O'nyong'nyong virus is transmitted by bites from an infected mosquito. It is the only virus whose primary vectors are anopheline mosquitoes (Anopheles funestus and Anopheles gambiae).
Common symptoms of infection with the virus are polyarthritis, rash and fever. Other symptoms include eye pain, chest pain, lymphadenitis and lethargy. No fatalities due to infection are known.
There have been two epidemics of O’nyong’nyong fever. The first occurred from 1959-1962 spreading from Uganda to Kenya, Tanzania, Zaire (Democratic Republic of the Congo), Malawi and Mozambique, and affecting over two million people. This was one of the largest arbovirus epidemics recorded. The first virus isolates were obtained during this outbreak from mosquitoes and human blood samples collected from Gulu in northern Uganda in 1959.
The second epidemic in 1996-1997 affected 400 people and was confined to Uganda. The 35-year hiatus between the two outbreaks and evidence of an outbreak in 1904-1906 in Uganda indicates a 30-50 year cycle for epidemics.
The ONNV (o'nyong-nyong virus) has at least three major subtipes, or strains, which genomic sequences are currently available on genome databases.
According to:Powers AM, Brault AC, Tesh RB, Weaver SC (2000). "Re-emergence of Chikungunya and O'nyong-nyong viruses: evidence for distinct geographical lineages and distant evolutionary relationships". J. Gen. Virol. 81 (Pt 2): 471–9. "...in Asia, the virus appears to be maintained in an urban cycle with Aedes aegypti mosquito vectors, while CHIK virus transmission in Africa involves a sylvatic cycle, primarily with Ae. furcifer and Ae. africanus mosquitoes."