
What risk does chikungunya pose to the UK after virus outbreak in China?
There have been nearly 8,000 cases of chikungunya in under a month, focused largely in Foshan city and Guangdong region. The rapid rise in cases has prompted fears of a wider outbreak, despite the strict measures put in place by Chinese authorities.
There is also a rising number of imported chikungunya cases in Europe. According to data from the European Centre for Disease Prevention and Control (ECDC) here have been 48 cases reported in France since 1 May, alongside two in Italy.
Since the beginning of 2025, 240,000 cases and 90 deaths related to chikungunya virus disease have been reported in 16 countries across the globe.
In China, authorities have imposed strict measures to prevent the spread of the virus, drawing comparisons to its approach to the Covid pandemic.
New rules have seen patients required to stay within quarantine zones inside hospitals, while soldiers wearing masks have been deployed to spray insecticides in public places to exterminate mosquitoes.
In the UK, there were 26 infections detected in travellers returning to the country from other locations between January and March this year. The risk in this country remains low, but the UK Health Security Agency is urging people to take precautions when travelling.
Hilary Kirkbride, head of travel health at UK Health Security Agency, said: 'There is continued transmission of chikungunya globally and we continue to see infections in travellers returning to the UK.
'It is essential to take precautions against mosquito-borne infections such as chikungunya while travelling abroad. Simple steps, such as using insect repellent, covering exposed skin and sleeping under insecticide-treated bed nets, can effectively reduce the risk.
'Before you travel, check the TravelHealthPro website for the latest health advice on your destination. A chikungunya vaccine may also considered for those travelling to higher risk regions.'
Here's everything you need to know about the virus:
What is chikungunya virus disease?
Chikungunya virus disease is a mosquito-borne disease that is widely found in tropical and subtropical regions. It is only spread to humans by a bite from an infected mosquito, and cannot be passed between humans.
The 240,000 cases detected in 2025 so far have been found in the Americas, Africa, Asia, and Europe. Brazil has the most cases, with over 185,553, followed by Bolivia (4,721) and Argentina (2,836).
Two French islands off the east coast of Africa, La Réunion and Mayotte, are also experiencing ongoing outbreaks of the disease, with over 55,000 cases combined as of July 2025.
The virus was first detected in Tanzania in 1952, after which it spread to other countries in sub-Saharan Africa and South East Asia.
It has been reported in 119 countries across the globe to date.
What are the symptoms of chikungunya?
Most people will develop symptoms of chikungunya within three to seven days of being bitten by an infected mosquito.
One of the most pronounced symptoms is joint pain, which can be severe in some cases. Other symptoms include fever, rash, headache, muscle pain and swollen joints.
In most cases, an infected individual will feel better within a week. However, severe cases can see joint pain persist for months or even years.
Those most at risk from severe symptoms include newborns, older people, and those with underlying health conditions. Deaths from the disease are rare.
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Global epidemic alarm as China virus spreads to new country in record-shattering outbreak
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It [the virus] could already be here in the US; and really it's just one plane flight away.' Chikungunya is primarily spread by Aedes mosquitoes, the same species that carry dengue and Zika. It is rarely fatal but can cause debilitating symptoms, including fever, joint pain and, in severe cases, life-threatening complications involving the heart and brain. Roger Hewson, virus surveillance lead at the UK's Wellcome Sanger Institute, said the current outbreak in China is the largest ever, Al Jazeera reported. A global spike in cases began in early 2025, with major outbreaks reported in the Indian Ocean islands of La Réunion, Mayotte and Mauritius. According to the European Centre for Disease Prevention and Control, around 240,000 chikungunya cases and 90 related deaths have been recorded in 16 countries so far this year, as of August 4. The virus has also spread to Madagascar, Somalia, Kenya and India and is making its way to Europe. Case counts have also been increasing in Samoa, Tonga, French Polynesia, Fiji and Kiribati. As of August 5, the US CDC reports 46 cases of chikungunya virus in the US this year, all contracted by travelers returning from high-risk areas. No deaths have been reported. It is unclear how many of these could be linked to China's outbreak. Estimates suggest 1.6million people travel between the US and China every year, with experts saying it only takes one bite from a mosquito on one infected traveler to then pass it on throughout America. In addition to the CDC advisory for China, the agency also issued a warning for nine other countries including Bolivia and Sri Lanka. The US has experienced limited local transmission of the virus previously, most recently in 2014 and 2015 after cases were detected in Florida and Texas. Infections are most common in Asia, Africa and South America, though more recently cases have also emerged across Europe and the US. Nearly half a million people were infected during a major outbreak in 2004–2005, which spread across Africa, Asia and the Americas. Dr Diana Rojas Alvarez, a medical officer with the World Health Organization, recently warned: 'We are seeing history repeating itself,' referencing the scale of the earlier epidemic. The CDC is urging Americans to ensure they are vaccinated if they are at increased risk of exposure. While it's unclear exactly where the infections occurred, the CDC has issued an elevated risk notice for Brazil, Colombia, India, Mexico, Nigeria, Pakistan, the Philippines, Thailand, and now China. Roughly 200 travel-related cases were reported in the US in 2024, with no fatalities recorded. According to the CDC, chikungunya was rarely detected in American travelers before 2006. But between 2006 and 2013, the US logged around 30 imported cases a year, all in people who had recently visited affected regions in Asia, Africa or the Indian Ocean. 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Images show Chinese state workers spraying clouds of disinfectant around city streets, residential areas and construction sites where people may come into contact with virus-bearing mosquitoes in or near standing water. Drones are being used to hunt down insect breeding grounds and spray insecticide, and residents are being asked to empty bottles, flower pots or other outdoor receptacles that may collect water. Failure to comply with any restriction may lead to fines of up to $1,400 (10,000 Yuan) and locals can have their electricity cut off, according to state media. The acute phase of illness typically resolves within one to two weeks, but joint pain may linger for weeks, months or even years in some cases. Newborns, seniors over 65, and people with underlying health issues face a higher risk of developing serious outcomes, including cardiovascular problems and, according to some studies, even Type 2 diabetes or high blood pressure triggered by post-viral inflammation. 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