Emerging Infectious Diseases, August 1st, 2007
To the Editor: The outbreak of chikungunya fever that started in the Indian Ocean Islands in early 2005 (1) spread through adjoining islands and appeared in peninsular India by late 2005 (2). It was first noticed in the southern state of Andhra Pradesh in February 2006; it spread to Tamil Nadu in April 2006 and to Karnataka and Kerala in May. The western state of Gujarat also reported cases in April, but no cases were reported in May and June. The disease again reappeared in July and reached a peak in August. Later it affected the central Indian states of Maharashtra and Madhya Pradesh. In m...
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