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Chikungunya

Clinical and Epidemiological Follow-up of Patients with Arthralgia Post Probable Chikungunya Referred to a Rheumatology Clinic at a Tertiary Hospital in Trinidad and Tobago T

Issue: 
DOI: 
10.7727/wimjopen.2018.026
Pages: 
56–60
Synopsis: 
This study described the arthralgia post chikungunya infection in patients referred to a rheumatology clinic at a tertiary hospital in Trinidad and Tobago. These patients are likely to be female and more than 45 years old. The joints most involved are the knees, shoulders, wrist and ankles in a symmetrical distribution; 77.3% of patients perceived that these symptoms negatively affected their daily activities.

Objective: To describe the arthralgia post Chikungunya (ChikV) infection in patients referred to a rheumatology clinic at a tertiary hospital in Trinidad. 

Methods: Patients referred for arthralgia and prior probable ChikV-infection were surveyed. Probable ChikV-infection was defined as a clinically compatible case as reported by the patient or the healthcare provider, absence of a more likely explanation and a positive ChikV specific enzyme-linked immunosorbent assay (ELISA) for immunoglobulin (Ig) G. 

Accepted: 
June 15, 2018
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Journal Sections: 

Outcome of Dengue in Hospitalized Jamaican Children

Issue: 
DOI: 
10.7727/wimjopen.2016.525
Pages: 
25-32
Synopsis: 
Before the emergence of Zika in 2016 and Chikungunya in 2014, there have been numerous Dengue outbreaks in the Caribbean. Despite this, there is a paucity of published studies on Dengue in children from this region. The potential for exponential spread of the Aedes aegypti dengue vector and its deleterious outcomes in children underlines the importance of this paper.

Background: Dengue fever is hyper-endemic in Jamaica with exponential rates of infection in successive outbreaks. The absence of local data and the potential for massive outbreaks in a country where a third of the population are children formed the basis for this study. 

Accepted: 
December 26, 2015
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Journal Sections: 

Chikungunya in Jamaica – Public Health Effects and Clinical Features in Children

Issue: 
DOI: 
10.7727/wimjopen.2016.529
Pages: 
18-24
Synopsis: 
The Chikungunya fever epidemic had significant public health and economic impact in Jamaica. In children, there were characteristic presentations in neonates and young infants and in children six months to six years. Neurologic involvement was common but other organ dysfunction was rare.

Background: Chikungunya virus entered the Caribbean for the first time in 2013 and Jamaica experienced its maiden epidemic with Chikungunya fever in 2014. We aimed to describe the public health effects and describe the clinical features in children and adolescents in Jamaica.

Accepted: 
October 26, 2016
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Journal Sections: 

Emergence of Zika Virus Epidemic and the National Response in Jamaica

Issue: 
DOI: 
10.7727/wimjopen.2016.488
Pages: 
5-11
Synopsis: 
The Zika virus epidemic in Jamaica is evolving and includes cases of Guillain-Barré Syndrome and reports in pregnant women. Zika may become endemic in Jamaica, similar to dengue and Chikungunya. Safe and effective Dengue, Chikungunya fever and ZIKV vaccines are needed to mitigate the devastating effects of these three diseases.

Background: Jamaica, along with the Americas, experienced major epidemics of arboviral diseases transmitted by the Aedes aegypti mosquito in recent years. These include: Dengue fever in 2012, Chikungunya fever in 2014 and Zika virus infection (ZIKV) in 2016. We present the emergence of the ZIKV epidemic in Jamaica and outline the national response.

Accepted: 
September 28, 2016
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Journal Sections: 
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