chikungunya fever

NICARAGUA, Managua : An elderly woman has her mouth and nose covered with a piece of cloth as Health Ministry workers fumigate against the Aedes aegypti mosquito to prevent the spread of dengue fever and chikungunya in Managua, on August 25, 2015. The Nicaraguan government issued a health alert as a dengue fever and chikungunya epidemic have killed 9 people and infected nearly 200,000 between January and August this year in Central America. Alerts have been declared in Nicaragua, El Salvador and Guatemala.  AFP PHOTO / INTI OCON