Kenya: 2018 Chikungunya

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Source: https://www.the-star.co.ke/news/2018...mbasa_c1693743

Four die of Cholera as 32 chikungunya fever cases confirmed in Mombasa
Jan. 06, 2018, 12:30 am
By PILI CHIMERAH @secondiddi

... A statement by the health department forwarded to the Mombasa director of communications Richard Chacha said two people have been confirmed to have died of the disease at the Maka area, while the two other cases that were reported at Vijiweni village, Likoni, tested negative.
The statement was issued by county?s chief health officer Hadija Shikely yesterday.
[B]He also reported that 32 cases of chikungunya fever have been confirmed from the 120 cases that had been reported.[?B]

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Source: https://www.standardmedia.co.ke/arti...sed-in-mombasa

New Chikungunya cases diagnosed in Mombasa By Patrick Beja | Published Fri, January 12th 2018 at 09:47, Updated January 12th 2018 at 10:03 GMT +3

Twenty-six new cases of the viral Chikungunya fever have been reported in the county. The cases were diagnosed at the Kenya Medical Research Institute (Kemri), bringing to 58 the number of recorded and confirmed cases in the coastal city...

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Source: https://mareeg.com/kenya-world-healt...ak-in-mombasa/



Kenya: World Health Organization Statement on the Chikungunya Outbreak in Mombasa
18th January 2018 Mo Featured, Kenya 0

MOMBASA, Kenya, January 18, 2018?World Health Organization, WHO, is helping the government to contain an outbreak of Chikungunya in Mombasa following reports from clinicians of increased unknown febrile illness that presented with very high fever, joint pains and general body weakness. The tests were found malaria negative and sometimes dengue fever negative.

The outbreak has affected all the six-sub counties namely, Mvita, Kisauni, Nyali, Changamwe, Jomvu and Likoni. Most cases are found on the island, Mvita.

By January 4, 2018, the Ministry of Health had reported 69 cases of which 32 samples have been tested at the Kenya Medical Research Institute (KEMRI) Labs in Nairobi. Twenty-seven (27) of the cases were found positive while five were negative...

...The Ministry of Health is monitoring the situation and Kenya Medical Research Institute, KEMRI, has sent a rapid response team to support Mombasa County after initial lab examination found positive cases. Of the eight samples, 50% (4) were confirmed positive for chikungunya and 50% (4) for dengue. In addition, two (2) samples had both chikungunya and Dengue (Co infection). WHO is providing technical support and is monitoring the situation. An emergency officer is on the ground to do a rapid assessment and to support the teams, Country Representative Dr Rudi Eggers has said...

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Source: https://www.the-star.co.ke/news/2018...gunya_c1710184



Nakuru confirms two cases of chikungunya
Feb. 06, 2018, 6:00 pm
By RITA DAMARY

The Ministry of health has confirmed cases of the chikungunya virus in Nakuru county.

Samples from two people, whose suspected cases were reported last week, were taken to the Kenya Medical Research Institute laboratory in Nairobi.

County medical services director Solomon Sirma confirmed infection on Tuesday saying the two were admitted at Nakuru Level Five Hospital.

"They were later discharged in stable condition," he told a press briefing...

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Source: http://allafrica.com/stories/201802100152.html

10 February 2018
The Nation (Nairobi)
Kenya: 'Chikungunya and Dengue Fever Contained'
By Winnie Atieno

Chikungunya and dengue fever, two painful and debilitating mosquito-borne diseases that broke out in Mombasa in December have been contained.

This is a relief to residents.

Early this week, Governor Hassan Joho had been hospitalised in a Mombasa hospital suspected to have contracted chikungunya.

However, Mvita MP Abdulswamad Nassir said the county boss was suffering from malaria...

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Source: https://www.the-star.co.ke/news/2018...lages_c1714469

Lamu fights to stop spread of chikungunya in villages
Feb. 15, 2018, 12:15 am
By CHETI PRAXIDES

Cases of chikungunya virus have been reported in Lamu county.

Four people who tested positive for the Chikungunya virus are all from Tchundwa village, Lamu East.

Acting Health chief officer David Mulewa said blood samples from residents who had shown symptoms of chikungunya were sent to the Kenya Medical Research Institute early this month. Four tested positive. The symptoms included joint pain and high fever...

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Source: http://www.who.int/csr/don/27-februa...unya-kenya/en/
Chikungunya ? Mombasa, Kenya

Disease outbreak news
27 February 2018

From mid-December 2017 through 3 February 2018, the Ministry of Health (MoH) of Kenya reported 453 cases, including 32 laboratory-confirmed cases and 421 suspected cases, of chikungunya from Mombasa County.
The outbreak was detected due to an increase in the number of patients presenting to health facilities in Mombasa Country with high grade fever, joint pain and general body weakness.
On 13 December 2017, eight blood samples from two private hospitals were collected and submitted to the Kenya Medical Research Institute (KEMRI) arbovirus laboratory in Nairobi. Of the eight samples tested, four were positive for chikungunya and four were positive for dengue by polymerase chain reaction (PCR) analysis. On 4 January 2018, blood samples were collected from 32 additional suspected cases and sent to the KEMRI laboratory. Of these, 27 samples tested positive and five samples tested negative for chikungunya by PCR.
A large proportion, approximately 70%, of cases reported severe joint pain and high grade fever. The scale of this outbreak has likely been underestimated given the under-reporting of cases and low levels of health-seeking behaviors among the affected population. The large mosquito breeding sites in affected areas and inadequate vector control mechanisms also represent major propagating factors.
Based on reports from peripheral health facilities, the outbreak has spread to the six sub-counties (Changamwe, Jomvu, Kisauni, Likoni, Mvita and Nyali) of Mombasa and one in Kilifi: with the majority of suspected cases reported from Mvita and Likoni in Mombasa.
Public health response

The following public health measures are ongoing:

• WHO is supporting the MoH in drafting a chikungunya response plan for Mombasa County;
• WHO is supporting the National Emergency Operations Centre with analyzing data and developing situation reports;
• Vector control activities, including eliminating mosquito breeding sites, fogging and indoor residual spraying;
• Chikungunya outbreak alert and fact sheet were issued to all health facilities, including private hospitals, in the affected areas;
• Information, education and communication materials were developed and distributed to households by the community health volunteers.

WHO risk assessment

Based on the available information, the risk of continued transmission in affected areas and spread to unaffected areas cannot be ruled out.
Mombasa is the second largest city in Kenya with approximately 1.2 million inhabitants. The city has a rapidly growing population, and some areas experience overcrowding, numerous open dump sites, inadequate drainage, stagnant water and ample breeding sites for mosquitoes. These factors make Mombasa particularly vulnerable to vector-borne diseases. Mombasa County is also a popular tourist destination and a sub-regional transportation hub with connections to Rwanda, Tanzania and Ethiopia. This is the first time that active circulation of chikungunya has been laboratory confirmed in Mombasa. Further sequencing of the circulating virus is therefore needed to better assess the current epidemiologic situation.
WHO advice

Personal protection

Basic precautions should be taken by people living in and travelling to Mombasa County. These precautions include the use of repellents, wearing long sleeves and pants and ensuring rooms are fitted with screens to prevent mosquitoes from entering.
Clothing which minimizes skin exposure to the day-biting mosquitoes is advised. Repellents can be applied to exposed skin or to clothing in strict accordance with product label instructions. Repellents should contain DEET (N, N-diethyl-3-methylbenzamide), IR3535 (3-[N-acetyl-N-butyl]-aminopropionic acid ethyl ester) or icaridin (1-piperidinecarboxylic acid, 2-(2-hydroxyethyl)-1-methylpropylester). The use of air conditioning, window screens, mosquito coils or other insecticide vaporizers as well as sleeping under a mosquito bed net even during the day are recommended to prevent biting by mosquitos indoors.
Vector control

Prevention and control relies heavily on reducing the number of the natural and artificial water-filled container habitats that act as mosquito breeding sites. This requires mobilizing the affected communities, strengthening entomological monitoring to assess impact of control measures and implementing additional controls as needed to avoid misconceptions and false rumors.
WHO advises against the application of any travel or trade restrictions on Kenya based on the information currently available.
For more information, please see the link below:

• WHO fact sheet on Chikungunya

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Related links

• Fact sheet on chikungunya
• More chikungunya outbreak news
• Kenya country profile
• Information about all vector-borne diseases

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Source: https://www.standardmedia.co.ke/heal...rest-community

Lamu's Boni tribe afflicted by chikungunya without medicare care, report
By Jane Mugambi | Published Fri, March 30th 2018 at 00:00,
Updated March 29th 2018 at 22:35 GMT +3

Medical officials and local leaders in Basuba ward of Lamu East constituency say the hunter-gatherer Aweer community has been severely afflicted by the viral chikungunya fever.

While the politicians want urgent intervention, medical authorities report that response has been hampered by insecurity in area inhabited by the community.

There are about 600 ethnic Aweer families, also known as Boni, in Basuba ward, which includes Mararani. Most of them live in forested areas where a military operation against insurgents is in progress...