Table 1 Criteria used to define epidemic status by country. Confirmed cases are those that are either PCR or IgM confirmed

From: Global burden of chikungunya virus infections and the potential benefit of vaccination campaigns

Epidemic status

Criteria

Endemic - Good evidence

Confirmed autochthonous cases each year for the past 5 years. In the Americas, which has better disease surveillance, we include a criterion for a minimum of 1,000 detected autochthonous cases per year.

Endemic - Poor evidence

Confirmed autochthonous cases each year in at least 3 of the past 5 years and/or serological evidence of endemic transmission. In the Americas, which has better disease surveillance, we include a criterion for a minimum of 100 detected cases per year.

Epidemic - Good evidence

Confirmed cases since 2010

OR

Serological evidence of transmission since 2010

Epidemic - Poor evidence

Confirmed cases prior to 2010

OR

serological evidence of transmission prior to 2010

OR

In low HAQ countries, no confirmed cases but probability albopictus/aegypti mosquitoes present >0.5

No transmission - Good evidence

In high HAQ countries, no confirmed cases

OR

Everywhere else, no confirmed cases and probability albopictus/aegypti mosquitoes present <0.1

No transmission - Poor evidence

No confirmed cases and probability albopictus/aegypti mosquitoes present 0.1–0.5