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  • Chikungunya

    CEPI is advancing the development of promising Chikungunya vaccine candidates through late-stage trials, focusing on expanding access to vulnerable populations in endemic countries.

    A close up image of the Chikungunya Virus

    What is Chikungunya virus?

    Chikungunya is a viral disease caused by the Chikungunya virus. It belongs to the Togavirus family. 

    Chikungunya is most commonly transmitted by female Aedes aegypti and Aedes albopictus mosquitoes.

    The name chikungunya derives from a word in the Kimakonde language, meaning “to become contorted”.

    WHO has identified Chikungunya as a major public health concern due to its high morbidity and has stated that further research and development is needed to mitigate the risk it poses.

    The first-ever Chikungunya vaccine, developed by Valneva with support from CEPI and the European Union’s Horizon programmes, has been approved in the US, Canada and Europe. Regulatory reviews in Brazil and the UK are ongoing.

    mosquito photo in a round frame

    1 billion

    Number of people living in areas where Chikungunya is endemic

    110+

    Number of countries in which the Chikungunya virus has been identified

    2

    CEPI-backed vaccines in active development, including one that is now licensed

    Where does Chikungunya occur?

    Chikungunya was first identified in Tanzania in 1952 and has since become widely distributed across the globe. 

    Since 2004, major epidemics have been reported in Africa and Asia, and local transmission is also now being reported in Europe, the USA and the Caribbean. 

    Today, over a billion people live in areas where Chikungunya is endemic. 

    Climate change could further amplify the threat posed by Chikungunya by making more regions habitable for the mosquito vectors that transmit the virus, thereby increasing the size of the population at risk of infection.

    A large swarm of mosquitoes on a window sill

    What are the symptoms of Chikungunya infection?

    Chikungunya symptoms can range widely in terms of severity. 

    It is typically characterised by fever and severe joint pain, which is often debilitating and can last for weeks, months or even years, severely impacting quality of life. Other symptoms can include muscle pain, headache, nausea, fatigue, and rash. 

    Most patients recover fully. However, cases of eye, heart, and neurological complications have been reported. 

    Newborns and older people with underlying medical conditions are at higher risk of severe disease and death.

    An elderly woman patient with support for her right knee

    How is CEPI responding to Chikungunya?

    CEPI’s aim is to advance Chikungunya candidate vaccines towards licensure, and enable equitable access for populations living in affected countries. 

    To date, we have supported three Chikungunya vaccine candidates in late-stage development, committing up to US$100 million in funding with support from the European Union’s Horizon programmes. 

    Two of these candidates remain in active development, one of which - developed by French pharmaceutical company Valneva - has become the first in the world to be approved by a Stringent Regulatory Authority and is now pursuing licensure in Brazil with CEPI’s support.

    To help address the outstanding R&D questions and, ultimately, support the roll out of Chikungunya vaccines in endemic countries, CEPI and the European Commission have issued a Call for Proposals, to fund effectiveness studies and further scientific studies to help expand the potential use of licensed Chikungunya vaccines for children, people who are immunocompromised, and pregnant women.

    In July 2024, CEPI announced additional funding over the next five years, with support from the European Union’s Horizon Europe programme, to help generate additional data to potentially support extending use of Valneva's Chikungunya vaccine in chikungunya- endemic countries such as Brazil, where regulatory review is ongoing. The research could also support vulnerable populations at risk of being infected with this debilitating mosquito-borne disease. This includes children, adolescents and pregnant women.

    Brazil’s Instituto Butantan is committed to providing the chikungunya vaccine it will develop and produce in Brazil at an affordable price for distribution in Latin American countries and selected low- and middle-income countries.

    CEPI-EU funding will also support technology transfer of the vaccine drug product to an additional vaccine manufacturer to accelerate and expand access to Valneva's Chikungunya vaccine in Asian low- and middle- income countries that are vulnerable to chikungunya outbreaks.

    Learn more
    4 Valneva lab technicians looking at vaccine samples on a single tray

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