TY - JOUR AU - Norman, Francesca AU - Henríquez-Camacho, César AU - Díaz-Menendez, Marta AU - Chamorro, Sandra AU - Pou, Diana AU - Molina, Israel AU - Goikoetxea, Josune AU - Rodríguez-Guardado, Azucena AU - Calabuig, Eva AU - Crespillo, Clara AU - Oliveira, Inés AU - Pérez-Molina, José-Antonio AU - López-Velez, Rogelio T1 - Imported Arbovirus Infections in Spain, 2009–2018 T2 - Emerging Infectious Disease journal PY - 2020 VL - 26 IS - 4 SP - 658 SN - 1080-6059 AB - To determine the epidemiologic and clinical characteristics of patients in Spain with imported arbovirus infections, we analyzed 22,655 records from a collaborative network for January 2009–December 2018. Among 861 arbovirus infections, 845 were monoinfections (456 [53%] dengue, 280 [32.5%] chikungunya, 109 [12.7%] Zika) and 16 (1.8%) were co-infections. Most patients were travelers (56.3%) or immigrants returning to Spain after visiting friends or relatives (31.3%). Median patient age was 37 years; most (62.3%) were women and some (28.6%) had received pretravel advice. Only 12 patients were immunosuppressed. Six cases (all dengue monoinfections, none in immunosuppressed patients) were severe. Since 2014, nondengue arbovirus infections increased; until 2016, chikungunya and Zika were most common. Imported arbovirus infections (mostly dengue) were frequently diagnosed, although increased chikungunya and Zika virus infections coincided with their introduction and spread in the Americas. A large proportion of cases occurred in women of childbearing age, some despite receipt of pretravel advice. KW - dengue KW - chikungunya KW - Zika KW - travel KW - immigration KW - viruses KW - Spain KW - arboviruses KW - vector-borne infections DO - 10.3201/eid2604.190443 UR - https://wwwnc.cdc.gov/eid/article/26/4/19-0443_article ER - End of Reference