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. 2020 May 7;5(5):e002350. doi: 10.1136/bmjgh-2020-002350

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© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Studies included in the systematic review: cohort studies (n=2), cross-sectional studies (n=10), case series studies (n=8) and case reports (n=21 reported in 14 case report studies). Two cohort studies on ZIKV/CHIKV coinfections were conducted in Haiti (n=1) and Brazil (n=1). Ten cross-sectional studies were conducted in Brazil (n=6), Colombia (n=2), Nicaragua (n=1) and Peru (n=1). Eight case series were reported from Brazil (n=5), Ecuador (n=1) and Singapore (n=2). Twenty-one case reports were reported from Brazil (n=6), Colombia (n=6), Ecuador (n=3), Mexico (n=1), New Caledonia (n=3), Puerto Rico (n=1) and the USA (n=1). CHIKV, chikungunya virus; DENV, dengue virus; EBV, Epstein-Barr virus; HSV, herpes simplex virus; MAYV, Mayaro virus; ZIKV, Zika virus.