Chikungunya

Chikungunya is a viral infection caused by the chikungunya virus (CHIKV), an alphavirus which is spread through mosquito bites. The mosquitoes that transmit chikungunya bite during the day, from sunrise to sunset, especially at dawn and dusk. They breed in natural and man-made containers (for example flowerpots and old tyres) and these are a risk factor for transmission if left around human habitation.

CHIKV was first isolated after an outbreak in Tanzania in the 1950s. It now occurs mainly in tropical and subtropical regions of the world but has also been found in parts of Europe and the USA. The mosquito that transmits CHIKV has spread very widely and has become a major global health problem.

Chikungunya is an unpleasant disease but is rarely fatal. Symptoms usually start about 4–8 days from a bite by an infected mosquito and include:

  • sudden high fever
  • severe joint pains (arthralgia) and muscle pains (myalgia)
  • headaches
  • sensitivity to light (photophobia)
  • skin rashes

Some people can be infected with CHIKV without developing symptoms, but this is rare.

The symptoms usually improve within 1–2 weeks, but the joint pains can be severe and may persist for months or even years.

Occasional cases of eye, neurological and heart complications have been reported, as well as gastrointestinal complaints.

There is no specific antiviral treatment for chikungunya. Treatment consists of rest, fluids and medicines for pain and fever, such as ibuprofen or paracetamol.

Travellers visiting areas where chikungunya is endemic (present) or where there are ongoing outbreaks are at risk of being infected with CHIKV. The risk areas are constantly changing and evolving, and travellers should check the latest information on our Country Information pages before they travel.

Prevention

Travellers should seek advice from a health professional before travel for information on the risk of chikungunya at their destination.

Mosquito bite avoidance is recommended, particularly during daytime hours.

Chikungunya vaccines

One vaccine is currently approved for use in the United Kingdom (UK).

  • Vimkunya® is a virus like particle vaccine approved in the UK for individuals 12 years and older.

IXCHIQ, a live attenuated chikungunya vaccine, became available on the UK market in June 2025. However, in February 2026, following a safety review of the benefits and risks of the vaccine, the Medicines and Healthcare products Regulatory Agency (MHRA) announced restrictions in the use of IXCHIQ® vaccine based on global safety data, where 28 cases of serious adverse reactions had been reported.

In October 2026, the UK marketing authorisation for IXCHIQ® chikungunya vaccines was revoked by the MHRA. The decision was based on a review of previous safety data and was not associated with any newly identified safety signal.

Currently there is no evidence of a safety signal with the use of Vimkunya®. The UK Joint Committee on Vaccination and Immunisation (JCVI) has not considered it necessary to restrict the use of Vimkunya® but note that this vaccine has not been used extensively.

Table 1: chikungunya vaccines schedule and recommended age range
Vaccine Schedule Length of protection Age range
Vimkunya®
(non-replicating virus particle vaccine)
Bavarian Nordic
Single 0.8ml dose given IM The need for revaccination has not been established ≥12 years

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Recent News on Chikungunya

IXCHIQ chikungunya vaccine marketing authorisation revoked by MHRA

Based on a further benefit-risk assessment for travellers, the UK marketing authorisation has been revoked by MHRA

Updated: 09 October 2026

IXCHIQ chikungunya vaccine: updates to restrictions of use

Following a safety review, the MHRA has published details of new precautions and contraindications for IXCHIQ

Updated: 12 February 2026

Chikungunya virus disease: Global situation report 2025

The World Health Organization have published a report on the current global situation of chikungunya virus disease (CHIKV)

Updated: 07 November 2025

Chikungunya vaccination information

Chikungunya vaccinations authorised in the UK including updates on recent possible serious adverse events in older people and JCVI advice

Updated: 29 August 2025


Recent Chikungunya Outbreaks

15 October 2026

Chikungunya in France

As of 12 October 2026, a total of 162 locally acquired chikungunya cases have been reported during 2026 in Tarn, Lot, Gard (Occitanie), Gironde, Landes, Pyrenees-Atlantiques (Nouvelle-Aquitaine), Val-de-Marne (Île-de-France) and Var (Provence-Alpes-Cote d'Azur) in France. Please see our Topics in Brief article for further details on chikungunya.

Take usual precautions
Outbreak updates (latest first)
Nouvelle-AquitaineOccitanieÎle-de-FranceProvence Alpes-Côte d’Azur

As of 5 October 2026, a total of 146 locally acquired chikungunya cases have been reported during 2026 in Tarn, Lot (Occitanie), Gironde (Nouvelle-Aquitaine), Val-de-Marne (Île-de-France) and Var (Provence-Alpes-Cote d'Azur) in France. Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanieÎle-de-FranceProvence Alpes-Côte d’Azur

As of 28 September 2026, 125 locally acquired cases of chikungunya have been identified in France, in Tarn, Lot, Gard (Occitanie), Gironde, Landes (Nouvelle-Aquitaine), Val-de-Marne (Ile-de-France) and Var (Provence-Alpes-Cote d'Azur). Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanieÎle-de-France

As of 23 September 2026, 90 autochthonous cases of chikungunya have been identified in France, in Tarn, Lot (Occitanie), Gironde, Landes (Nouvelle-Aquitaine) and Val-de-Marne (Ile-de-France). Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanieÎle-de-France

As of 9 September 2026, a total of 57 locally acquired chikungunya cases have been reported during 2026 in Tarn, Lot (Occitanie), Gironde (Nouvelle-Aquitaine) and Val-de-Marne (Île-de-France) in France. Please see our Topics in Brief article for further details on chikungunya.

Source: ECDC
Nouvelle-AquitaineOccitanieÎle-de-France

As of 30 August 2026, a total of 46 locally acquired chikungunya cases have been reported during 2026 in Tarn, Lot (Occitanie), Gironde (Nouvelle-Aquitaine) and Val-de-Marne (Île-de-France) in France. Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanieÎle-de-France

As of 26 August 2026, a total of 33 locally acquired chikungunya cases have been reported during 2026 in the Nouvelle-Aquitaine (Gironde), Occitanie (Tarn, Lot) and Île-de-France (Val-de-Marne) regions of France. Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanie

As of 17 August 2026, a total of 25 locally acquired chikungunya cases have been reported during 2026 in the Nouvelle-Aquitaine (Gironde) and Occitanie (Tarn) regions of France. Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanie

As of 10 August 2026, a total of 15 locally acquired chikungunya cases have been reported during 2026 in the Nouvelle-Aquitaine (Gironde) and Occitanie (Tarn) regions of France. Please see our Topics in Brief article for further details on chikungunya.

Source: State
Nouvelle-AquitaineOccitanie

As of 3 August 2026, seven locally acquired cases of chikungunya have been reported in Tam (Occitanie) and Gironde (Nouvelle-Aquitaine). Please see our Topics in Brief article for further details on chikungunya.

Source: State
Occitanie

As of 27 July 2026, a locally acquired case of chikungunya has been reported in the Tam region, Occitanie. This is the first locally acquired chikungunya case in mainland France in 2026. Please see our Topics in Brief article for further details on chikungunya.

Source: State

13 October 2026

Chikungunya in French Guiana

As of 8 October 2026, a total of 2,065 confirmed chikungunya cases have been reported in French Guiana this year. Please see our Topics in Brief article for further details on chikungunya.

Take usual precautions
Outbreak updates (latest first)

As of 2 August 2026, 1,418 confirmed chikungunya cases have been reported in French Guiana this year. Please see our Topics in Brief article for further details on chikungunya.

Source: State

As of 29 May 2026, 513 cases of chikungunya have been confirmed in French Guiana during the current year. Please see our Topics in Brief article for further details on chikungunya.

Source: State

As of 21 May 2026, a total of 249 laboratory confirmed chikungunya cases have been reported in French Guiana since the first locally acquired case was reported in January 2026. Please see our Topics in Brief article for further details on chikungunya.

Source: ECDC

As of 27 March 2026, 65 cases of chikungunya have been reported in French Guiana during 2026. The most affected region is the Western Littoral/West Shore area. Please see our Topics in Brief article for further details on chikungunya.

Source: State

As of 5 February 2026, four locally acquired (autochthonous) cases of chikungunya have been reported from French Guiana. Investigations have not revealed any link between these cases, indicating that the virus is already circulating widely within the local mosquito population. These are the first locally acquired cases on French Guiana since 2017. Please see our Topics in Brief article for further details on chikungunya.

Source: State

On 27 January 2026, local health authorities reported the first locally acquired (autochthonous) chikungunya case in French Guiana since 2014. The case tested positive on 21 January 2026 and had not recently travelled abroad. Please see our Topics in Brief article for further details on chikungunya.

Source: State

21 September 2026

Chikungunya in USA

Between 6 and 12 September 2026, one case of locally acquired chikungunya was reported in Florida, USA. Please see our Topics in Brief article for further details on chikungunya.

Take usual precautions
Outbreak updates (latest first)
Florida

As of 17 January 2026, one confirmed case of chikungunya has been reported from Florida in 2026. Please see our Topics in Brief article for further details on chikungunya.

Source: State
New York

On 14 October 2025, the New York State Department of Health reported a locally acquired case of chikungunya in Nassau County on Long Island. This is the first locally acquired case ever reported in New York State and the first contracted in the USA since 2019. Please see our Topics in Brief article for further details on chikunungya.

Source: State

18 September 2026

Chikungunya in Hong Kong

On 17 September 2026, a locally acquired case of chikungunya was reported. This is the first locally acquired case of chikungunya in Hong Kong in 2026. Please see our Topics in Brief article for further details on chikungunya.

Take usual precautions