Epidemiological Updates of Zika Transmission and Emphasizing the Critical Role of Public Health Interventions

Download Article

DOI: 10.21522/TIJPH.2013.05.01.Art011

Authors : Soosanna Kumary, Vijay KumarChattu

Abstract:

Since the start of Zika epidemic this year, till date there are more than 45 countries with active Zika virus transmission. Considering its spread at an alarming rate with large clusters of microcephaly and neurological complications, the Emergency Committee of the World Health Organization (WHO) under the International Health Regulations (IHR) announced that Zika constitutes Public Health Emergency of International Concern (PHEIC) on February 1, 2016. Countries in Central America and South America show a decreasing trend of cases where as there is an increasing number of cases in USA and some Caribbean states. Recently after careful review of the existing evidence the scientists at CDC concluded that Zika virus causes Microcephaly a condition in which the size of baby’s brain and head is smaller than the normally expected. For planning more effective disease control and prevention activities for Zika fever there is great need for a functional and intensified Public Health Surveillance system Preparedness for the prevention and control of Zika virus infection. Risk communications should be enhanced in countries with Zika virus transmission to address population concerns, enhance community engagement, improve reporting, and ensure application of vector control and personal protective measures. Vector control measures and appropriate personal protective measures should be aggressively promoted and implemented to reduce the risk of exposure to Zika virus. Attention should be given to women of childbearing age and particularly pregnant women so that they have the necessary information and materials to reduce risk of exposure

Keywords: Zika virus, Public Health Emergency of International Concern, International Health Regulations, Guillain-Barre Syndrome, Microcephaly, Vector control

References:

[1]. Atkinson B, Hearn P, Afrough B, Lumley S, Carter D, Aarons. Emma J, et al. (2016) Detection of Zika virus in semen. Emerg Infect Dis. 22(5). 72.

[2]. Barzon L, Pacenti M, Berto A, Sinigaglia A, Franchin E, Lavezzo E, et al. (2016) Isolation of infectious Zika virus from saliva and prolonged viral RNA shedding in a traveller returning from the Dominican Republic to Italy, January 2016. Euro Surveill. March; 21(10).

[3]. Besnard M, Lastere S, Teissier A, Cao-Lormeau V, Musso D. (2014). Evidence of perinatal transmission of Zika virus, French Polynesia, December 2013 and February 2014. Euro Surveill [Internet]. 2014; 19(13): [pii=20751 p.]. Available from: 

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20751.

[4]. Centers for Disease Control and Prevention, US Department of Health and Human Services, USA. www.cdc.gov/zika. (Accessed on 26 August 2016)

[5]. Cancian N. (2016) Study confirms that Zika virus can cross placenta during pregnancy; http://www1.folha.uol.com.br/internacional/en/scienceandhealth/2016/01/1731436 studyconfirmsthatzikaviruscancrossplacentaduringpregnancy.shtml. Last accessed January 31, 2016.

[6]. Dupont-Rouzeyrol M, Biron A, O'Connor O, Huguon E, Descloux E. (2016). Infectious Zika viral particles in breastmilk. Lancet. 387(10023):1051.

[7]. Fauci AS (2016) Morens DM (2016) Zika Virus in the Americas—yet another arbovirus threat. N Engl J Med 374: 601–604 3.

[8]. Gourinat AC, O'Connor O, Calvez E, Goarant C, Dupont-Rouzeyrol M. (2015). Detection of Zika virus in urine. Emerg Infect Dis. Jan21(1):84-6

[9]. Hearn PT, Atkinson B, Hewson R, Brooks T. (2014). Identification of the first case of imported Zika Fever to the UK: A novel sample type for diagnostic purposes and support for a potential non-vectorborne route of transmission. Am J Trop Med Hyg. 91(5):62-3. 71.

[10]. Lucey DR, Gostin LO (2016) The emerging Zika pandemic: enhancing preparedness. JAMA 315:865–866

[11]. Musso D, Nhan T, Robin E, Roche C, Bierlaire D, Zisou K, et al. (2014) Potential for Zika virus transmission through blood transfusion demonstrated during an outbreak in French Polynesia, November 2013 to February 2014. Euro Surveill 19(14):[pii=20761 p.]. Available from: 

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20761

[12]. Musso D, Roche C, Tu-Xuan N, Robin E, Teissier A, Cao-Lormeau VM.(2016) Detection of Zika virus in saliva. J ClinVirol. 68:53-5.

[13]. Maria A, Maquart M, Makinson A, Flusin O, Segondy M, Leparc-Goffart I, et al. (2016) Zika virus infections in three travellers returning from South America and the Caribbean respectively, to Montpellier, France, December 2015 to January 2016. Euro Surveill [Internet]. 2016; 21(6): [pii=30131 p.]. Available from: 

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21374

[14]. Musso D, Roche C, Robin E, Nhan T, Teissier A, Cao-Lormeau VM. (2015) Potential sexual transmission of Zika virus. Emerg Infect Dis.21(2):359-61.

[15]. Mansuy JM, Dutertre M, Mengelle C, Fourcade C, Marchou B, Delobel P, et al. (2016) Zika virus: high infectious viral load in semen, a new sexually transmitted pathogen? Lancet Infect Dis. EpubApr 16 (4): 405

[16]. Oehler E, Watrin L, Larre P et al (2014) Zika virus infection complicated by Guillain-Barre syndrome—case report, French Polynesia, December 2013. Eurosurveill Mar 6:19(9)

[17]. Regional Zika Epidemiological Update (Americas) 25 August 2016. 

www.paho.org/hq/index.php?option=com_content&view=article&id=11599%3Aregional-zikaepidemiological-update-americas&catid=8424%3Acontents&Itemid=41691&lang=en (accessed on 25-8-2016)

[18]. Rozé B, Najioullah F, Fergé J, Apetse K, Brouste Y, Cesaire R, et al. (2016). Zika virus detection in urine from patients with Guillain-Barré syndrome on Martinique, January 2016. Euro Surveill [Internet]. 2016; 21(9): [pii=30154 p.]. Available from: 

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21400

[19]. Sikka V, Chattu VK, Popli RK, Galwankar SC, et al. (2016). The emergence of Zika virus as a global health security threat: A review and a consensus statement of the INDUSEM Joint working Group (JWG). J Global Infect Dis 8:3-15

[20]. 

www.paho.org/hq/index.php?option=com_content&view=article&id=11640&Itemid=135&lang=en (accessed on 25 Aug 2016)

[21]. Zika virus updates from FDA, available at 

http://www.fda.gov/%20EmergencyPreparedness/Counterterrorism/MedicalCountermeasures/MCMIssues/ucm485199.htm (accessed on 1 May 2016)

[22]. Zika virus infection, Epidemiological Alert, PAHO/WHO 7 May 2015.