Understanding Chikungunya: A guide for the public

Dr. Harindu Wijesinghe is a medical specialist in Rheumatology and Rehabilitation, as well as in Sports Medicine. He practises at Nawaloka Hospital in Colombo. In an interview with the “Sunday Island” he said patients with symptoms like high fever, joint pain or body aches needed immediate attention. Excerpts

- BY ZANITA CAREEM

What is Chikungunya?

Chikungunya is a viral illness caused by the Chikungunya virus, transmitted by Aedes mosquitoes— the same type that spreads dengue. It typically begins with a high fever and is preceded or accompanied by joint pains, especially in the hands and feet.

Are there differences in symptoms based on gender or age?

Yes, older adults may experience severer joint pain, while children may present with milder symptoms or more skin rashes. Both men and women are equally susceptible, but women often report more severe symptoms and prolonged joint pain.

What are the treatment methods for Chikungunya?

There is no specific antiviral treatment, and since it is a virus, antibiotics are ineffective. Management focuses on supportive care. Rest is essential, particularly avoiding stress on the affected joints, as overuse may worsen the condition. Patients are encouraged to continue light activities, like housework, provided they avoid overexertion. Exercise should be avoided in the early stages until pain subsides. Gentle warm water fomentation on joints, adequate hydration, and paracetamol for fever and mild pain are recommended.