update the country records when there is something significant to report.

Non-Latin Caribbean

• Sint Maarten, 123 confirmed cases.
• Guyana, 16 confirmed cases.
• British Virgin Islands, 20 confirmed cases.
• US Virgin Islands, 2 confirmed cases.
• Barbados, one confirmed case.
• Dominica, 3559 suspected cases, 141 confirmed cases.
• Anguilla, 33 confirmed cases.
• Antigua and Barbuda, 4 confirmed cases.
• Aruba, 2 confirmed cases.
• St Kitts and Nevis, 31 suspected cases, 28 confirmed cases.
• St Lucia, 214 suspected cases, 30 confirmed cases.
• St Vincent and the Grenadines, 329 suspected cases, 67 confirmed cases.
• Suriname, 13 confirmed cases.
• Turks and Caicos, 10 confirmed cases.
• Cayman Islands, one confirmed case.
• Grenada, 5 confirmed cases.

Central America

• Costa Rica, one confirmed case.
• El Salvador, 1969 suspected cases, 8 confirmed cases.
• Panama, one confirmed case.

Latin Caribbean

• Dominican Republic, 281 850 suspected, 71 confirmed.
• French Guiana, 881 confirmed/probable cases.
• Guadeloupe, 63 100 suspected, 1328 confirmed/probable cases.
• Haiti, 64 695 suspected, 14 confirmed cases.
• Martinique, 48 940 suspected, 1515 confirmed/probable cases.
• Puerto Rico, 643 suspected cases, 215 confirmed cases.
• Saint Barthelemy (St Barts), 730 suspected, 142 confirmed/probable cases.
• Saint Martin, 3660 suspected, 793 confirmed/probable cases.

Andean Area

• Venezuela, 9 confirmed cases.

The outbreak appears to be coming to an end in the British Virgin Islands, St Martin, Sint Maarten, St Barthelemy and St Kitts and Nevis.

Advice for Travellers

Avoidance of mosquito bites, particularly during daylight hours, by covering up with clothing, the use of bite avoidance measures such as repellent and bed nets is advised. Elimination of breeding sites around hotel rooms/houses is advised for longer term stays.