Guadeloupe - Locally acquired chikungunya confirmed - 476 cases

[Gert van der Hoek]

It is not clear if this an imported case or a local infection.

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Chikungunya arrived in Guadeloupe

Franck Aristide and Catherine Pelletier

Posted on 24.12.2013 | 17:17 updated on 26/12/2013 | 7:15

That's it, chikungunya arrived in Guadeloupe, the first confirmed case involves a child, it is supported by a medical team. Vigilance is required.

This is far from a Christmas near the northern islands, Martinique and Guyana, it is the turn of Guadeloupe to be affected by chikungunya. The first confirmed case of the disease comes to be revealed by the ARS, regional health agency, it is a child who has been treated by his doctor.

He no longer has the clinical signs of disease, including fever and joint pain, but contamination has been confirmed. Aedes mosquito attention aegypri vector of chikungunya as dengue to prevent an epidemic.

In wet weather, be very alert to favorite breeding of mosquitoes. They like to deploy in moisture and standing water.

More: Guadeloupe La1ère

[Gert van der Hoek]

Re: Guadeloupe - First case of chikungunya confirmed

Guadeloupe - Epidemiological update

december 26, 2013

1 case has been confirmed in the lab, 21 more suspected cases have been identified.

Situation ?pid?miologique actuelle en Guadeloupe

En Guadeloupe, la surveillance renforc?e mise en place depuis l?alerte a
permis de d?tecter des cas suspects autour desquels des mesures de
pr?vention ont ?t? mises en place. Un cas a ?t? confirm? biologiquement
le 24 d?cembre 2013, ce qui pourrait conduire ? placer la Guadeloupe
en phase 2 du Psage (transmission autochtone mod?r?e).

Le dispositif de surveillance ?pid?miologique a permis de d?tecter 21 cas
suspects cliniquement ?vocateurs pour lesquels les r?sultats des examens
biologiques sont attendus.

Les mesures de surveillance renforc?e et de lutte antivectorielle
doivent se poursuivre et s?intensifier pour pr?venir la survenue de
cas secondaires et l?apparition de foyers et ainsi ?viter la diffusion
du virus.

INVS - 26 d?cembre 2013

[Gert van der Hoek]

Re: Guadeloupe - 3 cases of chikungunya confirmed

Two new cases of chikungunya confirmed in Guadeloupe

dec 31 2013

Two more chikungunya cases have been confirmed in Guadeloupe. Both patients were co-infected with chikungunya and dengue. More testresults are pending.

Chikungunya : Deux nouveaux cas !

Abymes. Mardi 31 décembre 2013. CCN.

Deux nouveaux cas ont été confirmés en Guadeloupe, le 30 décembre 2013, par le centre national de référence de l’IRBA à Marseille, parmi la vingtaine de cas suspects recensée jusqu’à ce jour.

Ces patients présentaient tous deux une co - infection dengue et chikungunya. Ces patients récupèrent bien actuellement, à domicile.

http://www.caraibcreolenews.com/comm...eaux-cas-.html

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 3 cases

jan 3 2014

Epidemiological update Guadeloupe

On december 24 2013 a locally acquired cases of chikungunya has been confirmed.

Two other cases have been confirmed, one of them was imported from St Martin.

26 cases are clinical suspect, testresults are pending.

Of the 3 confirmed cases, 2 were co-infected with dengue virus.

3 janvier 2014

Situation épidémiologique actuelle en Guadeloupe

En Guadeloupe, la surveillance renforcée mise en place depuis l’alerte a
permis de détecter des cas suspects autour desquels des mesures de
prévention ont été mises en place. Un cas autochtone a été confirmé
biologiquement le 24 décembre 2013, ce qui a conduit à placer la Guadeloupe
en phase 2 du Psage (transmission autochtone modérée). .

Depuis 2 autres cas ont été confirmés dont un importé de Saint Martin.
Le dispositif de surveillance épidémiologique a permis de détecter 26 cas
suspects cliniquement évocateurs pour lesquels les résultats des examens
biologiques sont attendus.

Les mesures de surveillance renforcée et de lutte antivectorielle
doivent se poursuivre et s’intensifier pour prévenir la survenue de
cas secondaires et l’apparition de foyers et ainsi éviter la diffusion
du virus.

Conclusions générales

L’épidémie de Chikungunya poursuit sa progression sur l’Ile de Saint Martin.

La surveillance
à Saint Barthélemy a également mis en évidence des chaines locales de
transmission. Ces deux territoires sont placés au niveau 3a du Psage* : situation
épidémique.

En Martinique et en Guadeloupe, la confirmation biologique de nouveaux cas de
chikungunya autochtones confirme l’introduction du virus sur ces territoires. La
situation épidémiologique correspond à la phase 2 du Psage* : transmission autochtone
modérée. Les mesures de surveillance renforcée et de lutte antivectorielle doivent
se poursuivre et s’intensifier pour prévenir la survenue de cas secondaires et
l’apparition de foyers.

Pour la Guyane, la situation correspond toujours à la phase 1 renforcée du Psage du
chikungunya dont l’objectif est d’éviter et/ou de contrôler au plus vite l’instauration
d’une chaîne locale de transmission du virus en mettant en place, sans délai, devant
tout cas suspect, probable ou confirmé, les mesures de contrôle adaptées.

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 3 cases

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jan 10, 2014

Guadeloupe remains in phase 2 (moderate indigenous transmission) with 6 laboratory confirmed cases (including Aboriginal and an imported case of Saint-Martin) and 4 probable since Dec. 24.

Le Quotidien Du Medicin

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 10 cases

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01/17/2014

Current epidemiological situation in Guadeloupe

In Guadeloupe , the enhanced surveillance in place for the alert
possible to detect suspected cases around which measures
prevention have been implemented. First indigenous case was
laboratory confirmed 24 December 2013 .
The epidemiological surveillance system also permits
detect 76 suspects clinically suggestive for which the results
biological confirmations are expected.

Monitoring of probable and confirmed cases conducted in close collaboration
with clinical laboratories and hospital city
of Guadeloupe and CNR Arbovirus from the Institut Pasteur de Guyane
and the CNR arboviruses the IRBA in Marseille identified
a total of 27 confirmed or probable cases of chikungunya
(2 of which imported from Saint Martin ) . The data remain
consolidating for the last few weeks because of the time
necessary for laboratory confirmation .

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 27 cases

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24 January 14

In Guadeloupe , the enhanced surveillance in place for
alert has detected suspected cases around which
prevention measures have been implemented. a first
indigenous cases were laboratory confirmed on December 24
2013. The monitoring epidemiological also
detected 172 suspected cases clinically suggestive
for which the results of biological confirmations
expected.


To 01.23.2014 , 68 confirmed or probable cases
Chikungunya (including 3 imported from Saint
Martin ) were identified through surveillance conducted
with the clinical laboratories of
city and hospital of Guadeloupe , the CNR
Arbovirus from the Institut Pasteur in French Guiana and
IRBA in Marseille ( Figure 13). these data
still to be consolidated for the last weeks
given the time necessary to obtain
biological results, but there is a
substantial increase over the
second week of January when she was
moderate in previous weeks.

INVS -
Situation ?pid?miologique du chikungunya dans les Antilles. Point au 23 janvier 2014.

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 119 cases

January 30, 2014

Before installation and spread of the virus on the island, a
based on epidemiological surveillance interrogation
Weekly network of sentinel physicians was
establishment : he was asked GPs
Sentinel account for all consultations
motivated by the presence of signs suggestive of chikungunya
in a patient.

Between December 23, 2013 (S 2013-52 ) and 26 January
2014 ( S 2014-04 ) , the number is estimated at about 545
consultations for clinical syndrome suggestive of
chikungunya . The weekly number has steadily
increased over the last three weeks ( 2014-02
in 2014-04 ) .

To 29.01.2014 , 119 confirmed or probable cases of chikungunya
have been identified by the monitoring carried out with
biology laboratories and medical city hospital
of Guadeloupe , CNR Arbovirus from the Institut Pasteur
Guyana and the IRBA in Marseille ( Figure 13b) . the number
probable or confirmed cases follows the same progression
that cases clinically suggestive . data
still to be consolidated for the last weeks
given the time required to obtain results
biological, but the significant increase in visible
from the second week of January continues
Week 2014-03 ( 35% more cases than the week
above) .

The first confirmed case was hospitalized at the University Hospital of Pointe ? Pitre , it is currently
classification . Three passages emergencies in less than 15 years, not requiring hospitalization were identified relied on the
During the fourth week of January. Aged 15 and over, 3 runs also without hospitalization were identified (2 for
last two weeks of 2013, 1 the second week of 2014). No death case was reported to date .

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INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 175 cases

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February 7, 2014

Current epidemiological situation in Guadeloupe

Since the start of monitoring, weekly examination
network of sentinel physicians has
estimated at 790 , the cumulative number of consultations for
signs clinically suggestive of chikungunya .
The weekly number of cases clinically suggestive
was steadily increasing since the beginning of the monitoring
but stabilized during the last week
January ( 2014-05 ) , this stabilization can of course
be very transient (Figure 13a ).

To 02.05.2014 , 175 confirmed or probable cases of chikungunya
were identified by surveillance conducted
biology laboratories and medical city hospital
of Guadeloupe , CNR Institute of Arbovirus
Pastor of Guyana and the IRBA in Marseille ( Figure
13b ) . The number of probable or confirmed cases following the
same progression as the cases clinically suggestive
with a visible net increase in the
second week of January .

The interpretation of the evolution of the number of cases is
difficult for the last two weeks of January account
Given the time required to obtain results
biological confirmations.

Hospital surveillance : Two probable or confirmed cases were hospitalized at the University Hospital of Pointe ? Pitre and classified forms
common disease . No probable or confirmed cases have been hospitalized CH Basse-Terre . For both institutions ,
three passages to emergencies in less than 15 years requiring hospitalization were identified during the 5th
week of January. Three passages without hospitalization of all ages have been identified during this same week.

No deaths reported to date .

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 253 cases

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February 14, 2014

Current epidemiological situation in Guadeloupe

Since week S2013 -50, the cumulative number of cases
clinically suggestive of chikungunya seen in medicine
city is estimated at 1,120 cases. After growing
steady 60% per week since week - S2014
02 , the weekly number of patients
clinical signs suggestive of chikungunya
stabilized (with an average of 250 consultations per week )
from week S2014 -04 data
last week course may be temporary
( Figure 13a )

Biological monitoring has identified a total of 253
confirmed or probable cases of Chikungunya .
A net increase in the weekly number of
cases was observed between week S2014 -02 (38 cases) and
week S2014 -05 ( 81 cases ) (Figure 13b) . week
S2014 -05 is the beginning of biological confirmation
cases by the laboratory of the University Hospital of Pointe-?- Pitre
in addition to other clinical laboratories
already performing bioassays ( CNR Arbovirus
Institut Pasteur de Guyane , Irba in Marseille laboratories
CERBA / Biomnis ) . This increase in "supply" can
explain part of the increase in reported cases
S2014 -05 on weekdays . The data for the week - 2S014
06 should be consolidated which makes interpretation
difficult for this week.

No probable or confirmed cases have been hospitalized CH Basse-Terre .
Five hospitalizations were recorded related to chikungunya in CHU
Pointe ? Pitre two hospitalizations in young children. Among these
hospitalizations were classified into two common forms of the disease and
three are being classified .

Conclusions for Guadeloupe

The weekly number of cases clinically suggestive of chikungunya has stabilized over the last three weeks.
In contrast, the weekly number of probable or confirmed cases , after a three-week stability , shows a
net increase during the last week of January should be confirmed, the data of the week
S2014 -06 to be consolidated. From the point of view of geographical extension, the leeward coast is still free
vis-? -vis the virus but the focus of transmission identified in the municipality of Baie- Mahault is still active.
This confirms a still active circulation of the virus in Guadeloupe remaining in the epidemiological situation
a moderate indigenous transmission of the virus, corresponding to Phase 2 of Psage .

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 335 cases

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February 21, 2014

Current epidemiological situation in Guadeloupe

In total, 1,380 cases clinically suggestive of chikungunya
seen in general practice was estimated from the
monitoring began .
Stability of the weekly number of cases observed
clinically suggestive of chikungunya from the fourth
week of January with an average of 250 consultations
weekly ( Figure 11 ) .

In total 335 probable or confirmed cases of Chikungunya
have been identified since the start of monitoring.
The weekly number of cases increased to
the last week of January (S 2014-05 ) and stabilized
S2014 -06 weeks with 82 cases against 90 week
previous ( Figure 12 ) .

Data from the second week of February (S 2014 -
07) must be consolidated and are not yet interpretable .
Moreover, given the technical time
for obtaining certain biological results , a
"Catching up" is expected for the week S2014 -04 .

: No probable or confirmed cases have been hospitalized CH Basse-Terre . CHU Pointe ? Pitre,
seven cases were hospitalized , including three young children. Of these seven hospitalized cases , five are classified as common forms of
disease, unusually shaped and is being classified . No deaths reported to date .

Quote:

Conclusions for Guadeloupe

The weekly number of cases clinically suggestive of chikungunya is stable for 4 weeks. increasing
weekly number of probable or confirmed cases observed until week S2014 -05 , has stalled the week
Next . The numbers of ED visits and hospitalizations remain low.

From the point of view of geographical extension, the leeward coast and nearby islands are still untouched by the virus
but the focus of transmission identified in the municipality of Baie- Mahault remains active and generates the appearance of
case in neighboring municipalities.

This confirms a still active circulation of the virus in Guadeloupe but so far remains in the
epidemiological situation of moderate Aboriginal transmission , corresponding to Phase 2 of Psage .

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 335 cases

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February 28, 2014

Current epidemiological situation in Guadeloupe

After a steady increase in the number of cases clinically
suggestive of chikungunya between weeks
S2014 -02 to 2014-04 and stabilization 4 weeks
following ( S2014 -04 S2014 -07 ), we observed a trend
to decrease the number of cases clinically
evocative week S2014 -08 ( Figure 11). the next
weeks will confirm whether or not this
decrease . In total, 1,460 cases clinically suggestive of
chikungunya seen in general practice was estimated
since monitoring began .

In total 476 probable or confirmed cases of chikungunya
are reported since 24 December 2013 . the number
weekly of these cases continued to rise until
week S2014 -06 ( Figure 12 ) . The data of
weeks S2014 -07 and S2014 -08 should be consolidated
given the time to obtain certain results.
From the third week of February , levies
organic are now routed to the Pasteur Institute
of Guadeloupe , which replaces CNR Arbovirus
based Cayenne which could improve delays in obtaining
biological results. It was also pointed
GPs not to confirm systematically
cases in the area of Baie- Mahault area
active epidemic , except in patients where
it is absolutely necessary for medical care
so as not to saturate the biological resources.


After stabilization of the weekly number of cases clinically suggestive of chikungunya for 4 weeks
a decrease is observed in the third week of February which must be confirmed next week . after
increase the weekly number of probable or confirmed cases until early February , a decrease was also
observed from the second week of February , however, data 2nd and 3rd weeks of f?vriersont
to consolidate. From the point of view of geographical extension , only 9 towns remain free of the virus which the
Saintes and La D?sirade . Marie- Galante is now affected . The focus of transmission in the municipality of Baie-
Mahault remains very active.

This confirms a still active circulation of the virus in Guadeloupe but so far remains in the
epidemiological situation of moderate autochtonous transmission , corresponding to Phase 2 of Psage .

INVS

[Gert van der Hoek]

Re: Guadeloupe - Locally acquired chikungunya confirmed - 476 cases

According to PAHO Guadeloupe has 52,000 cases ; 1,300 have been confirmed. [LINK]


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July 16 2014

Guadeloupe: 6 deaths "linked" with chikungunya

Six deaths "related to chikungunya" were recorded in Guadeloupe since the beginning of the epidemic, but one of these deaths "is directly related to the disease."

Six deaths "related to chikungunya" were recorded in Guadeloupe since the beginning of the epidemic in December, but one of these deaths "is directly related to the disease," that of "an elderly patient in whom the infection caused vomiting and led to a fatal lung infection, "announced Tuesday the Regional Health Agency (ARS) of Guadeloupe and the Institute of Health Surveillance (VS) in a joint statement.

The ARS Guadeloupe and InVS recall that 6 other deaths were also attributed to chikungunya in Guadeloupe "cumulative data from the single operating death certificates signed by doctors of town or UAS are reporting 6 deaths where the word chikungunya is advanced into the causes of death, "the statement said.

199 hospitalizations

He points out that among the 199 hospitalizations related to chikugunya "identified to date" in Guadeloupe, "165 were evaluated and ranked (and) 24 people hospitalized had severe form of the disease, a rate of 15%" .

The Minister of Health and Social Affairs, Marisol Touraine, must stay in Guadeloupe and Martinique, the two French departments of the Americas affected by chikungunya epidemic, from Wednesday to Friday in order to understand the diversity of structures and actors invested in the fight against the epidemic.

Ouest France