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Pregnant women have symptoms and outcomes similar to those of other people, and most CHIKV infections that occur during pregnancy will not result in the virus being transmitted to the fetus.However, when intrapartum transmission occurs, it can result in complications for the baby, including neurologic disease, hemorrhagic symptoms, and myocardial disease.Acute symptoms of chikungunya typically resolve in 7–10 days.Fatalities associated with CHIKV infection are rare and mostly occur in older adults.Risk of CHIKV infection exists throughout the day, as the primary vector, mosquitoes bite indoors or outdoors near a dwelling.They typically breed in domestic containers that hold water, including buckets and flower pots.Given the high level of viremia in humans and the worldwide distribution of , there is a risk of importation of CHIKV into new areas by infected travelers.

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Although most were in travelers, a few cases were acquired locally in the continental United States.Cases have also been documented among laboratory personnel handling infected blood and through aerosol exposure in the laboratory.The risk of a person transmitting the virus to a biting mosquito or through blood is highest when the patient is viremic, usually during the first 2–6 days of illness.For people who develop symptomatic illness, the incubation period is typically 3–7 days (range, 1–12 days).

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Disease is most often characterized by sudden onset of high fever (temperature typically 102°F [39°C]) and joint pains.Other symptoms may include headache, myalgia, arthritis, conjunctivitis, nausea, vomiting, or a maculopapular rash.

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