CHIKUNGUNYA VIRUS IN TRINIDAD AND TOBAGO

12th MEETING OF CARIBBEAN NATIONAL EPIDEMIOLOGISTS AND LABORATORY DIRECTORS SEPTEMBER 17 – 19, 2014

Presentation Outline

• Background

• Chikungunya virus detection flowchart

• Confirmed Cases

• Challenges

Background

• May 23 – 27, 2011: 1st Sub-regional workshop for the elaboration of the IMS for Dengue Prevention and Control in Trinidad and Tobago

• As part of PAHO/ WHO’s efforts to support countries facing the current dengue situation, the Integrated Management Strategy for Dengue Prevention and Control was developed

• The Dengue-IMS aims to promote the integration of 6 key components for dengue prevention and control at the national, sub-regional and regional levels

Integrated Management Strategy for Dengue and Chikungunya Prevention and Control in Trinidad and

Tobago

Integrated vector

Management

Epidemiologic

Surveillance

Social

communication

Laboratory

Patient care

Environment

Integrated

Management

Strategy

4

INTERSECTORAL COLLABORATION

Integrated Approach

5

CMOH

Surveillance

RHA Reg Corp IVCD

EMA

WASA

AGRICULTURE

NATIONAL SECURITY

FINANCE

WORKS DEPARTMENT

INTER-AGENCY MEETING ON THE CHIKUNGUNYA VIRUS JULY 2, 2014

Suspected Case

Trinidad Public Health Laboratory

(TPHL)

National Surveillance Unit Insect Vector

Control Division

Ministry of Health

Samples collected from Hospitals/

Health Centres /Private Practitioners/

Sentinel Physicians Vector Control activities

+

C.M.O.H /

Health Education

+

Regional Corporation

CARPHA

CHIKUNGUNYA DETECTION FLOWCHART

SOCIAL COMMUNICATION

SOCIAL COMMUNICATION

MINISTRY OF HEALTH

CHIKUNGUNYA FEVER ALERT CARD

Chikungunya (CHIK-that which bends up) is a viral infection transmitted to humans by the bite of an

infected Aedes mosquito.

Symptoms usually begin 3-7 days after being bitten by an infected mosquito Common symptoms include:

There is no vaccine or medication to prevent Chikungunya virus infection or disease.

CONTACT YOUR HEALTH CARE PROVIDER IF YOU SUSPECT

SYMPTOMS OF CHIKUNGUNYA

FOR FURTHER INFORMATION CONTACT:

Corporate Communications Unit : 627-1047

TRINIDAD AND TOBAGO CONFIRMED CASES FOR CHIKUNGUNYA

COUNTY

CONFIRMED WITH CHIKV CASES

St Patrick 1

St George West 1

St George Central 1

TOTAL 3

SYMBOLS

Confirmed

Maraval

Barataria

Trincity

San Fernando

South Oropouche

Penal

Map of Trinidad showing confirmed cases of Chikungunya Virus on July 10th 2014

UWI

Confirmed Chikungunya Virus Cases by Counties Trinidad and Tobago July 10th 2014

Confirmed Chikungunya Virus Cases by Counties Trinidad and Tobago Epidemiologic Week 37 - September 11th 2014

Challenges

• Human Resource

• Time consuming

• Risk/Safety

• Enforcing Legislature

• Behavioural changes – Spraying/ Treat patient

• Incomplete information on laboratory request forms

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