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Disease overview

Viral

Chikungunya

基孔肯雅热

Evidence-backed informationEN 5/7 applicable sections · ZH 5/7 applicable sectionsUpdated Sep 3, 2026

Chikungunya is a mosquito-borne viral disease caused by an RNA alphavirus (Togaviridae) and transmitted primarily by Aedes aegypti and Aedes albopictus mosquitoes, leading to large-scale outbreaks across tropical, sub-tropical and increasingly temperate regions [1][2][3][4]. Acute illness is dominated by fever and often debilitating joint pain that may persist for weeks to months, with most infections being self-limiting [2][3][4]. Since 2004 the virus has expanded into more than 110 countries in Africa, Asia, Europe and the Americas, aided by viral adaptations enhancing transmission by Ae. albopictus and by introduction into immunologically naïve populations [2][3][5].

Read the full clinical and epidemiological profile6
Definition

Chikungunya is a mosquito-borne viral disease caused by chikungunya virus (CHIKV), a positive-strand RNA virus in the alphavirus genus of the family Togaviridae [2][3][5]. The name derives from a Kimakonde term meaning "that which bends up," referring to the contorted posture of patients with severe joint pain [2][3]. The clinical syndrome is also termed chikungunya fever (CHIKF) [4].

Clinical features

Symptoms typically appear 4–8 days (range 2–12 days) after the bite of an infected mosquito and begin abruptly with fever frequently accompanied by severe joint pain [2][3]. Other common features include muscle pain, headache, nausea, fatigue and rash; most symptoms are self-limiting and resolve within 2–3 days, although arthralgia can persist for weeks, months or longer in some patients [1][2][3]. Chikungunya is rarely fatal, but atypical and severe presentations, including persistent arthralgia and neurological complications such as encephalitis, meningitis and Guillain-Barré syndrome, as well as occasional deaths, have been described during outbreaks [2][4].

Epidemiology

CHIKV was first identified in the United Republic of Tanzania in 1952 and subsequently detected across Africa and Asia, with urban outbreaks first recorded in Thailand in 1967 and India in the 1970s [2][3]. Since 2004, outbreaks have become more frequent and widespread, driven partly by viral adaptations enabling more efficient transmission by Aedes albopictus and by introduction into immunologically naïve populations; the virus has now been identified in over 110 countries across Asia, Africa, Europe and the Americas [2][3][5]. Local mosquito-borne transmission was first reported in the Americas in late 2013, after which large outbreaks affected most countries in the region, while in newly affected areas such as parts of Europe and North America warm settings where Aedes mosquitoes thrive are particularly vulnerable [1][2][3]. On islands where a high proportion of the population becomes infected, transmission can be interrupted for several years before resurging once susceptibility returns [2].

Transmission

CHIKV is transmitted to humans through the bites of infected female mosquitoes, most commonly Aedes aegypti and Aedes albopictus, which can also transmit dengue and Zika viruses [1][2][3]. These vectors bite primarily during daylight hours, with peaks in the early morning and late afternoon; Ae. aegypti feeds both indoors and outdoors while Ae. albopictus feeds mainly outdoors, and both lay eggs in containers with standing water [2][3]. Humans infected with CHIKV can serve as a source of virus for uninfected mosquitoes, so patients should avoid mosquito exposure during the first week of illness to limit further spread [2].

Prevention

Avoidance of mosquito bites is the main protection against CHIKV infection, and during the first week of illness patients should prevent further mosquito exposure to reduce onward transmission [2]. Core community measures focus on vector control by emptying and cleaning water-holding containers weekly, disposing of waste and supporting local mosquito control programmes, with insecticide spraying used during outbreaks to reduce adult mosquito populations [2]. Two chikungunya vaccines have received regulatory approval or recommendation in several countries for at-risk populations but are not yet widely available or in widespread use; clinical management is supportive, with paracetamol or acetaminophen preferred for fever and pain until dengue is excluded because NSAIDs may increase bleeding risk [2].

References
  1. 1World Health Organization. Chikungunya [Internet]. cited 3 Sept 2026.Available from: https://www.who.int/news-room/questions-and-answers/item/chikungunya
  2. 2World Health Organization. Chikungunya fact sheet [Internet]. cited 3 Sept 2026.Available from: https://www.who.int/news-room/fact-sheets/detail/chikungunya
  3. 3World Health Organization. Chikungunya [Internet]. cited 3 Sept 2026.Available from: https://www.who.int/health-topics/chikungunya
  4. 4de Lima Cavalcanti TYV et al. A Review on Chikungunya Virus Epidemiology, Pathogenesis and Current Vaccine Development. Viruses. 2022 May 5. PMID: 35632709. doi: 10.3390/v14050969.PubMed: https://pubmed.ncbi.nlm.nih.gov/35632709/
  5. 5de Souza WM et al. Chikungunya virus and other emerging arthritogenic alphaviruses. Nat Rev Microbiol. 2025 Sep. PMID: 40335675. doi: 10.1038/s41579-025-01177-8.PubMed: https://pubmed.ncbi.nlm.nih.gov/40335675/
Coding Register
ICD-10
A92.0
ICD-11
1D46
Key Statistics
Total cases
1.9M
Peak month
2024-03
Coverage
39 reporting countries · 2000-01-01 → 2026-09-01

Coverage

Reporting countries and regions

39 locations

Monthly patterns over time

Research Radar

Recent related research

View all research →

Showing 5 of 41 related publications.

Literature links are provided for discovery and do not alter or validate the surveillance series above.

Data access

Page dataset index with source links and update metadata.

Rows4,729
Updated2026-09-01
Coverage
Partitions6
Source32 series · 1,396 observations
Official sourcesAuthority, cadence, notes54
Austria

Austria AGES Radar for Infectious Diseases

Austria

Source
monthlyofficial_monthly_csv

AGES Radar monthly national source. Internal ingestion retains native categories; public release is disabled pending licence review.

Australia

Australia NINDSS

Australia

Source
monthlymicrosoft_bi

Australian national notifiable diseases surveillance dashboard.

Australian Capital Territory, Australia

Australia NINDSS — Australian Capital Territory

Australian Capital Territory, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Australian Capital Territory, kept separate from the Australia national aggregate.

New South Wales, Australia

Australia NINDSS — New South Wales

New South Wales, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for New South Wales, kept separate from the Australia national aggregate.

Northern Territory, Australia

Australia NINDSS — Northern Territory

Northern Territory, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Northern Territory, kept separate from the Australia national aggregate.

Queensland, Australia

Australia NINDSS — Queensland

Queensland, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Queensland, kept separate from the Australia national aggregate.

South Australia, Australia

Australia NINDSS — South Australia

South Australia, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for South Australia, kept separate from the Australia national aggregate.

Tasmania, Australia

Australia NINDSS — Tasmania

Tasmania, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Tasmania, kept separate from the Australia national aggregate.

Victoria, Australia

Australia NINDSS — Victoria

Victoria, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Victoria, kept separate from the Australia national aggregate.

Western Australia, Australia

Australia NINDSS — Western Australia

Western Australia, Australia

Source
monthlymicrosoft_bi

Australian NINDSS monthly state/territory notifications for Western Australia, kept separate from the Australia national aggregate.

Belgium

ECDC Surveillance Atlas — Belgium Annual Baseline

Belgium

Source
annualofficial_ecdc_rest_aggregate

Belgium annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Brazil

Brazil DATASUS SINAN

Brazil

Source
monthlyftp_dbc

Brazil Ministry of Health DATASUS/SINAN public DBC microdata aggregated to national monthly notification counts.

Switzerland

Switzerland FOPH IDD

Switzerland

Source
weeklyrest_api

Switzerland FOPH/BAG IDD mandatory reporting API normalized to national case rows. Monthly series may use the dashboard CHFL aggregate where CH-only monthly series are not exposed.

China

China CDC Weekly

China

Source
MONTHLYweb

Monthly notifiable infectious disease reports published by China CDC.

China

National Disease Control and Prevention Administration

China

Source
MONTHLYweb

Official China public health bulletin and query portal.

China

PubMed

China

Source
MONTHLYweb

Biomedical literature discovery feed used as supplementary context.

Cyprus

ECDC Surveillance Atlas — Cyprus Annual Baseline

Cyprus

Source
annualofficial_ecdc_rest_aggregate

Cyprus annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Czechia

ECDC Surveillance Atlas — Czechia Annual Baseline

Czechia

Source
annualofficial_ecdc_rest_aggregate

Czechia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Germany

Germany RKI SurvStat 2.0

Germany

Source
weeklyofficial_webforms_csv_export

RKI SurvStat national weekly notification export; raw ZIP exports are retained and recent weeks are overwritten for revisions.

Denmark

ECDC Surveillance Atlas — Denmark Annual Baseline

Denmark

Source
annualofficial_ecdc_rest_aggregate

Denmark annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Estonia

ECDC Surveillance Atlas — Estonia Annual Baseline

Estonia

Source
annualofficial_ecdc_rest_aggregate

Estonia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Spain

ECDC Surveillance Atlas — Spain Annual Baseline

Spain

Source
annualofficial_ecdc_rest_aggregate

Spain annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Finland

Finland THL Infectious Diseases Register

Finland

Source
monthlycube_csv

Finland THL Infectious Diseases Register national monthly case counts. The current month is ingested as provisional and the latest three months are refreshed for source revisions.

France

ECDC Surveillance Atlas — France Annual Baseline

France

Source
annualofficial_ecdc_rest_aggregate

France annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

United Kingdom

ECDC Surveillance Atlas — United Kingdom Annual Baseline

United Kingdom

Source
annualofficial_ecdc_rest_aggregate

United Kingdom annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Greece

ECDC Surveillance Atlas — Greece Annual Baseline

Greece

Source
annualofficial_ecdc_rest_aggregate

Greece annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Hong Kong, China

Hong Kong, China CHP Notifiable Diseases

Hong Kong, China

Source
monthlyopen_data_csv

Hong Kong, China CHP annual notifiable infectious disease CSVs normalized to national monthly totals

Croatia

ECDC Surveillance Atlas — Croatia Annual Baseline

Croatia

Source
annualofficial_ecdc_rest_aggregate

Croatia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Hungary

ECDC Surveillance Atlas — Hungary Annual Baseline

Hungary

Source
annualofficial_ecdc_rest_aggregate

Hungary annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Ireland

Ireland HPSC Notifiable Diseases Hub

Ireland

Source
weeklyofficial_arcgis_feature_service

Ireland HPSC national weekly notifiable-disease totals from the official ArcGIS FeatureServer. Internal ingestion is enabled; public release remains disabled pending written redistribution permission.

Iceland

Iceland Directorate of Health Annual Dashboard

Iceland

Source
annualmicrosoft_bi

National annual case notifications by disease. Published values can be revised retrospectively and remain annual period totals.

Iceland

Iceland Directorate of Health STI Dashboard

Iceland

Source
monthly facts · quarterly publicationmicrosoft_bi

Monthly STI diagnosis facts from laboratory and registry surveillance; the official dashboard is published on a quarterly schedule.

Iceland

Iceland Directorate of Health Respiratory Dashboard

Iceland

Source
weeklymicrosoft_bi

ISO-week respiratory diagnosis counts. Hospitalizations, samples, and vaccination indicators are separate measures and are not counted as diagnoses.

Iceland

Iceland Directorate of Health Historical Registry

Iceland

Source
annual and monthlyofficial_excel

Historical official registry tables for 1997–2021, with annual totals and disease-specific monthly notification facts retained at source grain.

Iceland

Iceland Directorate of Health Legacy ICD Monthly

Iceland

Source
monthlyofficial_excel

Historical Saga EHR ICD encounter counts for 1997–2020. This clinical measure is non-comparable with registry notifications and is kept separate.

Italy

ECDC Surveillance Atlas — Italy Annual Baseline

Italy

Source
annualofficial_ecdc_rest_aggregate

Italy annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Japan

JP NIID Weekly

Japan

Source
weeklyweb

Japan weekly infectious disease surveillance via NIID/JIHS.

South Korea

Korea KDCA EID

South Korea

Source
monthlyopen_api_or_portal_download

Korea KDCA notifiable infectious disease OpenAPI or portal/KOSIS downloads aggregated to national monthly notification counts.

Liechtenstein

ECDC Surveillance Atlas — Liechtenstein Annual Baseline

Liechtenstein

Source
annualofficial_ecdc_rest_aggregate

Liechtenstein annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Lithuania

ECDC Surveillance Atlas — Lithuania Annual Baseline

Lithuania

Source
annualofficial_ecdc_rest_aggregate

Lithuania annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Luxembourg

ECDC Surveillance Atlas — Luxembourg Annual Baseline

Luxembourg

Source
annualofficial_ecdc_rest_aggregate

Luxembourg annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Latvia

ECDC Surveillance Atlas — Latvia Annual Baseline

Latvia

Source
annualofficial_ecdc_rest_aggregate

Latvia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Malta

ECDC Surveillance Atlas — Malta Annual Baseline

Malta

Source
annualofficial_ecdc_rest_aggregate

Malta annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Netherlands

ECDC Surveillance Atlas — Netherlands Annual Baseline

Netherlands

Source
annualofficial_ecdc_rest_aggregate

Netherlands annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Poland

ECDC Surveillance Atlas — Poland Annual Baseline

Poland

Source
annualofficial_ecdc_rest_aggregate

Poland annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Portugal

ECDC Surveillance Atlas — Portugal Annual Baseline

Portugal

Source
annualofficial_ecdc_rest_aggregate

Portugal annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Romania

ECDC Surveillance Atlas — Romania Annual Baseline

Romania

Source
annualofficial_ecdc_rest_aggregate

Romania annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Sweden

Sweden Public Health Agency SmiNet

Sweden

Source
monthlyofficial_html_csv

Sweden SmiNet national monthly reported cases from the official Public Health Agency statistics pages; public release is enabled with closed-month publication and revisable recent-month refreshes.

Singapore

Singapore CDA Weekly Infectious Diseases Bulletin

Singapore

Source
weeklyofficial_csv_and_workbook

Singapore national weekly case notifications, combining the official data.gov.sg 2012–2022 CSV history with CDA annual workbooks from 2023 onward; 2023 weekly PDFs are retained as a source fallback.

Slovenia

ECDC Surveillance Atlas — Slovenia Annual Baseline

Slovenia

Source
annualofficial_ecdc_rest_aggregate

Slovenia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Slovakia

ECDC Surveillance Atlas — Slovakia Annual Baseline

Slovakia

Source
annualofficial_ecdc_rest_aggregate

Slovakia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Taiwan, China

Taiwan, China CDC NIDSS

Taiwan, China

Source
monthlyopen_data_csv

Taiwan, China monthly notifiable infectious disease open-data CSV feed.

United States

US CDC NNDSS

United States

Source
mixed_weekly_annualapi

CDC National Notifiable Diseases Surveillance System provisional data.

United States

US CDC NHSS HIV

United States

Source
mixed_weekly_annualapi

CDC NNDSS weekly data plus NHSS annual national HIV diagnoses

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