Zika Virus epidemic:Postmortem

08/02/2016
An obscure mosquito-borne virus, Zika, is on the prowl and has already caused an “unprecedented situation” in the world of scientific research.

Background:
  • The virus gets its name from the Zika forest in Uganda, Africa, where it was first identified in rhesus monkeys in 1947. It was reported in humans in 1952 but was unknown in the Americas until last year. The virus is transmitted by the Aedes aegypti mosquito, which is also responsible for the spread of dengue and chikungunya.
  • In the last few years, confirmed cases have been reported from Brazil, Colombia, the Dominican Republic, El Salvador, Guatemala, Mexico, Panama, Paraguay, Suriname and Venezuela.
  • Outbreaks have also occurred in parts of Africa, Southeast Asia and the Pacific Islands. Because the Aedes species mosquitoes that spread Zika virus are found throughout the world, it is likely that outbreaks will spread to new countries.But these are some recent cases.


Why it is serious:
  • The predominant effect of the virus is being linked to Microcephaly, a rare neurological condition in which an infant's head is significantly smaller than the heads of other children of the same age and sex. Sometimes detected at birth, microcephaly usually is the result of the brain developing abnormally in the womb or not growing as it should after birth.
  • Usually occurs because of abnormal brain development that numerous conditions can trigger: genetic abnormalities, disorders such as Down syndrome, drug or alcohol use, other infections such as cytomegalovirus or even serious nutritional problems.

Transmission:
  • Zika virus is transmitted to people primarily through the bite of an infected Aedes species mosquito (A. aegypti and A. albopictus). These mosquitoes typically lay eggs in and near standing water in things like buckets, bowls, animal dishes, flower pots and vases.  They prefer to bite people, and live indoors and outdoors near people.
  • Mosquitoes that spread chikungunya, dengue, and Zika are aggressive daytime biters. They can also bite at night.
  • Mosquitoes become infected when they feed on a person already infected with the virus. Infected mosquitoes can then spread the virus to other people through bites.
  • A mother already infected with Zika virus near the time of delivery can pass on the virus to her newborn around the time of birth, but this is rare.
  • It is possible that Zika virus could be passed from a mother to her baby during pregnancy. 
  • To date, there are no reports of infants getting Zika virus through breastfeeding. Because of the benefits of breastfeeding, mothers are encouraged to breastfeed even in areas where Zika virus is found.
  • The virus could also be spread through blood transfusion and sexual contact .

Treatment:
  • There is no treatment or vaccine available for Zika infection. People who get Zika virus disease typically have a mild fever, skin rash, conjunctivitis, muscle and joint pain and fatigue, with symptoms normally lasting for two to seven days. 
  • According to the CDC, the condition can be managed and symptoms treated with patients being put on bed rest, increasing fluid intake and having fever medication.




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