Patil Supriya Satish, Patil Satish R, Durgawale P M, Patil A G
Associate professor, Department of Community Medicine.
J Clin Diagn Res. 2013 Jun;7(6):1059-62. doi: 10.7860/JCDR/2013/5330.3061. Epub 2013 Apr 10.
Chikungunya fever occurred in an epidemic form in the state of Maharashtra after a gap of about 32 years. Many cases with symptoms which were suggestive of Chikungunya fever were reported from the village Kasegaon, Dist Sangli, Maharashtra, India. Hence, this study was done to assess the magnitude of the outbreak and to identify the possible socio-environmental factors which are responsible for Chikungunya fever.
This cross sectional study was carried out at Kasegaon by a team from the Krishna Institute of Medical Sciences, Karad, Maharashtra, in collaboration with the Primary Health Centre, Kasegaon, Distt. Sangli.
The Chikungunya prevalence was 9.6%. There were 154 clinically suspected Chikungunya fever cases. Of these, 54.5% were males and 45.5% were females. About 72.7% of the cases were in the age range of 11-50 years, which is the active age group. The main symptoms were an acute onset of fever with joint pain (100%). Multiple joints were involved in (89.6%) cases. The mean duration of the fever was 3 days (range 1-10 days). About 40.3% people preferred to consult a government health facility. In the affected area, 83.1% people were aware of Chikungunya fever. Only few (1.1%) knew the vectors which were responsible for the Chikungunya transmission. Among the people in the affected area, 33.1% had knowledge on insecticide spraying, 23.2% had knowledge on the use of mosquito nets and repellents, 12.5% had knowledge on source reduction and 0.8% had knowledge on larvicides.
在间隔约32年后，马哈拉施特拉邦爆发了基孔肯雅热疫情。印度马哈拉施特拉邦桑利县卡塞冈村报告了许多有基孔肯雅热症状的病例。因此，开展本研究以评估疫情规模，并确定可能导致基孔肯雅热的社会环境因素。
本横断面研究由马哈拉施特拉邦卡拉德市克里希纳医学科学研究所的一个团队与桑利县卡塞冈村初级卫生中心合作，在卡塞冈开展。
基孔肯雅热患病率为9.6%。有154例临床疑似基孔肯雅热病例。其中，男性占54.5%，女性占45.5%。约72.7%的病例年龄在11至50岁之间，这是活跃年龄组。主要症状为突发发热伴关节疼痛（100%）。89.6%的病例累及多个关节。发热平均持续时间为3天（范围1至10天）。约40.3%的人更愿意咨询政府卫生机构。在受影响地区，83.1%的人知晓基孔肯雅热。只有少数人（1.1%）知道导致基孔肯雅热传播的媒介。在受影响地区的人群中，33.1%的人了解杀虫剂喷洒，23.2%的人了解蚊帐和驱蚊剂的使用，12.5%的人了解源头减少措施，0.8%的人了解杀幼虫剂。
