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HK battens down as first chikungunya case is reported

02 August 2025

 

Travel to affected areas is common cause of chikungunya cases (CHP graphic)

Hong Kong today reported its first case of chikungunya fever in the last six years, prompting a territory-wide alert in which public hospitals will reserve beds for patients and inquire of all persons complaining of symptoms whether they have visited places with confirmed cases, and whether they have been bitten by mosquitoes.

The Hospital Authority said it is taking the imported case of chikungunya fever in Hong Kong very seriously. The last period when the disease entered Hong Kong was from 2016 to 2019, when one to 11 cases were recorded each year, all of them imported.

"The HA Infectious Disease Centre and other public hospitals have reserved beds to receive patients. The HA will maintain loop close communication with the Centre for Health Protection (CHP) to monitor the situation, and can mobilize more beds and manpower to care for patients when necessary. The HA also has sufficient antipyretic and related medicines to treat patients in need," it added.

PINDUTIN PARA SA DETALYE

The Centre for Health Protection (CHP) of the Department of Health reported that the first case involved a 12-year-old boy with good past health living in Kwun Tong and who travelled to the Mainland recently. 

He developed fever, rash and joint pain since July 31 and sought medical attention from a private doctor on the same day.

Despite the symptoms being mild, he was referred to the Accident and Emergency Department of United Christian Hospital on August 1 due to his recent travel history. The patient is now in stable condition. His blood sample tested positive for CF virus upon laboratory testing.

Initial investigations revealed that the patient travelled to Foshan in Guangdong Province between July 17 and 30, and recalled having been bitten by mosquitoes. Since the patient stayed in Foshan during the whole incubation period, the CHP considers that the patient was infected during travel, and the case was classified as an imported case.

Basahin ang detalye!

His household contacts (including one travel collateral) are currently asymptomatic and under medical surveillance. The CHP's epidemiological investigations are ongoing and has reported the case to the health authorities of Guangdong.

The Food and Environmental Hygiene Department (FEHD) has conducted vector investigations and targeted mosquito control operations and will intensify mosquito prevention and control measures at the residence of the patient, as well as locations visited after the onset of symptoms.

According to the World Health Organization, CF cases have been recorded in more than 110 countries/regions. As of early June this year, over 220 000 cases had been reported in 14 countries/regions worldwide (including the Mainland, Taiwan and Singapore which are popular tourist destinations for Hong Kong citizens). Of these cases, about 80 were fatal, the CHP report said.

Moreover, according to the information from the Foshan health authority, as of July 31 there were over 6 900 cases. The majority of cases (5 972 cases) were in Shunde District. All cases were mild, with no severe or fatal cases.

Confirmed cases were also recorded in other cities in Guangdong Province recently. Macao also had six imported cases and one local case since mid-July.

“CF is not transmitted from person to person, and is primarily transmitted to humans through the bite of female Aedes mosquitoes carrying the CF virus. Eliminating mosquito breeding sites and avoiding mosquito bites are the most effective measures. During the early stage after the onset of symptoms (especially when a fever is present), the blood of patients of CF contains a large amount of virus, which is infectious to mosquitoes. If they are bitten by mosquitoes during the communicable period, further local transmission via mosquitoes is possible. Therefore, avoiding mosquito bites of the patient is an important measure to prevent local transmission," said the Head of the Communicable Disease Branch of the CHP, Dr Albert Au.

Severe or fatal cases caused by CF are rare and the symptoms are milder than that of Dengue Fever, and most patients recover on their own, as local mosquitoes have not carried the CF virus.

Despite this, the Government strives to prevent CF from becoming endemic in Hong Kong, and has adopted multi-pronged emergency preparedness, including strengthening public education and publicity, stepping up control measures at boundary control points, enhancing local testing capabilities, arranging mosquito-free environment for treatments, conducting epidemiological investigations and risk assessments for confirmed cases, intensifying mosquito prevention and control measures.

The FEHD appealed to the public to continue to stay alert and work together to carry out mosquito prevention and control measures early, including inspecting their homes and surroundings to remove potential breeding grounds, changing water in vases and scrubbing their inner surfaces, removing water in saucers under potted plants at least once a week, and properly disposing of containers such as soft drink cans and lunch boxes.

 

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