People stand outside their house while a Health Ministry worker fumigates against mosquitoes that carry the Chikungunya virus, in Villa El Sol neighborhood of Managua, November 5, 2014. The Chikungunya mosquito-borne virus has infected nearly 200 people in the country, according to the Health Ministry. REUTERS/Oswaldo Rivas (NICARAGUA - Tags: HEALTH ENVIRONMENT TPX IMAGES OF THE DAY)