warning 46 countries ICD-10 A920

Chikungunya mosquito-borne viral fever

Chikungunya mosquito-borne viral fever clinical and global spread profile: 46 countries, 58 WHO outbreak events since 2006.

Chikungunya mosquito-borne viral fever · ICD-10 A920 · ICD-11 1D40 · 58 WHO events across 46 countries (2006–2025).

Top affected countries

Country Region Events % of global
Kenya AFR 3 5%
France EUR 3 5%
Senegal AFR 2 3%
Italy EUR 2 3%
Bolivia (Plurinational State of) AMR 2 3%
India SEAR 2 3%
Réunion 2 3%
United States of America AMR 2 3%
Paraguay AMR 2 3%
Argentina AMR 2 3%
Peru AMR 1 2%
Belize AMR 1 2%
Costa Rica AMR 1 2%
Canada AMR 1 2%
Comoros AFR 1 2%

Distribution by WHO region

Region Events Share
AMR 22 38%
AFR 9 16%
WPR 7 12%
EUR 6 10%
SEAR 6 10%
Unassigned 5 9%
EMR 3 5%

Annual outbreak timeline

Year Events Countries
2025 38 38
2023 5 5
2020 1 1
2019 1 1
2018 2 2
2017 2 2
2016 3 3
2015 2 2
2014 1 1
2013 1 1
2006 2 2

Peak year: 2025 (38 events).

Decade summary

Decade Events
2000s 2
2010s 12
2020s 44

WHO case definition

Individuals are infected with the virus through a mosquito bite from Aedes mosquitos (Aedes albopictus and A. aegypti). Concomitant fever and arthalgia are a common specific sign although infection can present with non-specific symptoms that can be confused with Dengue including headache, rash and myalgia. Free virions are transported via the blood to the liver (hepatocyte apoptosis), muscle, joints and secondary lymphoid organs (adenopathy), wherein the virus replicates. Viral replication is associated with an infiltration of mononuclear cells including macrophages, which underlies the debilitating pain experienced in the muscles and joints, which can persist for months to years post infection. A small percentage of infected individuals remain asymptomatic, this is more common in patients under 25 years old. Age over 40 years is a risk factor for chronicity of symptoms. Encephalitis, Guillain-Barre sundrome and arthritis are rare complications of infection with Chikungya virus.

Countries Affected

46

Outbreak Events

58

Year Range

2006–2025

coronavirus

ICD-10 A920

Chikungunya mosquito-borne viral fever

Visualization

Global Prevalence Snapshot

Based on WHO Disease Outbreak News events (2006–2025).

58 Outbreak events · Emerging / Moderate

Risk Level

Endemic / High Risk
Emerging / Moderate
Sporadic / Low Risk