Index

Note: Page numbers followed by “f” indicate figures and “t” indicate tables.

A

Acute inflammatory demyelinating polyneuropathy (AIDP) 75–76
Acute motor axonal neuropathy (AMAN) 75–77
Aedes aegypti 69–70, 135, 143–146, 154–155, 251–252
Aedes albopictus 111, 216–217, 249
Africa 
CHIKV 
emergence 216
isolation 237–238
transmission cycle 26–33, 116–118
ZIKV 
isolation 237–238
transmission cycle 37–39, 116–118
America 
CHIKV 
emergence 216–217
transmission cycles 37
infectious disease emergence 215–216
ZIKV, transmission cycles 40–41
Angola, ZIKV emergence 103
Animal models 
CHIKV 
encephalitis 324–325
infection 317–318, 318–320t
other severe outcomes 324–325
pathogenesis 317–318, 318–320t
musculoskeletal disease 
acute CHIKV disease 320–323
chronic CHIKV disease 323–324
ZIKV 
adults 329–333
infection 325–329, 326–329t
neonates 329–333
pathogenesis 325–329, 326–329t
during pregnancy 335–337
replication 325–329, 326–329t
sexual transmission 333–334
Anti-CHIKV IgM antibodies 89, 95
Antirheumatoid drugs 72–73
Anti-T cell therapy 374
Aptima ZIKV assay 308–309
Arbovirus 239
discovery 1–2
mosquito-borne transmission 16
transmission cycles 51–52
Arthralgia 87–88
Arthritis 72–73
Asia 
CHIKV 
detect 136–141
historical medical accounts 141–143
history 135
nature of endemicity 136–141
neutralizing antibody 136–141
re-emergence 167–169
sequences 136
sporadic cases and sporadic viral isolations 137–139t
transmission 33–36, 140f
ZIKV 
between 1947 and 2006 170–172
isolation 169–170
outbreaks 172–173
serosurveys 169–170
transmission 39–40, 174f
Australia, CHIKV 166

B

Bangladesh, CHIKV 159–160
BG Sentinel trap (BGS) 121
Bhutan, CHIKV 160
Brazil 
CHIKV emergence 217–218, 218f, 219t
ZIKV emergence 224–225, 225f
Brunei, CHIKV 153

C

Cambodia, CHIKV 
isolation 145
phylogenetic analysis 145
stochastic model 145–146
subclinical infections 145–146
Cameroon, ZIKV emergence 102
Caribbean, CHIKV emergence 218–222
CDC Division of Vector-Borne Diseases 295
Central Africa 
CHIKV emergence 92–94
ZIKV emergence 101–102
Chikungunya virus (CHIKV) 
acute stage 294
amplification of 372
animal models 
infection 317–318, 318–320t
mouse genetics 322
pathogenesis 317–318, 318–320t
swim bladder inflation 318–320t, 321
in vivo imaging techniques 321
antivirals 373–374
in Asia 367–368
clinical observations 370
compartmental model 368
crossprotection 372–373
disease 
acute 320–323
chronic 323–324
emergence 2–7, 9–10, 87–88, 264
in Africa 216
in America 216–217
in Brazil 217–218, 218f, 219t
Caribbean 218–222
coinfection 103
discovery 2
in humans 89–99
Makonde Plateau 2
phylogenetic study 116
prevention and control 119–120
in South America 216–218
United States 218–223
entomological surveillance 119
enzootic cycle 371–372
epidemiology 
autochthonous outbreak cases 194–196
historical accounts of 193
re-emergences 193–194
sequence analysis 195
transmission 196–198, 197t
vaccine development 198–199
evolution 369–371
immune enhancement 372–373
infection 294
clinical features 69–72
prognosis 73–74
treatment 72–73
intracellular life cycle 243–247
pathogenesis of 371
phylogeny 116
replication of 238
reproductive rate 367–368
surveillance system 118–119
transmission cycles 367–368, 371–372
vaccines 373–374
challenges 360–361
chimeric virus vaccine 347–348, 348–350t, 355
inactivated virus vaccine 347–348, 348–350t
live-attenuated virus vaccine 347–348, 348f, 348–350t, 353–354
nucleic acid vaccine 347–348, 348–350t, 356–357
subunit vaccine 347–348, 348–350t, 358–359
viral vector vaccine 347–348, 348–350t, 355
VLP vaccine 347–348, 348f, 348–350t, 358–359
whole virus formulations 351–352
vector distribution 
Ae. aegypti and Ae. albopictus 208, 208t
arthropod vectors 207
European Region 207–208
mosquito to transmit 208
urbanization 207
vectorial capacity 369–371
viral virulence 369–371
western hemisphere 367–369
Chimeric virus vaccine 347–348, 348–350t, 355–356
China, CHIKV 161–162
Congenital Zika Syndrome (CZS) 
cases 79
definition 77–78
heterogenicities 79
pregnancy/infant outcomes 78–79
retrospective assessment 79
vs. ZIKV infection 78
Cramp-like pains 141

D

Democratic Republic of Congo (DRC) 92
Dengue 
hemorrhagic fever 143–144
isolations 142–143
Dengue virus (DENV) 103, 367–368, 372–373
Djibouti, CHIKV emergence 96
DNA vaccine principles 358

E

East Africa 
CHIKV emergence 95–99
ZIKV emergence 102
East Asia, CHIKV.  See specific country
Ebola 347–348, 358
Emergence 
CHIKV 2–7, 9–10, 87–88, 264
in Africa 216
in America 216–217
in Brazil 217–218, 218f, 219t
Caribbean 218–222
coinfection 103
discovery 2
in humans 89–99
Makonde Plateau 2
phylogenetic study 116
prevention and control 119–120
in South America 216–218
United States 218–223
infectious disease in 215–216
ZIKV 7–10, 87–88
in Brazil 41, 224–225, 225f
coinfection 103–104
in Florida 228–229
prevention and control 119–120
in South America 223–225
in Texas 229
transmission cycles 41–42
in United States 225–231
US travelers 229–231
Emergency Use Authorization (EUA) 307
Encephalitis 71
Enzootic cycle 371–372
Enzyme-linked immunosorbent assay (ELISA) 
CHIKV 299
ZIKV 309–310
Ethiopia, ZIKV emergence 102
Europe, CHIKV 
dispersal 252–260
epidemiology 193–199
transmission cycles 37

F

Febrile convulsions 73
Febrile exanthem 74–75
Florida, ZIKV emergence 228–229
Food and Drug Administration (FDA) 307

G

GBS.  See Guillain-Barré syndrome (GBS)
Genetics 
arboviruses 
accumulation of point mutations 240–241
17D vaccine 240–241
emergence 241–242
live-attenuated JEV SA14-14-2 vaccine strain 240–241
manipulation 240–241
NY99 genotype 241–242
proof-reading mechanisms 239
reverse genetics 242–243
selection of mutants 239
transmission 239
CHIKV 
A226V mutation 261–262
dispersal 252–260
endemic status 248
entomological surveys 261–262
epidemics 250, 253–254t
genetic variants characterization 261
Indian Ocean lineage 262–263
intercontinental spread 249
lineages 247–249
live-attenuated vaccine 263–264
mosquito vectors 260
phylogenetic relationships 247–248
re-emergence 249–252
reverse genetics system 242–243, 260
sylvatic transmission cycles 248–249, 264
systematic examination 248
West African genotype 248–249
ZIKV 
live-attenuated vaccine candidates 273–275
manipulation 273–275
molecular analysis 204–205
phylogenetic studies 204–205
reservoir 204
Guillain-Barré syndrome (GBS) 325–329, 370–371, 373–374
axonal variant 75–76
cases of 76
characteristics 75–76
dysautonomia 75–76
examination 80
in French Polynesia 76–77
minor residual signs 80
mortality rates 80–81
motor nerve terminal degeneration 80
reversible conduction failure 77
Guinea Bissau, ZIKV emergence 100

H

Hong Kong, CHIKV 163

I

IgM antibody-capture ELISA (MAC-ELISA) 
CHIKV 300
ZIKV 310–311
Immunochromatographic (IC) assay 301
Immunofluorescence assays (IFA), CHIKV diagnosis 300
Inactivated virus vaccine 347–348, 348–351t
India, CHIKV 
Ae. albopictus 157–158
detection 158
E1-226A 157
E1-A226V mutation 157
entomological studies 157
epidemic peak 156–157
epidemiological and virological analysis 153
hemorrhagic fever outbreak 153
incidence 155–156
isolation 153–154
in Madras 153–154
in Maharashtra 154–155
origins and initial spread 158
phylogenetic analyses 154–155
phylogenetic analysis 158
retrospective study 155
socioeconomic impact 156
in Vishakapatnam 154–155
in Yawat 154–155
Indian Ocean, CHIKV 
emergence 95–99
epidemics in 249–252
transmission cycles 35–36
Indonesia, CHIKV 148–149
Influenza 358
International Health Commission 1–2
Israel, CHIKV 167

J

Japan, CHIKV 163
Japanese encephalitis virus (JEV) 352, 371

K

Kenya 
CHIKV 
ECSA genotype in 249–252
emergence 97–98
ZIKV emergence 102
Kidinga pepo 141
Knokkel-koorts 141
Knuckle fever  See Knokkel-koorts

L

Laboratory confirmation 293
Laboratory diagnosis 
CHIKV 
antibody test results 299, 300t
clinical criteria 294
common serological laboratory tests 302t
confirmation 294–295
culture isolation 298
ELISA 299
IFA 300
IgM capture 300
laboratory criteria 294
molecular testing 296–298
PRNT 300–301
rapid immunochromatography-based assays 301
RT-PCR 297–298
safety and reporting 295
sample collection 295–296
serological testing 299
ZIKV 
amniotic fluid 305
Aptima ZIKV assay 308–309
asymptomatic pregnant women meeting epidemiological criteria 306–307
cerebrospinal fluid 304–305
clinical criteria 305
ELISA 309–310
epidemiological criteria 306
IgM MAC-ELISA 310–311
immunofluorescence 310
laboratory criteria 305–306
molecular testing 307
patient categorization 305–306
PRNT 311
serological diagnosis 309
serum specimens 303–304
symptomatic individuals meeting epidemiological criteria 306
test results 311–312
Trioplex Real-time RT-PCR Assay 307–308
urine samples 304
whole blood samples 304
xMAP MultiFlex Zika RNA Assay test 308
Laboratory study 
CHIKV 
mosquitoes 43–47
transmission mechanisms 47–49
ZIKV 
mosquitoes 49–51, 50t
vertical transmission 51
Laos, CHIKV 153
Leptomeningial cells 324–325
Live-attenuated virus (LAV) vaccine 199, 263–264, 347–348, 348f, 348–351t, 353–354
Long-term immunity 356–357
Loop-mediated isothermal amplification (LAMP) 297

M

Madagascar, CHIKV emergence 99
Malaysia, CHIKV 150–151
Maldives, CHIKV 160
Mauritius, CHIKV emergence 98
Microsphere-based immunoassay (MIA) 300
Molecular biology 
CHIKV 
crystal structures, of E1-E2 heterodimer 245f
genome structure and organization 243f
glycoprotein 244
11.8-kb genome 243–244
RNA synthesis 243–244
transcription and translation strategy 244–247, 246f
ZIKV 
acidic environment 268–269
antiparallel dimeric structure 265–267, 266f
cotranslational and posttranslational modifications 268–269
genetic characterization 264–265
genome and polyprotein structure 267f
glycosylation 265–267
icosahedral shell 265–267
isolation 264–265
prM protein functions 268–269
single-stranded positive-sense RNA genome 265–267
Mosquito-borne disease 52–53
Mosquitoes 
anatomy 21, 22f
CHIKV 
detection and bioecology 104–107, 105f, 106t
vector competence 112, 113t
collection 17
consequences of infection 25
dissemination of virus 23–24
host preference 18–19
infectivity for 20–21
midgut infection 22–23
saliva 24–25
salivary glands 24
transmission cycle 16–17
vector competence variation 17–18
ZIKV 
detection and bioecology 107–112, 107f, 108t, 109f
vector competence 112, 113t
Mosquito-transmitted alphavirus 317
Mouse genetics 322
Musculoskeletal disease 
acute CHIKV disease 320–323
chronic CHIKV disease 323–324
Myanmar, CHIKV 148

N

Nepal, CHIKV 160–161
New Zealand, CHIKV 166
Nigeria, ZIKV emergence 101
North Africa, ZIKV emergence 103
Nucleic acid sequence-based amplification (NASBA) 297
Nucleic acid vaccine 347–348, 348–351t, 356–358

O

Oceania, CHIKV.  See specific Islands
o’nyong nyong virus (ONNV) 5–6

P

Pacific Islands, CHIKV 
autochthonous transmission 164
entomological survey 164
laboratory studies 165
PPHSN 163–164
seroprevalence study 163
transmission 164f
Pacific Public Health Surveillance Network (PPHSN) 163–164
Pakistan, CHIKV 161
Philippine hemorrhagic fever 143–144
Philippines, CHIKV 
best-fit models 147
cohort study 147–148
isolation 146
nationwide outbreak 147
Phylogenetics 
CHIKV 116
ZIKV 116
D394E point mutation 270–271
endemic strains 269
genetic mutations 269–270
neurotropic diseases 271
NS4B A/G36S mutation 271–272
NS4B and NS5 proteins 271–272
nucleotide sequence 272–273
P38G mutation 271–272
S17N mutation 270–271
type-I interferon signaling pathways 271–272
Plaque-reduction neutralization test (PRNT) 
CHIKV 300–301
ZIKV 311

R

Reverse transcriptase-polymerase chain reaction (RT-PCR) methods 
CHIKV 297–298
ZIKV 296–297
Ribonucleic acid (RNA) 238
Rockefeller Foundation (RF) 1–2
Ross River virus 351

S

St. Louis encephalitis virus (SLEV) 371
Saudi Arabia, CHIKV 167
Semliki Forest virus (SFV) 5, 351
Sequelae 72
Singapore 
CHIKV 151–152
ZIKV 175
Solar cycle 369
South America 
CHIKV emergence 216–218
ZIKV emergence 223–225
South Asia, CHIKV.  See specific country
Southeast Asia 
CHIKV, dispersal 252–260
ZIKV 174–176
Southern Africa 
CHIKV emergence 94–95
ZIKV emergence 103
South Korea, CHIKV 163
Sri Lanka, CHIKV 159
Subunit vaccines 347–348, 348–351t, 358–360
Sudan, CHIKV emergence 96–97
Surveillance system 
CHIKV 118–119
ZIKV 118–119
Swim bladder inflation 318–320t, 321
Sylvatic CHIKV, amplifications of 104–107
Sylvatic vectors 368–370

T

Taiwan, CHIKV 162–163
Tanzania, CHIKV emergence 97
Texas, ZIKV emergence 229
Thai hemorrhagic fever 143–144
Thailand, CHIKV 
dengue hemorrhagic fever 143–144
outbreaks 144–145
retrospective study 144
seroprevalence study 144–145
southern provinces 144–145
study of risk factors 145
Tick-borne encephalitis virus (TBEV) 352, 371
Timor-Leste, CHIKV 149–150
Tok-kive-ana 142
Transmission cycle 367–368, 371–372
arbovirus components 17f
CHIKV 116–118
in Africa 26–33
America 37
in Asia 33–36
in Europe 37
in Indian Ocean 35–36
mosquito 
anatomy 21, 22f
consequences of infection 25
dissemination of virus 23–24
midgut infection 22–23
salivary glands 24
transmission experiments 24–25
vector characteristics 
host preference 18–19
mosquito species and intraspecies variation 17–18
vertebrate characteristics 19–20
vertebrate host 16
viral characteristics 20–21
ZIKV 116–118
in Africa 37–39
America 40–41
in Asia 39–40
emergence 41–42
Trioplex Real-time RT-PCR Assay (Trioplex rRT-PCR) 298, 307–308
Two-dose immunization scheme 351

U

Ubiquitous vector 367–368
Uganda 
CHIKV emergence 97
ZIKV emergence 102
United States 
CHIKV emergence 218–223
ZIKV emergence 225–231
US travelers, ZIKV emergence 229–231

V

Vaccines 
CHIKV 373–374
challenges 360–361
chimeric virus vaccine 347–348, 348–350t, 355
inactivated virus vaccine 347–348, 348–350t
live-attenuated virus vaccine 347–348, 348f, 348–350t, 353–354
nucleic acid vaccine 347–348, 348–350t, 356–357
subunit vaccine 347–348, 348–350t, 358–359
viral vector vaccine 347–348, 348–350t, 355
VLP vaccine 347–348, 348f, 348–350t, 358–359
whole virus formulations 351–352
ZIKV 373–374
challenges 360–361
chimeric virus vaccine 356
inactivated virus vaccine 347–348, 350–351t
live-attenuated virus vaccine 347–348, 348f, 350–351t, 354
nucleic acid vaccine 347–348, 350–351t, 357–358
subunit vaccine 347–348, 350–351t, 360
viral vector vaccine 347–348, 350–351t, 356
VLP vaccine 347–348, 348f, 350–351t
whole-virus formulations 352
Vero cells 351
Vertebrate hosts, in CHIKV 
Aethomys 115
in animals 114–115, 114f
Arvicanthis 115
in birds 115
Mastomys 115
wild vertebrates 115
Vietnam, CHIKV 
prospective study 146
retrospective study 146
serologic study 146
surveillance 146
Viral vector vaccine 347–348, 348–350t, 355
Virus-like particles (VLPs) 199, 347–348, 348f, 348–350t, 358–359

W

Wesselsbron virus 371
West Africa 
CHIKV emergence 89–92
ZIKV emergence 
in humans 100–101
serological surveys 101
Western Asia/Middle Eas, CHIKV.  See specific country
Western Hemisphere 367–369
West Nile virus (WNV) 371
WT C57BL/6 mouse model 322

X

xMAP MultiFlex Zika RNA Assay test 308

Y

Yellow Fever Commission 1–2
Yellow fever virus (YFV) 352, 367–368
Yemen, CHIKV 166

Z

Zika syndrome 368–369
Zika virus (ZIKV) 
amplification of 372
animal models 
infection 325–329, 326–329t
pathogenesis 325–329, 326–329t
replication 325–329, 326–329t
sexual transmission 333–334
antivirals 373–374
compartmental model 368
crossprotection 372–373
discovery of 325–329
emergence 7–10, 87–88
in Brazil 41, 224–225, 225f
coinfection 103–104
in Florida 228–229
prevention and control 119–120
in South America 223–225
in Texas 229
transmission cycles 41–42
in United States 225–231
US travelers 229–231
entomological surveillance 119
enzootic cycle 371–372
epidemiology 
identification 199–200
reported case 200–202
symptomatology 205–206
transmission 202–204
vaccine development 206–207
evolution 369–371
immune enhancement 372–373
infection 301–303
adults 329–333
CZS 77–79
differential diagnosis 79
febrile exanthema 74–75
Guillain-Barré syndrome 75–77
management 81
neonates 329–333
during pregnancy 335–337
prognosis 80–81
N154 glycosylation 369–370
phylogeny 116
replication of 238
reproductive rate 367–368
in Singapore 368–369
surveillance system 118–119
sylvatic vectors 368–370
transmission cycles 367–368, 371–372
vaccines 373–374
challenges 360–361
chimeric virus vaccine 356
inactivated virus vaccine 347–348, 350–351t
live-attenuated virus vaccine 347–348, 348f, 350–351t, 354
nucleic acid vaccine 347–348, 350–351t, 357–358
subunit vaccine 347–348, 350–351t, 360
viral vector vaccine 347–348, 350–351t, 356
VLP vaccine 347–348, 348f, 350–351t
whole-virus formulations 352
vector distribution 
Ae. aegypti and Ae. albopictus 208, 208t
arthropod vectors 207
European Region 207–208
mosquito to transmit 208
urbanization 207
vectorial capacity 369–371
viral virulence 369–371
western hemisphere 367–369
zoonotic cycle 368–369
Zoonotic arboviruses 239
Zoonotic cycle 368–369