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Chikungunya Virus Infections in Military Deployments in Tropical Settings—A Narrative Minireview

1
Department of Microbiology and Hospital Hygiene, Bundeswehr Hospital Hamburg, 22049 Hamburg, Germany
2
Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, 18057 Rostock, Germany
3
Institute for Experimental Gene Therapy and Cancer Research, Rostock University Medical Center, 18057 Rostock, Germany
*
Author to whom correspondence should be addressed.
Viruses 2019, 11(6), 550; https://doi.org/10.3390/v11060550
Received: 10 May 2019 / Revised: 11 June 2019 / Accepted: 12 June 2019 / Published: 14 June 2019
(This article belongs to the Special Issue Chikungunya Virus and (Re-) Emerging Alphaviruses)
Chikungunya fever is a vector-borne viral disease in subtropical and tropical areas of endemicity. Apart from the burden on local populations, chikungunya virus infection also poses a risk for travelers and, in particular, soldiers during prolonged deployment-associated outdoor activities. The absence of rapid diagnostic tests makes surveillance challenging during military deployments in war and crisis zones with restricted medical infrastructure. Consequently, both historical and up-to-date surveillance data from battlefields are scarce. From several studies and postdeployment assessments, some information on the epidemiology of chikungunya virus infections in deployed military personnel is nevertheless available. The few published data homogeneously suggest a low infection risk in the endemic setting. During outbreaks, however, the infection risk of military personnel is comparable to that of the local population. Infection clusters of soldiers without pronounced outdoor activity have been reported under such circumstances as well. In spite of efforts focusing on the development of a chikungunya virus vaccine, no licensed product is available so far. View Full-Text
Keywords: chikungunya virus; military deployment; epidemiology; soldiers; risk assessment chikungunya virus; military deployment; epidemiology; soldiers; risk assessment
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Frickmann, H.; Herchenröder, O. Chikungunya Virus Infections in Military Deployments in Tropical Settings—A Narrative Minireview. Viruses 2019, 11, 550.

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