Sustained Low-Level Transmission of Zika and Chikungunya Viruses after Emergence in the Fiji Islands
Mike Kama
1, Maite Aubry
1, Taina Naivalu, Jessica Vanhomwegen, Teheipuaura Mariteragi-Helle, Anita Teissier, Tuterarii Paoaafaite, Stéphane Hué, Martin L. Hibberd, Jean-Claude Manuguerra, Ketan Christi, Conall H. Watson, Eric J. Nilles, John Aaskov, Colleen L. Lau, Didier Musso, Adam J. Kucharski
1, and Van-Mai Cao-Lormeau
1
Author affiliations: Fiji Centre for Communicable Disease Control, Suva, Fiji (M. Kama); The University of the South Pacific, Suva (M. Kama, T. Naivalu, K. Christi); Institut Louis Malardé, Papeete, Tahiti (M. Aubry, T. Mariteragi-Helle, A. Teissier, T. Paoaafaite, D. Musso, V.-M. Cao-Lormeau); Fiji National University, Suva (T. Naivalu); Institut Pasteur, Paris, France (J. Vanhomwegen, J.-C. Manuguerra); London School of Hygiene and Tropical Medicine, London, UK (S. Hué, M.L. Hibberd, C.H. Watson, A.J. Kucharski); World Health Organization, Suva (E.J. Nilles); Harvard Medical School and Brigham and Women’s Hospital, Boston, Massachusetts, USA (E.J. Nilles); Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA (E.J. Nilles); Queensland University of Technology, Brisbane, Queensland, Australia (J. Aaskov); Australian National University, Canberra, Australian Capital Territory, Australia (C.L. Lau); Aix Marseille University, Marseille, France (D. Musso)
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Figure
Figure. Reports of patients with acute fever and rash, prolonged fever, and infections with dengue, Zika, or chikungunya viruses confirmed by reverse transcription PCR in Fiji, 2013–2017. Number of dengue, Zika, or chikungunya virus infections were confirmed by reverse transcription PCR. Asterisks (*) indicate imported chikungunya virus infections. CHIKV, chikungunya virus; DENV-1, dengue virus serotype 1; DENV-2, dengue virus serotype 2; DENV-3, dengue virus serotype 3; DENV-4, dengue virus serotype 4; DENV?, information on dengue virus serotype not available; ZIKV, Zika virus.
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