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    Emergence of the Zika Virus Epidemic in Jamaica and the National Respons Emergence of the Zika Virus Epidemic in Jamaica and the National Response.

    By Webster-Kerr K, Christie CDC, Grant A., Chin, D.; Burrowes, H.; Clarke, K.; Wellington, I.; Shaw, K.; De La Haye W. 

    Jamaica, along with the Americas, experienced major epidemics of arboviral diseases transmitted by the Aedes aegypti mosquito in recent years. These include dengue fever in 2012, Chikungunya fever in 2014 and Zika virus infection (ZIKV) in 2016. We present the emergence of the ZIKV epidemic in Jamaica and outline the national response.

    Published in: West Indian Medical Journal 2016;65(1):243-249. Epub, Sept; DOI:10.772/wimj.2016.488

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    Prolonged Shedding of Zika Virus Associated with Congenital Infection

    by Oliveira DB, Almeida FJ, Durigon EL, Mendes ÉA, Braconi CT, Marchetti I, Andreata-Santos R, Cunha MP, Alves RP, Pereira LR, Melo SR, Neto DF, Mesquita FS, Araujo DB, Favoretto SR, Sáfadi MA, Ferreira LC, Zanotto PM, Botosso VF, Berezin EN.

    The presence of Zika virus (ZIKV) infection has been associated with microcephaly in multiple studies, although little is known about ZIKV shedding in congenitally infected infants. We report a case of a newborn who had continued viremia with ZIKV for at least 67 days after birth.

    Published in: N Engl J Med. 2016 Sep 22;375(12):1202-4. doi: 10.1056/NEJMc1607583. Epub 2016 Aug 24.

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    Unravelling the Zika virus epidemic through population-based research

    By Christie CD, Giaquinto C. 

    Zika virus epidemic now involves 72 countries, worldwide. Transmission is multimodal through mosquito bites and blood and body fluids. Zika virus causes Guillain Barre Syndrome syndrome and pregnancy complications including perinatal microcephaly. Diagnosis is complicated by subclinical infection in 80%, co-circulation with dengue and chikungunya fevers with similar presentations and cross-reactivity in serological tests. There is no cure, or preventive vaccine. Large population-based studies will help to elucidate ZIKV epidemiology, vertical transmission, risks to the fetus of maternal ZIKV infection and natural history of congenital and non-congenital ZIKV infection as provided by the activities in the “ZIKAction” research consortium in Latin America, Europe and the Caribbean, which was recently funded by the European Commission.

    Published in: West Indian Medical Journal Sep, 2016;65(1):239-242; Epub, Oct, 2016, DOI:10.7727/wimj.2016.454.

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    Zika Virus: What Have We Learned?

    by Sáfadi MA.

    Zika virus (ZIKV) is an emerging arthropod-borne, enveloped RNA virus of the Flaviviridae family, which belongs to the genus Flavivirus, related to dengue, yellow fever, Japanese encephalitis, and West Nile viruses. Two major lineages, African and Asian, have been identified through phylogenetic analyses.

    Published in: Am J Perinatol. 2016 Sep;33(11):1029-31. doi: 10.1055/s-0036-1586116. Epub 2016 Sep 7.

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