Zika virus outbreak in Brazil

Zika virus (ZIKV) infection is spreading rapidly within the Americas after originating from an outbreak in Brazil. We describe the current ZIKV infection epidemic in Brazil and the neurological symptoms arising. First cases of an acute exanthematic disease were reported in Brazil’s Northeast region...

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Main Authors: Jorg Heukelbach, Carlos Henrique Alencar, Alyson Ann Kelvin, Wanderson Kleber de Oliveira, Luciano Pamplona de Góes Cavalcanti
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2016-02-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/8217
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author Jorg Heukelbach
Carlos Henrique Alencar
Alyson Ann Kelvin
Wanderson Kleber de Oliveira
Luciano Pamplona de Góes Cavalcanti
author_facet Jorg Heukelbach
Carlos Henrique Alencar
Alyson Ann Kelvin
Wanderson Kleber de Oliveira
Luciano Pamplona de Góes Cavalcanti
author_sort Jorg Heukelbach
collection DOAJ
description Zika virus (ZIKV) infection is spreading rapidly within the Americas after originating from an outbreak in Brazil. We describe the current ZIKV infection epidemic in Brazil and the neurological symptoms arising. First cases of an acute exanthematic disease were reported in Brazil’s Northeast region at the end of 2014. In March 2015, autochthonous ZIKV was determined to be the causative agent of the exanthematic disease. As cases of neurological syndromes in regions where ZIKV, dengue and/or Chikungunya viruses co-circulate were reported, ZIKV was also identified in the cerebrospinal fluid of patients with acute neurological syndromes and previous exanthematic disease. By the end of September 2015, an increasing number of infants with small head circumference or microcephaly were noted in Brazil’s Northeast which was estimated to be 29 cases between August and October. ZIKV was identified in blood and tissue samples of a newborn and in mothers who had given birth to infants with microcephaly and ophthalmological anomalies. In 2015, there were an estimated 440,000 - 1,300,000 Zika cases in Brazil. There have been 4,783 suspected cases of microcephaly, most of them in the Northeast of Brazil associated with 76 deaths. The Ministry of Health is intensifying control measures against the mosquito Aedes aegypti and implemented intensive surveillance actions. Further studies are needed to confirm the suspected association between ZIKV infection and microcephaly; to identify antiviral, immunotherapy, or prophylactic vaccine; to introduce diagnostic ELISA testing. Clinical and epidemiological studies must be performed to describe viral dynamics and expansion of the outbreak.
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spelling doaj-art-14d51b0dd81f468da22547c4fa51dbd32025-08-20T03:52:38ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802016-02-01100210.3855/jidc.8217Zika virus outbreak in BrazilJorg Heukelbach0Carlos Henrique Alencar1Alyson Ann Kelvin2Wanderson Kleber de Oliveira3Luciano Pamplona de Góes Cavalcanti4School of Medicine, Federal University of Ceará, Fortaleza, CE, BrazilSchool of Medicine, Federal University of Ceará, Fortaleza, CE, BrazilImmune Diagnostics and Research (IDR), Toronto, Ontario, CanadaCoordenação-Geral de Vigilância e Resposta às Emergências em Saúde Pública do Ministério da Saúde do Brasil, Brasília, BrazilSchool of Medicine, Federal University of Ceará, Fortaleza, CE, BrazilZika virus (ZIKV) infection is spreading rapidly within the Americas after originating from an outbreak in Brazil. We describe the current ZIKV infection epidemic in Brazil and the neurological symptoms arising. First cases of an acute exanthematic disease were reported in Brazil’s Northeast region at the end of 2014. In March 2015, autochthonous ZIKV was determined to be the causative agent of the exanthematic disease. As cases of neurological syndromes in regions where ZIKV, dengue and/or Chikungunya viruses co-circulate were reported, ZIKV was also identified in the cerebrospinal fluid of patients with acute neurological syndromes and previous exanthematic disease. By the end of September 2015, an increasing number of infants with small head circumference or microcephaly were noted in Brazil’s Northeast which was estimated to be 29 cases between August and October. ZIKV was identified in blood and tissue samples of a newborn and in mothers who had given birth to infants with microcephaly and ophthalmological anomalies. In 2015, there were an estimated 440,000 - 1,300,000 Zika cases in Brazil. There have been 4,783 suspected cases of microcephaly, most of them in the Northeast of Brazil associated with 76 deaths. The Ministry of Health is intensifying control measures against the mosquito Aedes aegypti and implemented intensive surveillance actions. Further studies are needed to confirm the suspected association between ZIKV infection and microcephaly; to identify antiviral, immunotherapy, or prophylactic vaccine; to introduce diagnostic ELISA testing. Clinical and epidemiological studies must be performed to describe viral dynamics and expansion of the outbreak. https://jidc.org/index.php/journal/article/view/8217Zika virusFlavivirusChikungunyaDengue virusBrazilmicrocephaly
spellingShingle Jorg Heukelbach
Carlos Henrique Alencar
Alyson Ann Kelvin
Wanderson Kleber de Oliveira
Luciano Pamplona de Góes Cavalcanti
Zika virus outbreak in Brazil
Journal of Infection in Developing Countries
Zika virus
Flavivirus
Chikungunya
Dengue virus
Brazil
microcephaly
title Zika virus outbreak in Brazil
title_full Zika virus outbreak in Brazil
title_fullStr Zika virus outbreak in Brazil
title_full_unstemmed Zika virus outbreak in Brazil
title_short Zika virus outbreak in Brazil
title_sort zika virus outbreak in brazil
topic Zika virus
Flavivirus
Chikungunya
Dengue virus
Brazil
microcephaly
url https://jidc.org/index.php/journal/article/view/8217
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