Date: Tue 31 Dec 2013
Source: Caribcreole News [in French, trans. Corr.SB, summ. edited]
<http://www.caraibcreolenews.com/communiques,1,6125,guadeloupe-chikungunya-deux-nouveaux-cas-.html>

In Guadeloupe, 2 new cases of chikungunya were confirmed on 30 Dec 2013 by the National Reference Center (IRBA) in Marseille among the 20 suspected cases identified to date. These patients had both co-dengue and chikungunya [virus] infections. These patients, who are at home, are recovering well now.

The Health Agency for Guadeloupe, St Martin and St Barthelemy, and CIRE [French] Antilles Guyane have reinforced epidemiological surveillance around these cases and [mosquito] control activities in the municipalities concerned (Le Moule, Capesterre, Belle Eau, and Goyave). These locations, which are quite far apart, confirm the beginning of active virus circulation throughout our territory.
 
A communication campaign [to draw attention to the disease] in the print media will be enhanced by a wide dissemination of radio spots, posters and a brochure.
======================
[ProMED-mail thanks Roland Hubner, who also sent in this report.  Interestingly, but not surprisingly, dengue and chikungunya viruses are co-circulating on Guadeloupe island. Both are transmitted by the same mosquito vector (_Aedes aegypti_), and dengue virus is endemic in the Caribbean region.

A HealthMap/ProMED-mail map of Guadeloupe island can be accessed at
<http://healthmap.org/r/9CFw>. - ProMed Mod.TY]
Date: Tue 24 Dec 2013
Source: DOMactu [in French, trans. machine & Mod.TY, summ. & edited]
<http://www.domactu.com/actualite/131224183773618/guadeloupe-chikungunya-1er-cas-en-guadeloupe/>

The national reference centre of Marseille has confirmed the 1st indigenous case of chikungunya in Guadeloupe. This is a child, treated by his doctor, and, as of today [24 Dec 2013], he no longer has any clinical signs.

The Agency for Health Guadeloupe, Saint-Martin and Saint-Barthelemy, and Cire Antilles Guyane (Institut National de Veille Sanitaire - French Institute for Public Health Surveillance) reinforced entomological and epidemiological surveillance and vector control around the case [location].

A communication campaign in the written press has already been launched and will be enhanced by a wide dissemination of radio spots, posters and flyers.

This campaign is a continuation of the measures taken on Saint Martin after the occurrence of the 1st cases on 6 Dec [2013].  [Byline: Karen Bourgeois]
----------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
roland.hubner@sante.belgique.be
================
[Chikungunya virus continues to spread in the Caribbean. The abundance of the mosquito vector, _Aedes aegypti_ and inter-island movement of people who may be viremic will make it difficult to stop. Health authorities on the affected and nearby islands are taking the situation seriously by intensifying surveillance and launching public education efforts.

An earlier report indicated that a case also occurred on Martinique. The origin of the Caribbean outbreak on St. Martin has not been identified. Since the sequences of the St. Martin chikungunya virus isolates indicate that it is of Asian origin, it would be of interest to know exactly where it came from and how it arrived on St. Martin.

Maps showing the location of St Martin (Sint Maartin) can be accessed at <http://goo.gl/maps/TN1DJ> and at <http://healthmap.org/r/4zbR> and Guadeloupe island at <http://healthmap.org/r/9CFw>. - ProMed Mod.TY]
24th December 2013

Local transmission of Chikungunya virus (CHIKV) has been documented for the first time in Guadeloupe through the enhanced surveillance set up in all French Caribbean territories in response to the recent emergence of Chikungunya in the French part of Saint-Martin. 


On 24 December 2013, the French National Reference Centre for Arboviruses (IRBA Marseille) diagnosed a co-infection by Chikungunya and Dengue serotype 4 viruses by RT-PCR in a patient residing in Guadeloupe. The patient did not travel recently to an area where circulation of Chikungunya has been documented. 
As soon as the case was reported as suspected, the local health authorities have implemented vector control measures around the patient’s home to interrupt any local transmission cycle. Active case finding is currently on-going. 

This first report of autochthonous Chikungunya in Guadeloupe (approximately 400,000 inhabitants) suggests that CHIKV is currently spreading in the Caribbean while dengue outbreaks are still on-going. 
To date in the other French Caribbean territories: 2 autochthonous Chikungunya cases have been confirmed by RT-PCR in Martinique; 1 imported case from Martinique has been confirmed by RT-PCR in French Guyana; last, in Saint-Martin since the beginning of the outbreak, 115-145 suspected cases have been notified including 13 IgM positive cases and 52 RT-PCR positive cases. 

For further details on the epidemiological situation, please contact: 
chik_dengue@invs.sante.fr 
For further details on control measures, please contact: 
ALERTE@sante.gouv.fr 
Date: Thu 13 Dec 2012
Source: The Daily Herald [edited]
<http://www.thedailyherald.com/islands/1-islands-news/34210-prefecture-confirms-one-cholera-case-in-st-martin-.html>

The Prefecture of St Martin and St Barths and the health authority of Guadeloupe have confirmed a case of cholera imported into St Martin. The Louis-Constant Fleming Hospital had indicated the case as "probable" in a release on Thu 6 Dec 2012. However, it now has been declared positive following verification of the exam result by the Institute Pasteur in Paris.

It was understood the patient had been infected following a stay in Santo Domingo, Dominican Republic. Subsequent investigations by Pole de Veille Sanitaire in conjunction with Cellule de L'Institut National de Veille Sanitaire have indicated there are no secondary cases. Surveillance is being maintained as a precaution.

Haiti and Santo Domingo are currently affected by a cholera epidemic, a sickness caused by the bacteria _Vibrio cholerae_. It is characterised by severe diarrhoea that leads to dehydration. In its release, the Prefecture advises any persons who have these symptoms to consult their doctors immediately.
=====================
[Cases of cholera from Haiti/Dominican Republic have been imported into Cuba as well as the USA. In areas with adequate sanitary systems, significant spread of this organism is quite unlikely.

Saint Martin (<http://en.wikipedia.org/wiki/Saint_Martin>) is an island in the north east Caribbean, about 300 km (190 mi) east of Puerto Rico. The island is divided roughly 60/40 between France and the Netherlands. It is one of the smallest sea islands divided between 2 nations, a division dating to 1648. The northern French part comprises the Collectivite de Saint-Martin (Collectivity of St Martin) and is an overseas collectivity of France. - ProMed Mod.LL]
[A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/r/4zbR>.]
Date: Wed, 5 Jan 2011 12:42:06 +0100 (MET)

POINTE-A-PITRE, Guadeloupe, Jan 5, 2011 (AFP) - Three people were killed and two were missing in Guadeloupe after their car was swept away by floods after three days of torrential rain on the French Caribbean island, officials said.   Flood waters swept away their four-wheel drive car when they tried to cross a submerged bridge over a flooded ravine near the town of Les Abymes, local deputy mayor Eric Jalton said.   Rescuers later found three bodies and were searching for two other people who were missing, said police official Jean Tibilan.
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