“…This outbreak started in the Virgin Islands and further extended to Cuba, Jamaica, Colombia, Venezuela, some port cities in the southern United States (New Orleans, Pensacola, Savannah, and Charleston), and Mexico. [15][16][17] Although this outbreak was originally described as dengue, the clinical characteristics of the cases were classic chikungunya disease, strongly suggesting that its cause was chikungunya virus. 18 The historical record suggests this outbreak was the sole introduction of chikungunya into the American Region as a consequence of the African slave trade.…”