Chikungunya Virus

Did not really bothered with this Chikungunya Virus earlier until my brother in law and his best friend have fallen seriously ill from it. Both of them brought their families to their farmhouse in Bentong, Pahang for a weekend retreat. Latter during the day, both men decided to climb up a hill nearby to reach a waterfall where they spend half an hour there enjoying the scenery. They suspect they were bitten by mosquitoes while ascending the hill. They are now recovering slowly after fighting weakness in the arms and legs, high fever and rashes for almost a week. I was told children normally recovers faster than adults. Seems that there are no proper prescription for this virus and you just have to let your body's natural system fight through it all. Thought of sharing some general information on this Chikungunya for the benefit of all.

Email: Attention, everyone. We have just been alerted that Chikungunya Virus Outbreak in Malaysia, spread by mosquitoes, is quite serious. More than 2,000 people are infected down south. There are claims of unreported deaths. Consult a health-care provider or visit the nearest hospital for chikungunya fever if you showed symptoms such as fever, severe joint pains and rashes. Four states have been hit, i.e. Johor, Malacca, N.Sembilan and Perak. The worst hit is Tangkak, Johor. Almost all elderly people (age 45 years and> above) are infected with this virus. Many people who are infected seek treatment from Tangkak Hospital every day. There were times beds were full, and the hospital could not warded them. Therefore they were discharge after a half day treatment in the ward. This epidemic outbreak has persisted for more than three months.

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Below is the chronological of this outbreak.1. The disease is spread by the foreigner workers in the plantations. 2. Then the 'bugs' are passed down to the local planters, of which, their families are infected eventually. 3. Now people in this town (Tangkak) are infected as well as others in nearby towns and states.

Symptoms of Chikungunya: 1. High fever 2. Rashes 3. Chronic joints pain (which will last for > 3months) 4. Concurrent deaths

Recommendations:1. Increase ad hoc facilities and manpower in district hospital and clinics. 2. Bring down the population of the vector (mosquitoes) 3. Quarantine the sick people who are infected with this virus. 4. Educate the public how to prevent and contain the disease.

Dr Teo Kim Lai (among the many courageous Pahlawan Volunteers veterinarians involved in the investigation of the Nipah VirusOutbreak,1999 archived at http://www.pahlawan.com.my/voice/VECrisis1.shtml ) recommends that the sick should be quarantined as the virus is transmitted to humans by the bite of infected mosquitoes. CHIK fever epidemics are sustained by human-mosquito-human transmission. Further information can be obtained from the Health Ministry's website at http://www.moh.gov.my/ or call (603) 88810600/ 0700 during office hours.

FURTHER READING: Chikungnya Di Malaysia

http://www.moh.gov.my/opencms/opencms/moh/chikungunya_malaysia.html
Chikungunya http://en.wikipedia.org/wiki/Chikungunya

Chikungunya - Fact Sheet by European Centre for Disease Prevention and Control http://ecdc.europa.eu/en/Health_Topics/Chikungunya_Fever/facts.aspx Insect Bite Avoidance http://www.nathnac.org/pro/factsheets/iba.htm

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