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---- North America (Florida) ---- Central America ---- South America | reported deaths = 183 |notes= Reference: PAHO (February 6, 2015)〔(【引用サイトリンク】title=Número de casos informados de artritis epidémica chikungunya en las Américas - SE 5 (February 6, 2015) )〕 }} The 2013–14 chikungunya outbreak represented the first recorded outbreak of the disease outside of tropical Africa and Asia. In December 2013, the first locally transmitted case of chikungunya in the Americas was detected in Saint Martin. Shortly after the first case the disease began to spread rapidly throughout the Caribbean region. By the end of the year, it had spread to Martinique and Guadeloupe, with suspected cases in Saint Barthélemy. By the end of January 2014, cases had been confirmed in Saint Barthélemy, as well as the British Virgin Islands, Dominica, and French Guiana. On the basis of 4,000 confirmed cases and over 30,000 suspected cases, the Caribbean Public Health Agency (CARPHA) declared a Caribbean-wide epidemic of the virus in early May. By the end of May, four cases of chikungunya had been confirmed in Florida. By July 2014 there were an estimated 355,000 cases in the Caribbean.〔(【引用サイトリンク】title=Chikungunya outbreak exceeds 355,000 cases )〕 By August 2014, 25 Caribbean countries had confirmed at least one case.〔(【引用サイトリンク】title=Chikungunya in the Caribbean )〕 ==Background== (詳細はarbovirus common to tropical regions of Africa and Asia. It is spread to humans by ''Aedes'' mosquitoes (primarily ''Aedes aegypti'') that breed in stagnant water.〔 The virus was first isolated in 1953, and likely first arose during the 1700s.〔 Chikungunya is characterized by a sudden high fever and intense joint pain, between four and seven days after infection.〔〔 It can also cause headaches, muscle pain, fatigue, and rashes. Most infected patients recover within 10 days, and deaths are rare. However, in some cases joint pain can linger for months or years. There is no vaccine or treatment for chikungunya and preventing its spread is difficult.〔 Outbreaks are primarily dealt with through preventive measures, such as wearing long sleeved clothing, and vector population control.〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「2013–14 chikungunya outbreak」の詳細全文を読む スポンサード リンク
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