Simultaneous circulation of multiple arboviruses presents diagnostic challenges. In May 2016, chikungunya fever was diagnosed in a traveler from Angola to Japan. Travel history, incubation period, and phylogenetic analysis indicated probable infection acquisition in Angola, where a yellow fever outbreak is ongoing. Thus, local transmission of chikungunya virus probably also occurs in Angola.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5176218PMC
http://dx.doi.org/10.3201/eid2301.161395DOI Listing

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