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Tracking the re-emergence of epidemic chikungunya virus in Indonesia

  • Kanti Laras
  • , Nono C. Sukri
  • , Ria P. Larasati
  • , Michael J. Bangs
  • , Rizal Kosim
  • , A. Djauzi
  • , Tony Wandra
  • , John Master
  • , Herman Kosasih
  • , Sri Hartati
  • , Charmagne Beckett
  • , Endang R. Sedyaningsih
  • , H. James Beecham
  • , Andrew L. Corwin*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

223 Scopus citations

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.

Original languageEnglish
Pages (from-to)128-141
Number of pages14
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume99
Issue number2
DOIs
StatePublished - Feb 2005
Externally publishedYes

Keywords

  • Chikungunya virus
  • Epidemic
  • Indonesia

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