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• W2001542652 abstract "Cases of chikungunya in the Americas are increasing substantially.1Burt F Chen W Mahalingam S Chikungunya virus and arthritic disease.Lancet Infect Dis. 2014; 14: 789-790Summary Full Text Full Text PDF PubMed Scopus (32) Google Scholar, 2Staples JE Fisher M Chikungunya virus in the Americas—what a vectorborne pathogen can do.N Engl J Med. 2014; 371: 887-889Crossref PubMed Scopus (104) Google Scholar As noted by Felicity Burt and colleagues,1Burt F Chen W Mahalingam S Chikungunya virus and arthritic disease.Lancet Infect Dis. 2014; 14: 789-790Summary Full Text Full Text PDF PubMed Scopus (32) Google Scholar spread and establishment of the virus in new endemic regions will be dependent on availability of competent vectors and a source of the virus, but also on other factors. A complication from a Latin American perspective is that health systems are very heterogeneous. Although some have achieved excellent results in control of other vector-borne diseases (eg, onchocerciasis in Colombia or malaria in Chile), there have, unfortunately, been setbacks in communicable disease control.3Rodriguez-Morales AJ Paniz-Mandolfi AE Venezuela's failure in malaria control.Lancet. 2014; 384: 663-664Summary Full Text Full Text PDF PubMed Scopus (26) Google Scholar Could Latin America control the dissemination of the chikungunya disease in view of the current epidemics? Even in Chile, a Latin American country with high incomes and development, could not control dengue across all its territory. Dengue epidemics have substantially affected Chilean citizens in Easter Island. Nothing assures that this might not occur in same way with chikungunya.4Brathwaite Dick O San Martin JL Montoya RH et al.The history of dengue outbreaks in the Americas.Am J Trop Med Hyg. 2012; 87: 584-593Crossref PubMed Scopus (262) Google Scholar Moreover, countries that in past decades controlled vector-borne disease, such as Venezuela for malaria, are now failing to control them.3Rodriguez-Morales AJ Paniz-Mandolfi AE Venezuela's failure in malaria control.Lancet. 2014; 384: 663-664Summary Full Text Full Text PDF PubMed Scopus (26) Google Scholar In 2010, an epidemic of chikungunya was noted in Europe in areas such as southern France, which has a similar climate to that of southern South America. This epidemic highlights the possibility that chikungunya infection could reach countries such as Argentina, Chile, and Uruguay—with not only imported cases but also with transmission, since the vector is present during warm seasons.5Grandadam M Caro V Plumet S et al.Chikungunya virus, southeastern France.Emerg Infect Dis. 2011; 17: 910-913Crossref PubMed Scopus (360) Google Scholar Accumulation of imported but particularly autochthonous cases in some Latin American countries has happened quickly (figure). In Puerto Rico, the number of autochthonous cases increased from 48 during week 27 (July, 2014) to 2305 at week 40 (October, 2014). In the other countries of Latin America, where the existence of mosquitoes is endemic, the doubts about the control of the disease are even greater because of the inability of vector control. Importantly, chikungunya is highly symptomatic, so if governments could coordinate policies in early detection of cases, disease expansion would be mitigated. More joint efforts of Latin American countries are needed, in addition to regional efforts of the Pan American Health Organization, to provide and establish guidelines and policies. There are more elements of concern in the current stage of this disease for Latin America, but a call for collaboration and search for health policies must exist, particularly in view of the increasing number of people travelling to and from Latin American countries. We declare no competing interests. Chikungunya virus and arthritic diseaseChikungunya virus is a mosquito-borne alphavirus that has recently emerged in several explosive epidemics, causing febrile illness that can progress to painful and debilitating rheumatic disease. The virus continues to spread globally. Based on recent developments, we propose a potential link between chikungunya infection and other bone and joint diseases. Full-Text PDF" @default.
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• W2001542652 title "Chikungunya, the emerging migratory rheumatism" @default.
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