• Khalid Rehman Medical University of Vienna. Austria


First Chikungunya outbreak occurred in Karachi, Pakistan in 2016. Chikungunya is transmitted by the Aedes mosquito which is also transmits Dengue fever. The first Dengue fever outbreak of Pakistan also occurred in Karachi in 1994. In the past 23 years the disease has spread to all parts of the country. This is comprehensible as there is a lot of travelling between Karachi and other parts of the country which increases the chances of spread of the virus. Based on the precedent of Dengue fever in Pakistan, if appropriate preventive measures are not taken to control Chikungunya, it will only be a matter of time before it hits other parts of the country. At the same time International Health Regulations has to be practiced with all its zest to avoid introduction of diseases like Zika virus and yellow fever, which are also transmitted by Aedes.Keywords: Chikungunya; Dengue fever; IVM; Aedes mosquito

Author Biography

Khalid Rehman, Medical University of Vienna. Austria

Dr. Khalid Rehman is a public health professional with a PhD in Public health. He is currently working with “THE INDUS HOSPITAL” in Pakistan on a Malaria control program. He has extensive experience in vector borne disease control in Africa, Asia and the Middle East. His research interests revolve around vector borne diseases specially Malaria, Dengue, Chikungunya, leishmania, CCHF etc.


Rauf M, Fatima-Tuz-Zahra, Manzoor S, Mehmood A, Bhatti S. Outbreak of chikungunya in Pakistan. Lancet Infect Dis 2017;17(3):258.

Liu SQ, Li X, Zhang YN, Gao AL, Deng CL, Li JH, et al. Detection, isolation, and characterization of chikungunya viruses associated with the Pakistan outbreak of 2016-2017. Virol Sin 2017;32(6):511–9.

Mallhi TH, Khan YH, Khan AH, Tanveer N, Qadir MI. First chikungunya outbreak in Pakistan: a trail of viral attacks. New Microbes New Infect 2017;19:13–4.

Mallhi TH, Khan YH, Khan AH, Tanveer N, Khan OH, Aftab RA. Commentary: Outbreak of Chikungunya in Pakistan. Front Public Health 2017;5:261.

Chan YC, Salahuddin NI, Khan J, Tan HC, Seah CL, Li J, et al. Dengue haemorrhagic fever outbreak in Karachi, Pakistan, 1994. Trans R Soc Trop Med Hyg 1995;89(6):619–20.

WHO. Weekly Epidemiological Monitor 2017;10(36). [Internet]. [cited 2017 Sep 27]. Available from: http://applications.emro.who.int/docs/epi/2017/Epi_Monitor_2017_10_36.pdf?ua=1&ua=1

Geo TV. Two more die of dengue fever in Peshawar [Internet]. [cited 2017 Sep 27]. Available from: https://www.geo.tv/latest/159147-two-more-die-of-dengue-fever-in-peshawar

Fatima SH, Atif S, Rasheed SB, Zaidi F, Hussain E. Species Distribution Modelling of Aedes aegypti in two dengue-endemic regions of Pakistan. Trop Med Int Health 2016;21(3):427–36.

WHO. Chikungunya, Fact sheet. Updated April 2017. [Internet]. [cited 2018 Sep 27]. Available from: http://www.who.int/mediacentre/factsheets/fs327/en/

WHO. (Regional office for South-east Asia). Guidelines for Prevention and Control of Chikungunya Fever. [Internet]. [cited 2018 Sep 27]. Available from: http://www.wpro.who.int/mvp/topics/ntd/Chikungunya_WHO_SEARO.pdf

WHO. Dengue control strategies. [Internet]. [cited 2018 Sep 27]. Available from: http://www.who.int/denguecontrol/control_strategies/en/.

Butt AM, Siddique S, Gardner LM, Sarkar S, Lancelot R, Qamar R. Zika virus in Pakistan: the tip of the iceberg? Lancet Glob Health 2016;4(12):e913–4.