Travel alert for Chikungunya Virus

Chikungunya virus is endemic in the Indonesian archipelago, and sporadic cases are reported from various islands, including Bali. Bali is a favorite tourist destination, and visitors should be aware of the risk of chikungunya virus infection (CHIKV) and how to avoid it. CHIKV is an arthropod-borne alphavirus transmitted by mosquitoes. It causes a febrile illness, neuroinvasive disease and is additionally severe arthralgia that can lead to chronic disability. Chikungunya fever must be considered in travelers who develop fever and arthritis after traveling to endemic areas or to areas affected by an ongoing epidemic. Associated arthritis symptoms mainly affect  smaller joints and often persists for extended periods. During the past few weeks 4 travelers to Bali, Indonesia, have been identified with acute chikungunya. All 4 traveled to Bali as tourists between March and June 2022 and had onset of symptoms either during travel or shortly after returning to their home countries in...