Date: Thu 20 Mar 2014
Source: Institut de Veille Sanitaire (French Institute for Public Health Surveillance, InVS), Point Epidemiologique no. 10; 10-16 Mar 2014 [in French, trans. & summ. ProMed Mod.TY, edited]
<http://www.invs.sante.fr/fr/content/download/85835/314875/version/57/file/pe_chikungunya_antilles_200314.pdf>

- St. Martin (susp.) 2640 cases, (conf. or prob.) 782 cases; Deaths 3; Decreasing.
- St. Barthelemy (susp.) 420 cases, (conf. or prob.) 134 cases; Decreasing.
- Martinique (susp.) 7630 cases, (conf. or prob.) 1141 cases; Deaths 2; Increasing.
- Guadeloupe (susp.) 1960 cases, (conf. or prob.) 586 cases. Stable.
- French Guiana (conf. or prob.) 22 cases locally acquired, imported from elsewhere 10 cases; Location of cases: Kourou (73 per cent of cases), Cayenne, Remire-Montjoly and Macouria; Still circulating.
=====================
[Weekly case graphs and maps of case distributions are available at the above URL. - ProMed Mod.TY]

[A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/35574>.]
Date: Fri 28 Feb 2014
Source: HM governor's Office in Anguilla, Ministry of Health and Social Development [edited]
<https://www.facebook.com/goanguilla/posts/255205064662107?stream_ref=10>

The Ministry of Health is advising that 3 new cases of chikungunya [virus infection] have been diagnosed in Anguilla bringing the overall number of laboratory confirmed cases to 14 to date.

The Ministry is once again appealing to anyone experiencing any signs and symptoms of chikungunya fever to see a doctor. Chikungunya fever is a viral disease transmitted to humans by the bite of an infected mosquito. It is not transmitted via direct human to human contact. Chikungunya fever is basically characterized by sudden onset of high fever, severe pain in joints especially the wrists and ankles, and muscular pain or tenderness which may persist for several months. Parents and guardians of students exhibiting any of these symptoms are advised not to send their children to school or any other environment for a period of at least 2 weeks following the onset of symptoms in order to avoid the potential spread of the chikungunya virus.

The Ministry of Health and Social Development continues to work vigorously with the relevant agencies to ensure the appropriate preventative measures are implemented to reduce and contain the spread of the virus. The Department of Health Protection will continue island wide fogging and is seeking full cooperation from the public.

The Ministry of Health and Social Development continues to inform persons of the importance of taking the necessary preventative measures to avoid being bitten by mosquitoes. Individuals should use insect repellent sprays/creams, wear long sleeve shirts and pants or protective clothing when outdoors, use mosquito nets, and stay in areas with screens to avoid being bitten by infected mosquitoes. In addition, individuals, householders, businesses, and ports should strive to eliminate mosquito breeding sites from in and around their premises to reduce the proliferation of adult mosquitoes on their premises. They should make every effort to remove stagnant water, cover water storage containers, and ensure cisterns are screened to eliminate mosquito breeding and harbourage. These simple measures will go a long way in preventing mosquito bites and mosquito borne disease transmission.
-----------------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
roland.hubner@sante.belgique.be
=====================
[The 3 new cases indicate that local transmission of the virus has been continuing in Anguilla. It will be interesting to learn if the public information and education efforts will bring transmission to a halt.

Anguilla island is a British overseas territory in the Caribbean and one of the most northerly of the Leeward Islands in the Lesser Antilles. Maps showing the location of the island can be accessed at <http://www.worldatlas.com/webimage/countrys/namerica/caribb/ai.htm> and <http://healthmap.org/r/9NLv>. - ProMed Mod.TY]
Date: 17-23 Feb 2014
Source: Pointe Epidemiologique No. 8. French Caribbean Antilles [in
French, trans. ProMed Mod.TY, summarized, edited]
<http://www.invs.sante.fr/fr/content/download/85027/312391/version/55/file/pe_chikungunya_antilles_270214.pdf>

Cases since November 2013:
--------------------------
[Weekly graphs and maps for these case locations are provided in the above URL. - ProMed Mod.TY]

Other Caribbean localities:

=================
[Interestingly, reporting of chikungunya cases in the French Antilles is no longer compulsory (<http://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=408> in French), which raises questions about future case counts. - ProMed Mod.TY]


[A ProMED-mail HealthMap is available at
<http://healthmap.org/r/4zbR>.]
Date: 10-16 Feb 2014
Source: Pointe Epidemiologique No. 7. French Caribbean Antilles [in
French, trans. Mod.TY, summarized, edited]
<http://www.invs.sante.fr/content/download/84707/310791/version/54/file/pe_chikungunya_antilles_200214.pdf>

Cases since November 2013:
--------------------------

[Weekly graphs and maps for these case locations are provided in the above URL. - ProMed Mod.TY]

Other Caribbean localities:


[A ProMED-mail HealthMap is available at
<http://healthmap.org/r/9Pud>.]
Date: Fri 21 Feb 2014
Source: The Daily Herald [summ. & edited]
<http://www.thedailyherald.com/index.php?option=com_content&view=article&id=46150:szv-joins-government-in-fight-against-the-chikungunya-virus-&catid=1:islands-news&Itemid=54>

Social and Health Insurance (SZV) joined the effort to stem the spread of the chikungunya virus by launching a public awareness campaign on Thursday [20 Feb 2014]. The campaign will include the airing of a number of Public Service Announcements (PSAs) that will be broadcast in collaboration with most radio stations. The ads will start in English and will also be available in Spanish and French at a later date to reach the non-English speaking population.

Chikungunya is a mosquito borne virus that has been affecting the population of St. Maarten/St. Martin and other islands in the region for some time now.

Health Minister De Weever stressed that the fight against the virus has to be a collective effort among everyone in the community. He recommended use of mosquito nets and mosquito repellents to keep mosquitoes at bay. He appealed to businesses to maintain the current prices of items such as mosquito repellents.

Most of the 107 confirmed cases are from the Dutch Quarter, Cay Hill, St. Peters/South Reward/Cul de Sac areas; however, this does not mean that it is not in other areas.

De Weever urged residents to report their neighbours who are not cleaning their properties. He underscored the need for everyone to play a role in addressing this issue.
--------------------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
roland.hubner@sante.belgique.be
======================
A ProMED-mail HealthMap is available at
<http://healthmap.org/r/4zbR>.]
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