HIV Infections Clinical Trial
Official title:
Seroprevalence of Chikungunya at the End of the First Chikungunya Outbreak in the French Antilles Within a Sample of Patients Treated for a HIV Infection
Late 2013, the first indigenous cases of chikungunya have been observed in the French
Antilles. At the end of May 2014, almost all of the islands of the Caribbean were affected
by the outbreak.
During the large epidemic which affected the Island of La Réunion in 2005/2006, the attack
rate was 38%. The most active period was three months.
In this context, knowledge of the attack rate and the epidemic in the Caribbean is an
important issue for outbreak management and modeling work.
As the chikungunya virus had never circulated in the Caribbean, determining the
seroconversion rate can be achieved by realizing a seroprevalence survey among the general
population at the end of the outbreak. Another simple method is to estimate the rate in a
cohort of patients followed regularly and whose habitat is distributed throughout the
territory studied.
The follow up of patients infected by the human immunodeficiency virus (HIV) in the French
West Indies is almost exclusively performed in hospitals in department of Infectious and
Tropical Diseases.The high prevalence of HIV and homogeneous distribution of infected
patients on all of our territories, allow to hypothesize that the risk of transmission of
arboviruses by exposure to mosquito bites is comparable to the general population. This
patient cohort is well suited to study the emergence of Chikungunya in the French West Indie
.
Primary objective :
To estimate the cumulative incidence at the end of the first Chikungunya outbreak in the
French West Indies by estimating the prevalence of specific antibodies of chikungunya virus
in a sample (randomly constituted) from patients infected by HIV and representative of the
general population of Martinique and Guadeloupe
Secondary objective :
To estimate the frequency of asymptomatic infections by the chikungunya virus in the studied
population To estimate the frequency of chronic forms of chikungunya in the studied
population
n/a
Observational Model: Cohort, Time Perspective: Prospective
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