Government of Maharashtra, Mumbai, India.
Indian J Public Health. 2011 Oct-Dec;55(4):313-6. doi: 10.4103/0019-557X.92413.
The year 2006 witnessed an extensive outbreak of Chikungunya fever in Maharashtra state. Out of 6467 sera of suspected patients sent to National Institute of Virology, Pune, 804 were serologically confirmed. This retrospective study was carried out by interrogating all those patients for their sickness experience. Adult females from rural area were more affected than males. In 68.2% families, there were multiple cases. Fever and multiple joint involvement were almost invariable. In 36.5% patients, there was history of recurrence. Along with pain, slight swelling was noticed in 55% patients. The commonest joints involved were wrist, inter-phalangeal, elbow, knee and ankle, in that order. The pain and swelling persisted for more than a month. After health education during outbreak, there was positive improvement in behavior pertaining to source reduction of vector. Inter-personal communication was best remembered. In health education, the role of paramedical workers and government doctors was prominent.
2006 年，马哈拉施特拉邦爆发了大规模的基孔肯雅热疫情。在送往浦那国家病毒学研究所的 6467 份疑似患者血清中，有 804 份血清学得到确认。本回顾性研究通过询问所有患者的患病经历进行。农村地区的成年女性比男性更容易受到影响。在 68.2%的家庭中，出现了多例病例。发热和多关节受累几乎是不可避免的。36.5%的患者有复发史。在 55%的患者中，除了疼痛外，还出现轻微肿胀。最常见的受累关节依次为腕关节、指间关节、肘关节、膝关节和踝关节。疼痛和肿胀持续了一个多月。在疫情爆发期间进行了健康教育后，与减少病媒来源相关的行为得到了积极改善。人际传播的记忆效果最好。在健康教育中，辅助医疗工作者和政府医生发挥了突出作用。
