Announcement

**Gert van der Hoek** · January 1, 2014, 10:49 AM

Re: Saint Barth?lemy - 8 cases of chikungunya confirmed

Saint Barth?lemy - 8 cases of chikungunya confirmed

Saint Barth?lemy. Chikungunya : 8 cas confirm?s...

Suite ? la d?tection de cas suspects de Chickungunya ? Saint-Barth?lemy lors du Comit? de Gestion du 23 d?cembre 2013, les donn?es actuellement disponibles font ?tat de 8 cas confirm?s....

Lire la suite sur https://www.sxminfo.fr/70743/2013/12...cas-confirmes/ ? Saint Martin | sxminfo.fr

**Gert van der Hoek** · January 3, 2014, 06:44 AM

Re: Saint Barth?lemy - Locally acquired chikungunya confirmed - 7 cases

jan 3, 2014

Epidemiological update Saint Barth?lemy

Untill today 7 cases of chikungunya virus have been confirmed and 2 cases are classified as probable.

During the last week of decemer 2013, 16 cases showed clinical symptoms, testresults are pending.

INVS describes the situation as "epidemical".

3 janvier 2014

Situation ?pid?miologique actuelle ? Saint Barth?lemy

A Saint Barth?lemy, la surveillance renforc?e mise en place depuis l?alerte
? Saint Martin a, dans un premier temps, d?tect? 11 cas suspects
cliniquement ?vocateurs lors de l?avant derni?re semaine de d?cembre.

Au cours de la derni?re semaine de d?cembre, la confirmation biologique
de certains cas a montr? l?existence d?une circulation du virus ? Saint
Barth?lemy. Une surveillance hebdomadaires des cas suspects a donc
?t? mise en place d?s cette semaine aupr?s des m?decins g?n?raliste.
de l??le. Au cours de la derni?re semaine de d?cembre, 16 cas suspects
ont ?t? signal?s par les m?decins g?n?ralistes.

La surveillance des cas probables et confirm?s est men?e en ?troite
collaboration avec le laboratoire d?analyses de biologie m?dicale de
Saint-Barth?lemy et les laboratoires du CNR des arbovirus (Institut de
Recherche Biom?dicale des Arm?es). Les donn?es (Figure 5) sont encore
incompl?tes pour les derni?res semaines compte tenu des d?lais de
transmission des pr?l?vements, en particulier aucun r?sultat n?a ?t? re?u
pour la semaine 52. D?ores et d?j?, 7 cas confirm?s et 2 cas probables
ont ?t? rapport?s par la surveillance depuis le d?but de l??pid?mie.

Conclusions g?n?rales

L??pid?mie de Chikungunya poursuit sa progression sur l?Ile de Saint Martin.

La surveillance
? Saint Barth?lemy a ?galement mis en ?vidence des chaines locales de
transmission. Ces deux territoires sont plac?s au niveau 3a du Psage* : situation
?pid?mique.

En Martinique et en Guadeloupe, la confirmation biologique de nouveaux cas de
chikungunya autochtones confirme l?introduction du virus sur ces territoires. La
situation ?pid?miologique correspond ? la phase 2 du Psage* : transmission autochtone
mod?r?e. 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.

Pour la Guyane, la situation correspond toujours ? la phase 1 renforc?e du Psage du
chikungunya dont l?objectif est d??viter et/ou de contr?ler au plus vite l?instauration
d?une cha?ne locale de transmission du virus en mettant en place, sans d?lai, devant
tout cas suspect, probable ou confirm?, les mesures de contr?le adapt?es.

INVS

**Gert van der Hoek** · January 10, 2014, 03:21 PM

Re: Saint Barth?lemy - Locally acquired chikungunya confirmed - 7 cases

computertranslation

jan 10 2014

Like Saint-Martin, Saint-Barth?lemy was placed in phase 3 epidemic after the discovery of 25 probable and confirmed cases and 54 suspected cases.

Le Quotidien Du Medicin

**Gert van der Hoek** · January 17, 2014, 04:01 PM

Re: Saint Barth?lemy - Locally acquired chikungunya confirmed - 31 cases

01/17/2014

Current epidemiological situation in St. Barthelemy

At St. Bartholomew, enhanced surveillance implementation
since the alert in Saint- Martin , in the first instance ,
11 suspected cases detected during the week 2013-51 .
Since 23 December 2013 , weekly monitoring
clinically suggestive cases of chikungunya
conducted among GPs of the island and
helped to identify so far, 81 cases clinically
evocative .

Monitoring of probable and confirmed cases is still
conducted in close collaboration with the laboratory of
medical biology from Saint- Barth?lemy and laboratories
CNR arboviruses ( Biomedical Research Institute
Armed ) . The data are still incomplete
for the last few weeks because of the time
transmission of samples.
Already , 31 confirmed or probable cases have been reported
by monitoring since the beginning of the epidemic.

INVS

**Gert van der Hoek** · January 24, 2014, 01:30 PM

Re: Saint Barth?lemy - 31 Cases Of Locally Acquired Chikungunya Confirmed

computertranslation

24 01 14

24 January 14

Since 23 December 2013, monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island and has identified 110
case until January 19, 2014 (Figure 4).

The weekly number of cases clinically
considered suggestive increased slightly from the
first to the third week of January 2014.

The number of positive cases is biologically
increase since the beginning of the epidemic
Saint-Barth?lemy (Figure 5).
A total of 45 cases were positive biologically
reported till date.

The cumulative number of ED visits
with suspected chikungunya since the beginning
of enhanced supervision until January 19
In 2014 is estimated at 54 (Figure 6). Peak activity
emergency was found during the first
week of January 2014.

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

**Gert van der Hoek** · January 31, 2014, 09:33 AM

Re: Saint Barth?lemy - 56 Cases Of Locally Acquired Chikungunya Confirmed

January 30, 2014

Surveillance of cases clinically suspect

Since 23 December 2013 , monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island and has identified 180
suspects until week 2014-04 (Figure
4 ) . The weekly number of cases clinically
estimated evocative has increased significantly
During the fourth week of January 2014
70 estimated cases .

Monitoring of probable and confirmed cases

The number of cases has increased biologically positive
Weekly 2013-50 to 2014-02 (Figure
5) and appears to decrease since . But the evolution of
the epidemic curve may be interpreted to
this stage because many patients are still
waiting for laboratory confirmation for the week
2014-03 and 2014-04 (40%
and 70 % of the results pending). Already ,
56 biologically positive cases have been reported
from the beginning of the epidemic.

computertranslated
INVS

**Gert van der Hoek** · February 7, 2014, 08:27 AM

Re: Saint Barth?lemy - 83 Cases Of Locally Acquired Chikungunya Confirmed

computertranslation

February 7, 2014

Since 23 December 2013 , monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island. It has identified at
the February 2 , 215 cases clinically suggestive
( Figure 4 ) . During the last week
January ( S2014 -05) , the weekly number
estimated cases clinically suggestive decreased
compared to the previous week , from
70 cases in 44 cases weekly . At this stage , it is
difficult to say that this trend
should follow in the coming weeks
to see if it is confirmed .

The number of biologically positive
continues to grow . A total of 83 patients
been confirmed since the second week of
December 2013 ( S2013 -50) including 25 ( 30%),
during the fourth week of January 2014
( Figure 5 ) . The observed decrease in the
Previous epidemiological only confirms
not , the time between sampling and the date of
reporting results up to 15
days . To date, 25 samples have to
week 2014-05 are awaiting confirmation .

Although the number of cases clinically suggestive decreased during the last week of January , the only variation
one week does not confirm a decrease in viral circulation. In parallel, the number of weekly
biologically confirmed cases is still increasing.
Epidemiological indicators confirm the continuation of the chikungunya epidemic on St. Bartholomew. this community
was placed on December 30, 2013 in phase 3a of Psage .

INVS

**Gert van der Hoek** · February 14, 2014, 02:12 PM

Re: Saint Barth?lemy - 104 Cases Of Locally Acquired Chikungunya

computertranslation

February 14, 2014

Current epidemiological situation in St. Barthelemy

Since 23 December 2013 , monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island and has identified 270
clinically suggestive cases ( Figure 4 ) .
The decline in the number of cases clinically suggestive
in week 5 was not confirmed during the week
6, and 55 cases were seen in the
During the week - S2014 06.

A total of 104 probable or confirmed cases were
reported since week 50, S2013 - 21
Case week S2014 -05 ( Figure 5 ) .
Following the recommendation not to confirm
biologically all cases, and book
testing patient for which the diagnosis
is necessary to support this indicator
will experience reduced without
demonstrate a decrease in transmittance .

Conclusions for Saint Barth?lemy

Epidemiological indicators confirm the continuation of the chikungunya epidemic on St. Bartholomew. this community
was placed on December 30, 2013 in phase 3a Psage .

Faced with this epidemic , it is recommended not to prescribe systematic laboratory confirmation in all
cases suggestive , but only if necessary to support the patient in order not to saturate the resources
biological confirmation .

INVS

**Gert van der Hoek** · February 21, 2014, 07:23 AM

Re: Saint Barth?lemy - 114 Cases Of Locally Acquired Chikungunya

computertranslation

February 21, 2014

Current epidemiological situation in St. Barthelemy

Since 23 December 2013 , monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island and has identified 350
clinically suggestive cases until 16 February
2014 ( Figure 4 ) .

The number of cases seen clinically suggestive
consultation in week 7 is 82 , with
an overall increasing trend
for 3 weeks.

The cumulative number of ED visits
for suspected chikungunya since the beginning of
enhanced to the second monitoring
week of February 2014 ( S201 -07) is 121
( Figure 5 ) .
Since late December, the average number of
weekly ED visits is to
author of 15 , with a tendency to increase
for two weeks.
Between 10 and 16 February, 24 crossings
suspected chikungunya were recorded.

A total of 114 positive cases ( probable and confirmed ) were
reported since week 10 of 2013 to 50 during the first week of February 2014 ( S 2014-06 ) .

Conclusions for Saint Barth?lemy

Epidemiological indicators confirm the continuation of the chikungunya epidemic on St. Bartholomew. this community
was placed on December 30, 2013 in phase 3a of Psage ( proven epidemic ) .
Response to the epidemic , it is recommended not to prescribe systematically laboratory confirmation in all
suspects, but only in case of need for case management of patient so as not to saturate the resources
biological confirmation .

INVS

**Gert van der Hoek** · February 28, 2014, 09:42 AM

Re: Saint Barth?lemy - 127 Cases Of Locally Acquired Chikungunya

computertranslation

February 28, 2014

Current epidemiological situation in St. Barthelemy

Since 23 December 2013 , monitoring
Weekly cases clinically suggestive
Chikungunya is made to physicians
general of the island and has identified 380
clinically suggestive cases until 23 February
2014 ( Figure 4 ) .

The number of cases seen clinically suggestive
week consultation S2014 -08 is 28 , the
down from the previous week (82).

Surveillance of biologically probable and confirmed :
A total of 127 positive cases ( probable and confirmed ) were
reported since week 50 of 2013 , including 11 cases
During the second week of February ( S2014 -07).

Epidemiological indicators confirm the continuation of the chikungunya epidemic on St. Bartholomew. However ,
epidemiological indicators do not reflect an intensification of the latter. Saint Barth?lemy is still
Phase 3a of Psage ( proven epidemic ) .

Response to the epidemic , it is recommended not to prescribe systematically laboratory confirmation in all
suspects, but only in case of need for case management of patient so as not to saturate the resources
Organic confirmation .

INVS

Announcement

Saint Barth?lemy - 127 Cases Of Locally Acquired Chikungunya

Saint Barth?lemy - 127 Cases Of Locally Acquired Chikungunya

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment