Chikungunya continues to be transmitted in the Americas and the Caribbean. Brazil remains the country with the largest case number( 171 930) and highest incidence (81.39/100 000).
Case numbers by country are shown below. Country groupings are as described by PAHO/WHO.
Central American Isthmus
Costa Rica: 315
El Salvador: 437
Panama: 2 020
French Guiana: 172
Puerto Rico: 8
Saint Barthelemy: 3
Saint Martin: 3
Bolivia: 3 234
Brazil: total 171 930, confirmed 121 734 (incidence 81.39/100 000)
Paraguay: total 744, confirmed 5 (incidence 10.92/100 000)
Advice for Travellers
No vaccine is available against chikungunya. Avoidance of mosquito bites is the only reliable means of prevention. Methods of bite avoidance include:
- Wearing long, loose, lightly coloured clothing to cover up the skin.
- The use of insect repellant containing DEET applied to any exposed skin.
- The use of permethrin, impregnated mosquito nets.
- The use of air conditioning if available and/or mesh screening of windows and doors.
- Eradication of mosquito breeding sites around the home (e.g. open containers, old tyres or flower pots that may collect water).
For further information see Chikungunya Fever.