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. 2022 Dec 21;2(12):e0000914. doi: 10.1371/journal.pgph.0000914

Table 2. Summary of studies included in a systematic literature review to collate evidence for the global prevalence and clinical manifestation of chikungunya infection among children.

Number of studies (%)
Study design
Case reports 55 (38.7)
Case series 18 (12.7)
Cross-sectional studies 36 (25.4)
Longitudinal studies 29 (20.4)
Surveillance 3 (2.1)
Unspecified 1 (0.7)
Regions represented
Africa 24 (16.9)
Asia 54 (38.0)
Europe 5 (3.5)
North and Central America 19 (13.4)
South America 32 (22.5)
Oceania 1 (0.7)
Unspecified 7 (4.9)
Study Setting
Hospital/health centre 111 (78.2)
Community 20 (14.1)
Unspecified 11 (7.7)
Season
Epidemic 59 (41.5)
Non-epidemic 8 (5.6)
Epidemic/Non-epidemic 1 (0.7)
Unspecified 74 (52.1)
Sex
Female only 11 (7.7)
Male only 25 (17.6)
Both female and male 49 (34.5)
Unspecified 57 (40.1)
Case definition
IgM positive 36 (25.4)
CHIKV RNA positive 31 (21.8)
IgM positive and CHIKV RNA positive 9 (6.3)
IgM positive or CHIKV RNA positive 18 (12.7)
Unspecified 48 (33.8)
Age categories
Infants (<1 year) 47 (33.1)
Children (1-12 years) 14 (9.9)
Teenagers/adolescents (13-18 years) 10 (7.0)
Mixed (0-18 years) 68 (47.9)
Unspecified 3 (2.1)
Viral strain
Asian 1 (0.7)
West African 0 (0)
ECSA 11 (7.7)
Unspecified 130 (91.5)

CHIKV: Chikungunya virus. IgM: Immunoglobulin M. ECSA: East/Central and South Africa