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Chikungunya is not a U.S. nationally notifiable disease and tracking travel-associated and locally acquired cases is currently dependent on voluntary reporting via ArboNET. Electronic healthcare reimbursement claims covering a large proportion of visits to providers' offices may help overcome some of the limitations of ArboNET in documenting timing, occurrence, and spread of Chikungunya in the U.S.

Using Big Healthcare Data to Supplement Chikungunya Surveillance in the U.S.