Venezuela is in the midst of a violent uprising. Its socialist government has failed to provide even the basics for the people of the country while raking in billions as a leading exporter of oil. Corruption and the inability to force the economy to change via government fiat have brought this proud nation to the brink.
The key to how quickly chikungunya reaches the continental US is Puerto Rico. In Florida, one of the top areas for imported dengue cases is PR. The road to the US passes through Puerto Rico for chikungunya. My best guess is that we will see locally acquired cases in the Commonwealth by May, and imported cases in Florida by August.
Dengue on Long Island and in South Texas once again point to my observation that West Nile is an indicator for the potential for other, more serious mosquito borne illnesses. Some of the mosquito species that carry West Nile also carry malaria, yellow fever, dengue and a host of other illnesses that we have yet to experience in our country.