Suriname is currently experiencing its largest chikungunya outbreak since 2016. The virus, which is transmitted by the tiger mosquito (Aedes mosquito), has already made hundreds to more than a thousand people sick. In response, Surinamese authorities are taking large-scale measures, including mosquito-control trucks, awareness campaigns, and door-to-door efforts to eliminate mosquito breeding sites. (RIVM)
But what exactly is chikungunya? Chikungunya is a viral infection that usually begins suddenly with a high fever, severe joint pain, muscle pain, headache, and sometimes a rash or nausea. The joint pain can be particularly noticeable: some people continue to experience these symptoms for weeks, months, or even years. The name chikungunya comes from an East African language and can be loosely translated as “that which bends up” or “the one who walks bent over,” referring to the painful posture people may adopt because of the joint pain. (Vaccinatieboekje)
The spread of chikungunya highlights the importance of mosquito control. Aedes mosquitoes, which can also transmit dengue and Zika, breed in small amounts of stagnant water, for example in buckets, flower pots, or old tires. Removing these breeding sites can make a significant difference in containing an outbreak. (NOS)
For travellers to Suriname, it is currently especially important to protect yourself against mosquito bites. This can be done by using DEET, wearing covering clothing, and avoiding stagnant water in and around your surroundings. For some travellers, vaccination against chikungunya may also be considered. (LCR)
The outbreak in Suriname reminds us that viruses are influenced not only by people, but also by their environment. A tiny mosquito can sometimes have a major impact on public health.