Abstract Background : Chikungunya virus (CHIKV) has historically been regarded as a low-fatality infection ; however, growing evidence from diverse study designs demonstrated a substantial mortality burden during large-scale epidemics. In 2025, Réunion Island experienced a major CHIKV outbreak , raising renewed concerns about its fatal impact. Methods : We conducted an ecological time-series analysis of all-cause mortality during the 2025 chikungunya epidemic. Expected deaths were estimated using two complementary approaches: (i) a baseline based on age-specific mean mortality rates from the same calendar months in the post-pandemic period and (ii) long-term Poisson regression models using a log-link function and population offset, excluding the COVID-19 pandemic period. Excess mortality was calculated as the difference between observed and expected deaths during periods when observed mortality significantly exceeded the upper bound of the 95% confidence interva...
Media Monitoring for Signals about Emerging Threats