Investigation of an outbreak of chikungunya in Malegaon Municipal areas of Nasik district, Maharashtra (India) and its control.

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dc.contributor.authorKumar, Kaushalen_US
dc.contributor.authorChhabra, Malaen_US
dc.contributor.authorKatyal, Ren_US
dc.contributor.authorPatnaik, P Ken_US
dc.contributor.authorKukreti, Himanien_US
dc.contributor.authorRai, Arvinden_US
dc.contributor.authorSaxena, V Ken_US
dc.contributor.authorMittal, Ven_US
dc.contributor.authorLal, Shiven_US
dc.date.accessioned2008-06-03en_US
dc.date.accessioned2009-06-02T15:48:40Z
dc.date.available2008-06-03en_US
dc.date.available2009-06-02T15:48:40Z
dc.date.issued2008-06-03en_US
dc.description.abstractBACKGROUND & OBJECTIVES: An outbreak of chikungunya fever occurred in Malegaon town of Nasik district of Maharashtra state, India during February and March 2006. A total of 4530 fever cases were reported during this period including 1781 cases which were admitted in different hospitals of the town. An entomological and epidemiological investigation was carried out in the affected villages during the outbreak to study the possible causes of the outbreak and to isolate the virus responsible. METHODS: Entomological evaluation was done as per WHO guidelines. Sera samples were collected by venipuncture from clinically suspected chikungunya patients in hospitals and also during house-to-house survey in affected villages. IgM antibodies to dengue virus were detected using IgM capture ELISA (PANBIO) and by "Haemagglutination inhibition test" for detection of antibodies against Chikungunya virus. Acute sera samples were inoculated in cell lines for virus isolation. The isolates were confirmed by RT-PCR. RESULTS: On investigation, it was found that water storage containers like cement tanks, plastic containers or earthen pots placed in front of the individual houses were the potential breeding sites for Aedes aegypti. Entomological survey carried out in the most affected areas revealed high Aedes indices. House, container and breteau indices were found to be 27.2, 16.19 and 35.1, respectively. Out of the 13 acute sera samples collected, virus was isolated in 10 samples. The isolates were confirmed by RT-PCR and sequencing using primers from nsP1 gene of Chikungunya virus (CHIKV, Accession No. EF077609, EF077610). Of the 17 convalescent sera tested, significant level of HI antibodies to CHIKV was detected in five samples. One sample was positive for IgM antibodies against dengue virus. Based on clinico-epidemiological features and laboratory findings, the illness was confirmed to be of chikungunya viral disease. CONCLUSION: Control measures targeting the vector population and personal protective measures against the mosquito bites were instituted. Extensive IEC campaign with the involvement of community and religious leaders helped in containment of the disease.en_US
dc.description.affiliationCentre for Medical Entomology and Vector Management, National Institute of Communicable Diseases, Delhi, India. kaushalmonu@yahoo.comen_US
dc.identifier.citationKumar K, Chhabra M, Katyal R, Patnaik PK, Kukreti H, Rai A, Saxena VK, Mittal V, Lal S. Investigation of an outbreak of chikungunya in Malegaon Municipal areas of Nasik district, Maharashtra (India) and its control. Journal of Vector Borne Diseases. 2008 Jun; 45(2): 157-63en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/117999
dc.language.isoengen_US
dc.source.urihttps://www.mrcindia.org/journal/en_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAedes --virologyen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAlphavirus Infections --epidemiologyen_US
dc.subject.meshAnimalsen_US
dc.subject.meshChikungunya virus --isolation & purificationen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshDisease Outbreaksen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInfanten_US
dc.subject.meshInsect Vectors --virologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMosquito Control --methodsen_US
dc.subject.meshWater Supplyen_US
dc.titleInvestigation of an outbreak of chikungunya in Malegaon Municipal areas of Nasik district, Maharashtra (India) and its control.en_US
dc.typeJournal Articleen_US
dc.typeRetracted Publicationen_US
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