Abstract
From 2005 to 2007, the French overseas department and western Indian Ocean island of Réunion was significantly affected by an epidemic of chikungunya. Chikungunya is a vector-spread disease (by the Aedes mosquito) which leads to painful rheumatic symptoms. This was the first occurrence of chikungunya in the region, and the disease infected almost 30 per cent of the island’s total population of 802,000 inhabitants.
The large numbers in infected cases were, in part, due to the vector’s adaptation to an urban, that is a densely populated and domesticated, environment. For example, the Aedes mosquitoes reproduce in both natural and artificial reservoirs of stagnant water such as flower pots, bottles, plastic food containers, car tyres and other refuse often found close to people’s homes. As there was no known vaccine against the virus, public health policies considered the eradication of mosquito breeding grounds to be the most efficient preventive measure against disease diffusion. As a result, sanitary field agents regularly inspected people’s gardens since the onset of the epidemic. From a local perspective however, such interventions were often considered problematic. Not only did the field agents trespass cultural spatial boundaries regarding housing and living, but they also brought forth memories of how previous vector-borne epidemics such as malaria were addressed by the French public health authorities in the island. This contributed towards the stigmatisation of chikungunya and, in turn, the development of alternative disease aetiologies in Réunion.
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Notes
- 1.
Vectors are living organisms that can transmit infectious diseases between humans or from animals to humans. Many of these vectors are bloodsucking insects, such as mosquitoes.
- 2.
In Réunion, creole refers to anyone or anything of local Réunionese origin. This is in contrast to, for example, Mauritius where Creole rather functions as an ethnic identity marker for Mauritians who are primarily descendants of African and Malagasy slaves (Eriksen 1998).
- 3.
In April 2010, DRASS underwent an organisational transition and is now known as the Agence de santé de l’Océan Indien (The Health Agency of the Indian Ocean, ARS). ARS is non-governmental, whereas DRASS responded directly to the French prefect. The prefect represents the French national government at a local level. As DRASS was still in operation during both the chikungunya epidemic and my main fieldwork in 2009, I will still refer to DRASS and not ARS throughout this chapter.
- 4.
As of 2010, Réunion had the highest level of unemployment in all of the French departments (over 30 per cent) (Roinsard 2010, 21).
- 5.
This information is from the DRASS preventive campaign pamphlet ‘Adoptons les bons gestes!’/’Embrace the right actions!’.
- 6.
Malaria was eradicated in Réunion in 1979 (Fontenille et al. 2009, 79).
- 7.
For example, malaria originates from the Italian words mala (bad) and aria (air).
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Jansen, K.A. (2020). Challenging Chikungunya: Resistance to Public Health Measures and Aetiology During the 2005–2007 Epidemic in Réunion. In: Campbell, G., Knoll, EM. (eds) Disease Dispersion and Impact in the Indian Ocean World. Palgrave Series in Indian Ocean World Studies. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-36264-5_10
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