A sequential study of Chikungunya fever cases notified in the urban setup of India

Fluctuating notifications and unnoticed surges in 2019-2020 underscore the need for continuous, standardized surveillance. Higher case rates in southern and central regions were linked to high indoor breeding. The lack of private sector reporting and underreporting indicate a need for integrated surveillance. Awareness and adoption of <i>Aedes</i>-specific risk reduction practices remain low, with persistent misconceptions and poor attitudes.