Fever epidemic moves into Sri Lanka

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.39051.725729.3A (Published 07 December 2006) Cite this as: BMJ 2006;333:1220
  1. Suranjith L Seneviratne, consultant clinical immunologist1,
  2. Jennifer Perera, professor of microbiology2
  1. 1Department of Clinical Immunology, Manchester Royal Infirmary, Manchester, M13 9WL suran200@yahoo.co.uk
  2. 2University of Colombo, Sri Lanka

    Patients with chikungunya viral infections also spread by the aedes mosquito are being reported from Sri Lanka. Refugees from Indian cities where this disease is epidemic have returned to some cities1 and may have carried the virus across.

    Over the past months, many cases of chikungunya viral infection have been reported from India, some islands in the Indian Ocean, Malaysia, and other South East Asian countries.2 3 According to the World Health Organization, over 1 million suspected cases have been reported since the beginning of this year. Imported cases have been reported from Europe, the United States, and Australia.4 In the United Kingdom, 93 cases have been reported by the Health Protection Agency in the first eight months of this year among travellers returning from regions where the disease is endemic.5 In the US, cases were reported in Louisiana and Maryland among returning travellers, prompting the Centers for Disease Control and Prevention to advise clinicians to be alert to the appearance of more cases.

    Effective mosquito control measures are paramount in keeping these diseases under control. Both political will and community participation must come together to make effective strides in protecting people's health from these different mosquito borne diseases. If not, people from these regions will continue to be held to ransom by these different viruses, protozoa, and other micro-organisms using the mosquito as the messenger service.


    • Competing interests: None declared.


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