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INVS - Chikungunya in the Caribbean - Guyana - Epidemiological Update - March 14, 2014

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
INVS - Chikungunya in the Caribbean- Guyana -
Epidemiological Update - March 14, 2014


google translated

March 13, 2014

The epidemiological | CARIBBEAN GUYANA | - No. 09 /2014

Chikungunya in the Antilles -Guyane

Bulletin March 3 to 9, 2014 (Week S2014 -10)

Saint- Martin

Since late November 2013, the number of cases
clinically suggestive seen in medicine
city ​​is estimated at 2560 to 9 March 2014. from
early January, the number of cases
weekly fluctuates around 200 cases . the
trend is difficult to characterize with 358
case in Week 9 and 178 in week 10 . these
two weeks have been disturbed by
carnival

Spatial distribution of cases: The epidemic is
widespread throughout the French part
the island of Saint Martin .

Conclusions Saint - Martin: The chikungunya epidemic is widespread and continues to
Saint Martin . Transmission remains strong and widespread throughout the island ( Phase 3b of
Psage - chik ) .
Estimated weekly number of cases clinically suggestive of
chikungunya seen by GPs under
their activity - Saint Martin - S 2013-48 to 2014-10

Saint Martin:
- 2,560 cases clinically suggestive
- 781 probable or confirmed cases
- 3 deaths recorded


Saint Barth?lemy

Estimated weekly number of cases clinically suggestive of
chikungunya seen by GPs under
their activity - Saint Barthelemy S 2013-52 to 2014-10
Since 23 December 2013 , the Supervisory
weekly cases clinically
evocative has identified 410 cases
clinically suggestive until March 12
2013. The number of cases seen in
in week 09 is 30 and 4 week
10 . The trend is down but
trend is confirmed for the period post
Carnival.

Spatial distribution of cases: The epidemic is
generalized on the whole of the island.

Conclusions Saint - Barth: Epidemiological indicators confirm the continued
the chikungunya epidemic on St. Bartholomew. This community was placed on Dec. 30
2013 Phase 3a of Psage ( proven epidemic ) , a situation confirmed on 13 March 2014.


Saint Barth?lemy :
- 410 cases clinically suggestive
- 134 probable or confirmed cases


Martinique

Since December 2013, the number of cases
clinically suggestive seen by doctors
general is estimated at 5680 . after
Exponential growth of 8 weeks,
assists for 3 weeks at a trend
stability with a weekly that number
reaches 900 cases . This stable trend
remains to be confirmed on the post- Carnival period .

Spatial distribution of cases: the Common
most affected remains Fort de France but
North Coast Caribbean, Saint Schoelcher
Peter is also very touched .

Conclusions for Martinique : Epidemiological indicators confirm the continued
the epidemic in Martinique is placed in phase 3a of Psage since 24 January 2014. the
dynamics of the epidemic has stabilized for three weeks.
Estimated weekly number of cases clinically suggestive of
chikungunya seen by GPs under
their activity - Martinique S2013 - 49 to 2014-10 .


Martinique :
- 5680 cases clinically suggestive
- 1 058 probable or confirmed cases
- 1 death recorded


Guadeloupe

The weekly number of cases clinically
suggestive diagnosed by doctors
general is stable for three weeks
( mid-February) , between 150 and 180.
This number is lower than four
previous weeks ( 20/01-16/02 ) , including
between 230 and 250 cases . This compaction 3
last week needs to be confirmed .
Spatial distribution of cases: It varies
not relative to the previous point. The incidence
accumulated since late December is greater than
average in four municipalities.

Conclusions for Guadeloupe :
The epidemiological situation of
chikungunya changed little in Guadeloupe .
The Committee of Experts disease
or emerging infectious meets
that on March 13 to discuss
precisely the set of indicators.
In anticipation of this meeting, the
epidemiological situation is
Phase 2 of Psage : chains
localized transmission .


Guadeloupe :
- 1,800 cases clinically suggestive
- 529 probable or confirmed cases


Guyana

Since the identification of an epidemic outbreak in Kourou 19
February 2014, new cases were identified: total
29 confirmed cases (19 indigenous and 10 imported) and 2 cases
likely were recorded.

Spatial distribution of cases: The majority ( 72%) cases
confirmed or probable was identified in Kourou . other
indigenous cases were reported in Cayenne, R?mire -
Montjoly and Macouria .

Conclusions for Guyana :
The evolution of the situation in Guyana
indicates a virus circulation
on the Guiana coast. most
cases is located in Kourou
However, other cities are
also affected in particular
the island of Cayenne . The situation is
Phase 2 of Psage : transmission
Aboriginal moderate .

Guyana:
- 21 probable or confirmed cases indigenous
- 10 confirmed cases imported

General Conclusions

For epidemic territories , stability is observed in the last three weeks
in Martinique where the epidemic is most active and St. Martin , a decrease
is observed at Saint Barth?lem . These trends need to be confirmed at
the coming weeks.

For Guadeloupe , a slowdown is observed but there is also a confirmation
Over the next week should be expected.

Guyana, virus circulation remains moderate but extends from the outbreak identified
in the town of Kourou and now affects the island of Cayenne .
The interpretation of the most recent data is difficult because of the period of
carnival which led to the closure of many medical practices.


Epidemiological update | CARIBBEAN GUYANA | - No. 09 /2014
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