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Chikungunya Turns Up in the U.S. BY RICK COUGHLIN

Many of you have probably heard of the relatively new mosquitoborne disease called chikungunya. According to the Pan American Health Organization, Chikungunya is a viral disease transmitted by the bite of infected mosquitoes such as Aedes aegypti and Aedes albopictus. It can cause high fever, joint and muscle pain and headaches. Chikungunya does not often result in death, but the joint pain may last for months or years and may become a Rick Coughlin is the owner of The Mosquito cause of chronic pain and disability. Authority. Email him at There is no specific treatment for rick@bugsbite.com chikungunya infection, nor any vaccine to prevent it. Pending the development of a new vaccine, the only effective means of prevention is to protect individuals against mosquito bites. Before December 2013, when locally spread infection was reported from Saint Martin, cases in the Western Hemisphere all involved travelers returning from endemic regions. Since that time, local transmission is known to have occurred in 17

countries or territories in the Caribbean and South America. As of May 30, 2014, 103,018 suspected and 4406 laboratoryconfirmed cases have been reported from that area — more than 95 percent of them in the Dominican Republic, Martinique, Guadeloupe, Haiti, and Saint Martin. Now, numerous cases of the disease have appeared in the United States – including 25 in Florida – from travelers who contracted the disease while out of the country, according to the Centers for Disease Control and Prevention (CDC). And experts say it’s only a matter of time before it begins spreading among local mosquitos within the U.S. “The mosquitos that transmit this infection are pretty widespread around the world, and that’s why the infection has been able to spread across the tropical Pacific and now into the Caribbean,” Dr. Jorge Parada, medical director of the infection prevention program at Loyola University, Chicago, and medical spokesperson for the National Pest Management Association, told FoxNews.com. “And there’s absolutely no reason why this infection can’t spread to more of South America and the southern United States.” Travelers can protect themselves by preventing mosquito bites. When traveling to countries with chikungunya virus, use insect repellent, wear long sleeves and pants, and stay in places with air conditioning or that use window and door screens.

Welcoming New Patients Stephanie Hsu, M.D.

Northside Cherokee Orthopedics and Sports Medicine is a full-service orthopedics practice that specializes in the prevention, diagnosis and treatment of disorders of the muscles, bones and joints. Our family-friendly practice is dedicated to providing the highest-quality orthopedic care possible, and offers head-to-toe physical therapy, comprehensive diagnostic services and effective minimally-invasive treatment procedures for all types of musculoskeletal conditions.

Services Offered:

Travis Jones, DPM

684 Sixes Road Suite 130 Holly Springs, GA 30115

• Adult and pediatric sports medicine & injuries • Minimally invasive and most current techniques • Diagnostic imaging services: (MRI, CT scan, ultrasound, arthrogram) • Operative and non-operative injury management for upper and lower extremities • Repair/reconstruction of torn ligaments and tendons • Adult and pediatric specialized care of the foot and ankle • General foot and ankle care • Fracture care

Call us today for an appointment (770) 517-6636 • northsidecherokeeortho.com SIXES LIVING | August 2014

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