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    "en": "Chikungunya is a mosquito-borne viral infection caused by the chikungunya virus. It causes fever and severe arthralgia (joint pain) which is often debilitating. The disease can be endemic and epidemic in countries (WHO, 2020). <br /> <p>WHO, 2020. <a href=\"https://www.who.int/news-room/fact-sheets/detail/chikungunya\">Chikungunya. World Health Organization (WHO)</a>. Accessed 4 November 2020.</p>"
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      "Chikungunya is a mosquito-borne viral disease first described during an outbreak in southern Tanzania in 1952. It is an RNA virus that belongs to the Alphavirus genus of the family Togaviridae. The name ‘chikungunya’ derives from a word in the Kimakonde language, meaning ‘to become contorted’, and describes the stooped appearance of sufferers with joint pain (arthralgia) (WHO, 2020). Chikungunya virus is transmitted between humans through the bites of infected mosquitoes – mainly of the Aedes aegypti and A. albopictus species. Both species can also transmit other mosquito-borne viruses, including dengue and Zika fever viruses. The clinical picture of the infection is characterised by abrupt onset of fever frequently accompanied by arthralgia. Other symptoms include muscle pain, headache, nausea, fatigue and a rash usually involving the limbs and trunk (WHO, 2020). Laboratory diagnosis is via serological and/or virological testing. Serological testing may confirm the presence of antichikungunya antibodies. Immunoglobulin M (IgM) antibody levels are highest three to five weeks after onset of symptoms. Virological testing may isolate the virus itself and should be performed on samples collected during the first week after onset of symptoms (WHO, 2020)."
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