There has been an increased number of cases of Chikungunya fever in Brazil and Italy.

Chikungunya fever is spread to people by mosquitoes. The most common symptoms of Chikungunya virus infection are fever and joint pain. Other symptoms may include headache, muscle pain, joint swelling, and rash. Outbreaks have occurred in Africa, Asia, Europe, and the Indian and Pacific Oceans, and on islands in the Caribbean. There is no vaccine to prevent or medicine to treat Chikungunya virus infection. Travelers can protect themselves by using mosquito nets and applying insect repellant with D.E.E.T ( at least 22% strength) to exposed areas of skin to prevent mosquito bites.