2006
DOI: 10.1371/journal.pmed.0030263
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Genome Microevolution of Chikungunya Viruses Causing the Indian Ocean Outbreak

Abstract: BackgroundA chikungunya virus outbreak of unprecedented magnitude is currently ongoing in Indian Ocean territories. In Réunion Island, this alphavirus has already infected about one-third of the human population. The main clinical symptom of the disease is a painful and invalidating poly-arthralgia. Besides the arthralgic form, 123 patients with a confirmed chikungunya infection have developed severe clinical signs, i.e., neurological signs or fulminant hepatitis.Methods and FindingsWe report the nearly comple… Show more

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Cited by 1,031 publications
(1,076 citation statements)
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“…Alternatively, the fact that the outbreak occurred on an island with European health standards may have increased the chance of identifying and documenting such events [1]. On the other hand, the spread of Chikungunya virus during the outbreak on Re´union was found to have novel molecular features, which may have led to its increased virulence [18,19]. During the 2005 outbreak, the incidence of atypical infections on Re´union was 0 .…”
Section: Discussionmentioning
confidence: 99%
“…Alternatively, the fact that the outbreak occurred on an island with European health standards may have increased the chance of identifying and documenting such events [1]. On the other hand, the spread of Chikungunya virus during the outbreak on Re´union was found to have novel molecular features, which may have led to its increased virulence [18,19]. During the 2005 outbreak, the incidence of atypical infections on Re´union was 0 .…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, I211T destabilized and G82R stabilized the three dimensional structure of the E2 protein. A large epidemic of CHIKV occurred in 2004-2009 in the Indian Ocean region affecting millions of people [33]. A point mutation in the E1 protein (A226V) was identified in most of the virus isolates of this epidemic.…”
Section: Mutational Analysismentioning
confidence: 99%
“…Ross during an outbreak of dengue-like fever in Tanzania, East Africa in 1952 (Ross, 1956). During 2005During -2006, an epidemic outbreak of CHIK fever occurred on several islands in the Indian Ocean and in India, resulting in millions of clinically suspected cases (Mavalankar et al, 2007;Schuffenecker et al, 2006). In 2006, there was a major outbreak of CHIKV infection in India with 1.39 million reported cases (Lahariya and Pradhan, 2006).…”
Section: Introductionmentioning
confidence: 99%