[Chikungunya on Reunion Island. Experience, opinion, and proposals of general practitioners: poorly understood symptoms, lack of treatment protocol, exaggerated sequels, neglected players].
In 2005-2006 the Chikungunya caused a major sanitary crisis in Reunion for which neither the authorities, nor the healthcare professionals were prepared, as the symptoms were poorly defined, the treatment not validated and the sequels underestimated. General practioners described "in vivo" clinical and therapeutic facts and help conducted three ground studies. They were indeed the doctors of first recourse for painful and feverish patients. Have we drawn all lessons of this sanitary crisis that struck nearly the third of the population? Are we better prepared to face the acute and the chronic forms of a forthcoming epidemic? Efforts and indisputable institutional progress were made, but "Everything" still remains to be made combining all health professional efforts with a better consideration of the professionals of ground.
phil.dechazournes@gmail.com
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de Chazournes
D018354:Alphavirus Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D000818:Animals; D065632:Chikungunya Fever; D002985:Clinical Protocols / Q000592:standards; D032882:Comprehension / Q000502:physiology; D058872:Epidemics; D058005:General Practitioners / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D008318:Malpractice; D011639:Public Opinion; D012107:Research Design; D017508:Reunion / Q000453:epidemiology