niman

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May 9, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: TWO NEW TRAVEL-RELATED CASES TODAY Contact:Communications [email protected](850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the Florida Department of Health will issue a Zika virus update each week day at 2 p.m. Updates will include a CDC-confirmed Zika case count by county and information to better keep Floridians prepared. There are two new travel-related cases today, with one in Orange County and one in Pinellas County. Of the cases confirmed in Florida, five cases are still exhibiting symptoms. According to the CDC, symptoms associated with the Zika virus last between seven to 10 days. Based on CDC guidance, several pregnant women who have traveled to countries with local-transmission of Zika have received antibody testing, and of those, seven have tested positive for the Zika virus. The CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. It is recommended that women who are pregnant or thinking of becoming pregnant postpone travel to Zika affected areas. County Number of Cases (all travel related) Alachua 4 Brevard 2 Broward 15 Clay 1 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 42 Orange 7 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 1 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Cases involving pregnant women* 7 Total 107 *Counties of pregnant women will not be shared. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 1,646 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. All cases are travel-associated. There have been no locally-acquired cases of Zika in Florida. For more information on the Zika virus, click here. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. More Information on DOH action on Zika: On Feb. 3, Governor Scott directed the State Surgeon General to issue a Declaration of Public Health Emergency for the counties of residents with travel-associated cases of Zika.There have been 18 counties included in the declaration– Alachua, Brevard, Broward, Clay, Collier, Hillsborough, Lee, Martin, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Rosa, Seminole and St. Johns – and will be updated as needed. DOH encourages Florida residents and visitors to protect themselves from all mosquito-borne illnesses by draining standing water; covering their skin with repellent and clothing; and covering windows with screens.DOH has a robust mosquito-borne illness surveillance system and is working with the CDC, the Florida Department of Agriculture and Consumer Services and local county mosquito control boards to ensure that the proper precautions are being taken to protect Florida residents and visitors.On April 6, Governor Rick Scott and Interim State Surgeon General Dr. Celeste Philip hosted a conference call with Florida Mosquito Control Districts to discuss ongoing preparations to fight the possible spread of the Zika virus in Florida. There were 74 attendees on the call.Florida currently has the capacity to test 6,427 people for active Zika virus and 2,087 for Zika antibodies.Federal Guidance on Zika: According to the CDC, Zika illness is generally mild with a rash, fever and joint pain. CDC researchers have concluded that Zika virus is a cause of microcephaly and other birth defects.The FDA released guidance regarding donor screening, deferral and product management to reduce the risk of transfusion-transmission of Zika virus. Additional information is available on the FDA website here.The CDC has put out guidance related to the sexual transmission of the Zika virus. This includes the CDC recommendation that if you have traveled to a country with local transmission of Zika you should abstain from unprotected sex.For more information on Zika virus, click here. About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov. http://www.floridahealth.gov/newsroom/2016/05/050916-zika-update.html

County Number of Cases (all travel related) Alachua 4 Brevard 2 Broward 15 Clay 1 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 42 Orange 7 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 1 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Cases involving pregnant women* 7 Total 107

Department Of Health Daily Zika Update: Two New Travel-Related Cases TodayFULL STORYTALLAHASSEE, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the

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Monday, May 9, 2016 DPH Launches Fight the Bite Campaign for Zika Prevention Health and Family Services Cabinet Secretary Vickie Yates Brown Glisson, Department of Agriculture Commissioner Ryan Quarles, and representatives from the Kentucky Department for Public Health (DPH) and University of Kentucky gathered at the Kentucky State University Research Farm today for a Zika prevention event. Launching its “Fight the Bite Day and Night” campaign, participants discussed the state’s plans to respond to Zika in Kentucky and emphasized measures to prevent mosquito bites and control the mosquito population locally. Three stations focused on various topics related to Zika prevention. Guests were led through each display area where subject matter experts provided information on Kentucky’s mosquito population; public mosquito control efforts; addressing standing water issues and removing mosquito breeding grounds around the home; and personal protective measures like insect repellent and appropriate clothing. The event also introduced “Marty Mosquito,” public health’s mascot for Zika prevention and awareness. “Whenever an infectious disease is identified as a global health threat, people start to feel a great deal of concern and fear what could happen. They wonder if they are at risk; how to protect themselves and their loved ones from getting sick; and they wonder if the healthcare system and public health leaders are prepared to handle an outbreak close to home,” said Sec. Glisson, who provided an overview of what the state is doing to prepare for a possible Zika outbreak in Kentucky. “This is crucial in helping people understand the issue and to better direct the public’s sense of comfort and personal protection and prevention efforts.” Zika has been identified by the World Health Organization as an international public health threat. There are no known cases of Zika transmission occurring in the state of Kentucky – or any part of the United States – at this time. Zika virus is not known to be circulating in the mosquito population in Kentucky at this time. However, DPH and the Department of Agriculture are working together to respond to mosquito control issues if the virus enters the state’s mosquito population as well as emphasize the importance of localized and individual prevention. “We need every Kentuckian to be a part of this effort,” Commissioner Quarles said at the news conference. “Citizens can help by eliminating areas of standing water that could serve as breeding grounds for mosquitoes – puddles, old tires, buckets, and any household items that potentially could fill with water if left outside. With your help, we can help minimize the spread of the Zika virus across the Commonwealth.” To date, 6 confirmed cases of Zika virus have been reported in Kentuckians who contracted the illness while traveling to other countries. There is no vaccine to prevent infection and no specific antiviral treatment for Zika. The most common symptoms of Zika are fever, rash, joint pain or red/burning eyes. Recent evidence reveals that Zika can cause microcephaly and other fetal birth defects in infants born to women who are infected during pregnancy. Microcephaly is a condition where a baby’s head is smaller than normal. Microcephaly can be found alone or in conjunction with other birth defects. “Zika virus is spread primarily through the bite of an infected mosquito and is circulating in many areas of the world where Kentuckians travel for vacation, work and mission trips. Though many people affected by Zika only experience mild or no symptoms, the virus poses serious risk for infants exposed before birth due to maternal infection,” said Dr. Ardis Hoven, infectious disease specialist for the Kentucky Department for Public Health. “We have been stressing the importance of taking preventive measures, like using repellent and wearing appropriate clothing, and wanted to have this event to demonstrate what we have been saying about prevention.” International travelers to at-risk countries who develop fever, joint pain, rash, or eye burning/redness during or after travel should consult with their medical provider. DPH and CDC continue to advise travelers to take measures to protect themselves and their family members from mosquito bites during travel and for three weeks after departure from an area with active Zika transmission, such as areas in South and Central America and the Caribbean. More information about Zika can be obtained from the DPH Health Alerts website at http://healthalerts.ky.gov/Pages/Zika.aspx. •Women who are pregnant should not travel to areas with Zika. Pregnant women who must travel to one of these areas for business or family emergencies should talk to their doctor or other healthcare professional first and strictly follow steps to avoid mosquito bites. •Women trying to become pregnant should consult with their healthcare professional before traveling to these areas and strictly follow steps to avoid mosquito bites during the trip. •Pregnant women should avoid sexual contact with any man who has recently returned from areas with Zika transmission or consistently and correctly use condoms with each sexual encounter for the duration of the pregnancy. •Men who develop symptoms during or after travel to Zika-affected areas should wear condoms for six months or consider abstaining from sexual activity. •Men who travel to a Zika-affected area and do not develop any symptoms within two weeks of travel should wear condoms for 8 weeks after departure from Zika-affected area. The duration of Zika virus being present in semen after infection is not presently known. Additional facts and information specifically related to Zika virus can be found online at http://www.cdc.gov/zika/index.html.

To date, 6 confirmed cases of Zika virus have been reported in Kentuckians who contracted the illness while traveling to other countries. http://healthalerts.ky.gov/Pages/AlertItem.aspx?alertID=42499

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Pennsylvania Blood Tests Submitted for Zika Testing as of May 9, 2016 Information updated Mondays at 2 p.m.CDC Confirmed Cases: 18Pending Test Results: 135http://www.health.pa.gov/My Health/Diseases and Conditions/U-Z/Pages/Zika.aspx#.VzDJz4QrLZb

Pennsylvania Blood Tests Submitted for Zika Testing as of May 9, 2016 Information updated Mondays at 2 p.m.CDC Confirmed Cases: 18Pending Test Results: 135

Allegheny County Residents Approved for Zika Testing: 80 CDC Confirmed Cases: 3(as of May 9)

Alabama Residents Tested for Zika Virus as of May 9, 2016 Number Tested PositiveNumber of SubmissionsNumber with Results Pending3 66 14

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Detected the first case of microcephaly by Zika virus in Spain Hospital Vall d'Hebron in Barcelona treats the patient, who also contracted dengue and has decided to go ahead with the pregnancy A. HEAD / A. GUBERNBarcelona - 05.05.2016 at 21: 19: 53h. - Act at 11: 18: 41h.. Filed in: Catalonia - Topics: Rio de Janeiro, Europe, zika Virus, Virus, Tuberculosis, Dengue First case of microcephaly because of Zika virus in Spain. Hospital Vall d'Hebron in Barcelona has detected the first case of microcephaly in our country, the second in Europe in a patient who contracted the disease. Once the protocol enabled, ultrasounds found that the fetus had malformations. A woman they detected it when I was in the 20th week of gestation. Despite this, and as has moved tonight 8TV, the mother has DECIC go ahead with the pregnancy. According to the latest data from the Ministry of Health, where this virus and Spain amounted to 105. As confirmed by the Secretary of Public Health of the Generalitat, Joan Guix, she had visited in recent months various parts of Latin America, where he allegedly was infected. Reportedly, on the same trip the woman was infected with dengue. According to the same responsible for the Generalitat, the fetus has "various malformations," although the mother, noted, "we believe that no risk." In case detected in Spain, are now nine countries where there have been cases of microcephaly associated with zika viruz. Long zika hundred cases detected in Spain, about 40 are located in Catalonia, and among these, four belong to pregnant women. According Guix, apart from the case cited, those of the other three pregnant evolve favorably. In parallel, another infected woman recently gave birth zika: both mother and baby are in perfect condition and "do not present any complications." In all five cases, the women had traveled to countries where the outbreak is active. In this regard, the Generalitat of Catalonia wanted to reassure the public mind that all cases detected in our country have been imported. The probability that a fetus is spreading his mother is one in 30,000. http://www.abc.es/espana/catalunya/abci-detectado-primer-caso-microcefalia-virus-zika-espana-201605052119_noticia.html

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Zika Virus – May 9, 2016. Texas has had 33 confirmed cases of Zika virus disease. Of those, 32 were in travelers who were infected abroad and diagnosed after they returned home; one of those travelers was a pregnant woman. One case involved a Dallas County resident who had sexual contact with someone who acquired the Zika infection while traveling abroad. Case counts by county: Bexar – 3Collin – 1Dallas – 6Denton – 1Fort Bend – 2Grayson – 1Harris – 12Tarrant – 3Travis – 2Val Verde – 1 Wise – 1

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Carrollton man with Zika is Denton County’s 2nd confirmed caseBruce Tomaso Email [email protected]: May 6, 2016 6:07 pmFacebookTwitterEmail2CommentsPrintThe Aedes Aegypti mosquito, carrier of the Zika virus. (File photo, Jan. 25, 2016, AFP/Getty Images) A male from Carrollton who traveled recently to the Dominican Republic is the second Denton County resident known to have contracted the Zika virus,Denton County Public Health said Friday. The Dominican Republic is one of the countries where the virus, often borne by mosquitoes, is active. Denton County gave no further details about the patient or his condition. The most common symptoms of Zika infection are fever, rash, joint pain, and conjunctivitis (red eyes). Most cases are mild, with symptoms lasting no more than a week. The virus, however, has been linked to serious brain defects in unborn children. Doctors, therefore, are particularly concerned about the possibility of infection in women who are pregnant or of child-bearing age. There have been six confirmed Zika cases in Dallas County this year. Nationally, more than 470 cases have been reported. The virus is mostly spread to people through the Aedes aegypti mosquito, an aggressive, daytime biter. In a small number of cases, it’s believed to have been sexually transmitted. Denton County Public Health, like other health agencies, recommends precautions for people traveling to countries where the disease is prevalent. Such travelers “should carefully follow steps to avoid mosquito bites while there.” How to protect yourself from Zika Pregnant women and women planning to become pregnant are urged not travel to affected countries. In addition, safe-sex practices are recommended.

A male from Carrollton who traveled recently to the Dominican Republic is the second Denton County resident known to have contracted the Zika virus,Denton County Public Health said Friday. http://thescoopblog.dallasnews.com/2016/05/second-zika-case-confirmed-in-denton-county.html/

Zika Virus – May 9, 2016. Texas has had 33 confirmed cases of Zika virus disease. Of those, 32 were in travelers who were infected abroad and diagnosed after they returned home; one of those travelers was a pregnant woman. One case involved a Dallas County resident who had sexual contact with someone who acquired the Zika infection while traveling abroad. Case counts by county: Bexar – 3Collin – 1Dallas – 6Denton – 1Fort Bend – 2Grayson – 1Harris – 12Tarrant – 3Travis – 2Val Verde – 1 Wise – 1

by RedPres Press Today at 12:39 am Venezuela reported in the first case of microcephaly possibly linked to the Zika virus| Photo © yucatan.com.mxThe Venezuelan Society of Infectious Diseases reported that the infant also has ventriculomegalia and brain calcifications. They call for similar cases samples are taken for an accurate diagnosisNational | .- On Wednesday April 27 in Sucre state was born the first child with microcephaly probably caused by the Zika virus. Her mother, 26 - year-old underwent a caesarean in a private health center. Besides having the smaller head than other newborns, the baby has ventriculomegalia, enlarged cerebral ventricles, and calcifications or calcium deposits in the brain, reported the Venezuelan Society of Infectious Diseases. Like that mother, there are supposedly 2,978 women pregnant women who are suspected of having had zika during the first trimester of pregnancy, according to information released by the Venezuelan Society of Public Health. In a small percentage of these cases could be affected fetuses. The office has given no warning to the public about the risks of becoming infected with the virus during pregnancy, reported newspaper El Nacional '. "Since I told my son comes with microcephaly I have been going very badly. It is very difficult to know what is in those conditions and at birth may perhaps worse. The perinatologist said I could perhaps have seizures, the country's situation makes it worse because I know that there is no medicine for that "says a woman of Sucre state who is now seven months pregnant, and two months of gestation presented rash, fever, joint pain and sicca, all symptoms of zika. the woman of 27 years old was unaware of zika in the country. "I did not know the zika. I had only heard of chikungunya. In fact, when I got sick with the virus relate it . I began to investigate with the utmost hope that not he would hurt the baby. " Treatment whole. Elia Sanchez, president of the Venezuelan Society of Infectious Diseases recommends that pregnant diagnosed with some type of fetal malformation give them tools to respond from the areas of psychology, neurosurgery, cardiology and ophthalmology. Children may present problems in some organs depending on the degree of damage caused by the virus. Veronica Acosta is also the Sucre state and suffered zika in December, when he was in the first trimester of their pregnancy. At week 27 of pregnancy they were diagnosed withmicrocephaly the baby and the next week, on April 8, suffered a rupture membrane that forced an emergency Caesarean. The girl did not survive. "The baby was very complicated.Had microcephaly and ventriculomegalia, doctors had warned me that the prognosis was complicated because it would have put three valves in the head. " Acosta relates that at birth the doctors took samples from the umbilical cord, placenta and brain matter to determine whether the condition actually caused the Zika virus or responds to another cause. "In two months I get the results. Had I known that the zika was pregnant and would not have gone.Nobody wants to bring a child into the world to suffer. " " The doctor explained to me that these complications comes the baby (microcephaly, severe ventriculomegaly and talipe or clubfoot), possibly can not walk, can have mental retardation, delayed development and seizures. I'm afraid to suffer. Can live 20 years or two months , "says another pregnant Sucre state woman. The data The latest report from the World Health Organization indicates that the epidemic zika already reached 57 countries, and a few weeks ago said that there was scientific consensus the virus causes microcephaly and Guillain-Barre syndrome. It is estimated that a vaccine could be ready by 2018. Meanwhile, Brazilian scientists showed that Wolbachia could limit the ability of mosquitoes to transmit the zikahttp://www.redpres.com/t23371-reportan-en-venezuela-el-primer-caso-de-microcefalia-posiblemente-vinculado-al-virus-del-zika

Published Date: 05/08/2016 18:46:47 Subject: PRO / ESP> Zika - Venezuela: (SUC) microcephaly, new cases, inadequate epidemiological management Archive Number: 20160508.4209511 ZIKA - VENEZUELA: (SUC) MICROCEPHALY, NEW CASES, IMPROPER HANDLING EPIDEMIOLOGIC ************************************************** ************************************ A statement from ProMED-mail http://www.promedmail.org ProMED-mail is a program of the International Society for Infectious Diseases http://www.isid.org Date: May 1, 2016 Source: El Nacional, Venezuela http://www.el-nacional.com/sociedad/Sucre-nacio-primer-microcefalia-vincula_0_843515716.html [Edited by Jaime Torres] On Wednesday April 27 in Sucre state he was born the first child with microcephaly probably caused by the Zika virus. Her mother, 26-year-old underwent a caesarean in a private health center. Besides having the smaller head than other newborns, the baby has ventriculomegalia, enlarged cerebral ventricles, and calcifications or calcium deposits in the brain, reported the Venezuelan Society of Infectious Diseases. Like that mother, there are 2,978 pregnant women who are suspected of having had zika during the first trimester of pregnancy, according to unpublished data from the Ministry of Health on April 2, and released by the Venezuelan Society Public health. In a small percentage of these cases could be affected fetuses. The office has given no warning to the public about the risks of becoming infected with the virus during pregnancy. "Since I told my son comes with microcephaly I have been going very badly. It is very difficult to know what is in those conditions and at birth may perhaps worse. The perinatologist said I could perhaps have seizures, the country's situation makes it worse because I know that there is no medicine for that "says a woman of Sucre state who is now seven months pregnant, and two months of gestation presented rash, fever, joint pain and sicca, all symptoms of zika. The 27-year-old was unaware of zika in the country. "I did not know the zika. I had only heard of chikungunya. In fact, when I got sick with the virus relate it. I began to investigate with the greatest hope that it was not to affect the baby. " The publication of the Epidemiological Bulletin has remained stagnant in July 2015, and since December admit the presence of the virus in Venezuela's statements about Melo Minister Luisana have been counted and terse. Just two weeks ago to zika he was declared a notifiable disease. Conjoint treatment. Elia Sanchez, president of the Venezuelan Society of Infectious Diseases recommends that pregnant diagnosed with some type of fetal malformation are given tools to respond from the areas of psychology, neurosurgery, cardiology and ophthalmology. Children may present problems in some organs depending on the degree of damage caused by the virus. Veronica Acosta is also the Sucre state and suffered zika in December, when he was in the first trimester of their pregnancy. At week 27 of pregnancy they were diagnosed with microcephaly the baby and the following week, on April 8, suffered a rupture membrane that forced an emergency Caesarean. The girl did not survive. "The baby was very complicated. Had microcephaly and ventriculomegalia, doctors had warned me that the prognosis was complicated because it would have put three valves in the head ". Acosta relates that at birth the doctors took samples from the umbilical cord, placenta and brain matter to determine whether the condition actually caused the Zika virus or responds to another cause. "In two months I get the results. Had I known that the zika was pregnant and would not have gone. Nobody wants to bring a child into the world to suffer and less with the conditions we live in the country. " The crisis in the health sector scares mothers. "The doctor explained to me that these complications with the baby coming (microcephaly, severe ventriculomegaly and talipe or clubfoot), possibly can not walk, can have mental retardation, developmental delay and seizures. I'm afraid to suffer. Can live 20 years or two months, "says another woman pregnant Sucre state. Aimless. The magnitude of the epidemic in Venezuela is unknown. The latest data is not released by the Ministry of Health indicate that there are 28,565 suspected cases, but the Venezuelan Society of Public Health, based on the number of reports of unexpected fever, believes there are 723,550 cases of symptomatic zika. Only sucrense perinatologist Alejandro Higuerey 6 pregnant diagnosed with alterations in the fetus after having suffered a similar Zika virus. "We have to be concerned because it is not informing the population. There is a surge of pregnant women with zika. Just this week I saw three. At the University Hospital of Caracas had a dead embryo to which it was diagnosed zika, "the infectious disease specialist Ana Carvajal. late diagnosis The only institution in the country that performs detection zika blood is the National Institute of Hygiene Rafael Rangel, in the UCV. "We still have problems with INH to publish the individual results of patients with suspected zika. The information we have is that the processing of the samples is very serious, but then we have the results, "criticizes Pablo Hernandez, perinatologist Aragua state. Elia also Sanchez, president of the Venezuelan Society of Infectious Diseases, wait for the results of samples sent from Sucre to Caracas more than a month ago for a test polymerase chain reaction in real time. Still, the infectious disease specialist believes it is important that samples from the umbilical cord, placenta are taken and if the baby dies, the brain mass and a blood sample from the mother to scientifically relate to zika with cases of microcephaly The data The latest report from the World Health Organization indicates that the epidemic has already reached zika 57 countries, and a few weeks ago said that was no scientific consensus that the virus causes microcephaly and Guillain-Barre syndrome. It is estimated that a vaccine could be ready by 2018. Meanwhile, Brazilian scientists showed that Wolbachia could limit the ability of mosquitoes to transmit the zika Cipher 2,978 pregnant women are suspected of having suffered during the first quarter zika Reported by: Jaime R. Torres <[email protected]> - ProMED-ESP ----- ................. jt [The absence of an effective information campaign by the national health authorities about the risks of Zika virus infection in pregnant women, in a country plagued by a severe epidemic of the disease country, is inexplicable and very worrying. The peak of the epidemic wave was experienced in December and January, so the bulk of the cases of newborns affected by microcephaly or other disorders of the central nervous system, will only be seen in the coming months. The complaints expressed by the mothers interviewed reflect the situation of most of the nearly 3,000 symptomatic infected pregnant women in the first trimester of pregnancy according to estimates by the same health authorities, which lack adequate information on the implications of infection at this stage of pregnancy and they have not been incorporated into any special protocol to ensure optimum handling of their status as special risk. Hiding the information on the true impact of known obstetric and neurological complications associated with infection only contribute to aggravate the situation and increase the terrible economic and social burden of the same for the affected family group and society in general. Moderator Jaime R. Torres] http://promedmail.org/direct.php?id=20160508.4209511

Published Date: 05/08/2016 18:46:47 Subject: PRO / ESP> Zika - Venezuela: (SUC) microcephaly, new cases, inadequate epidemiological management Archive Number: 20160508.4209511 ZIKA - VENEZUELA: (SUC) MICROCEPHALY, NEW CASES, IMPROPER HANDLING EPIDEMIOLOGIC ************************************************** ************************************ A statement from ProMED-mail http://www.promedmail.org ProMED-mail is a program of the International Society for Infectious Diseases http://www.isid.org Date: May 1, 2016 Source: El Nacional, Venezuela http://www.el-nacional.com/sociedad/Sucre-nacio-primer-microcefalia-vincula_0_843515716.html [Edited by Jaime Torres] On Wednesday April 27 in Sucre state he was born the first child with microcephaly probably caused by the Zika virus. Her mother, 26-year-old underwent a caesarean in a private health center. Besides having the smaller head than other newborns, the baby has ventriculomegalia, enlarged cerebral ventricles, and calcifications or calcium deposits in the brain, reported the Venezuelan Society of Infectious Diseases. Like that mother, there are 2,978 pregnant women who are suspected of having had zika during the first trimester of pregnancy, according to unpublished data from the Ministry of Health on April 2, and released by the Venezuelan Society Public health. In a small percentage of these cases could be affected fetuses. The office has given no warning to the public about the risks of becoming infected with the virus during pregnancy. "Since I told my son comes with microcephaly I have been going very badly. It is very difficult to know what is in those conditions and at birth may perhaps worse. The perinatologist said I could perhaps have seizures, the country's situation makes it worse because I know that there is no medicine for that "says a woman of Sucre state who is now seven months pregnant, and two months of gestation presented rash, fever, joint pain and sicca, all symptoms of zika. The 27-year-old was unaware of zika in the country. "I did not know the zika. I had only heard of chikungunya. In fact, when I got sick with the virus relate it. I began to investigate with the greatest hope that it was not to affect the baby. " The publication of the Epidemiological Bulletin has remained stagnant in July 2015, and since December admit the presence of the virus in Venezuela's statements about Melo Minister Luisana have been counted and terse. Just two weeks ago to zika he was declared a notifiable disease. Conjoint treatment. Elia Sanchez, president of the Venezuelan Society of Infectious Diseases recommends that pregnant diagnosed with some type of fetal malformation are given tools to respond from the areas of psychology, neurosurgery, cardiology and ophthalmology. Children may present problems in some organs depending on the degree of damage caused by the virus. Veronica Acosta is also the Sucre state and suffered zika in December, when he was in the first trimester of their pregnancy. At week 27 of pregnancy they were diagnosed with microcephaly the baby and the following week, on April 8, suffered a rupture membrane that forced an emergency Caesarean. The girl did not survive. "The baby was very complicated. Had microcephaly and ventriculomegalia, doctors had warned me that the prognosis was complicated because it would have put three valves in the head ". Acosta relates that at birth the doctors took samples from the umbilical cord, placenta and brain matter to determine whether the condition actually caused the Zika virus or responds to another cause. "In two months I get the results. Had I known that the zika was pregnant and would not have gone. Nobody wants to bring a child into the world to suffer and less with the conditions we live in the country. " The crisis in the health sector scares mothers. "The doctor explained to me that these complications with the baby coming (microcephaly, severe ventriculomegaly and talipe or clubfoot), possibly can not walk, can have mental retardation, developmental delay and seizures. I'm afraid to suffer. Can live 20 years or two months, "says another woman pregnant Sucre state. Aimless. The magnitude of the epidemic in Venezuela is unknown. The latest data is not released by the Ministry of Health indicate that there are 28,565 suspected cases, but the Venezuelan Society of Public Health, based on the number of reports of unexpected fever, believes there are 723,550 cases of symptomatic zika. Only sucrense perinatologist Alejandro Higuerey 6 pregnant diagnosed with alterations in the fetus after having suffered a similar Zika virus. "We have to be concerned because it is not informing the population. There is a surge of pregnant women with zika. Just this week I saw three. At the University Hospital of Caracas had a dead embryo to which it was diagnosed zika, "the infectious disease specialist Ana Carvajal. late diagnosis The only institution in the country that performs detection zika blood is the National Institute of Hygiene Rafael Rangel, in the UCV. "We still have problems with INH to publish the individual results of patients with suspected zika. The information we have is that the processing of the samples is very serious, but then we have the results, "criticizes Pablo Hernandez, perinatologist Aragua state. Elia also Sanchez, president of the Venezuelan Society of Infectious Diseases, wait for the results of samples sent from Sucre to Caracas more than a month ago for a test polymerase chain reaction in real time. Still, the infectious disease specialist believes it is important that samples from the umbilical cord, placenta are taken and if the baby dies, the brain mass and a blood sample from the mother to scientifically relate to zika with cases of microcephaly The data The latest report from the World Health Organization indicates that the epidemic has already reached zika 57 countries, and a few weeks ago said that was no scientific consensus that the virus causes microcephaly and Guillain-Barre syndrome. It is estimated that a vaccine could be ready by 2018. Meanwhile, Brazilian scientists showed that Wolbachia could limit the ability of mosquitoes to transmit the zika Cipher 2,978 pregnant women are suspected of having suffered during the first quarter zika Reported by: Jaime R. Torres <[email protected]> - ProMED-ESP ----- ................. jt [The absence of an effective information campaign by the national health authorities about the risks of Zika virus infection in pregnant women, in a country plagued by a severe epidemic of the disease country, is inexplicable and very worrying. The peak of the epidemic wave was experienced in December and January, so the bulk of the cases of newborns affected by microcephaly or other disorders of the central nervous system, will only be seen in the coming months. The complaints expressed by the mothers interviewed reflect the situation of most of the nearly 3,000 symptomatic infected pregnant women in the first trimester of pregnancy according to estimates by the same health authorities, which lack adequate information on the implications of infection at this stage of pregnancy and they have not been incorporated into any special protocol to ensure optimum handling of their status as special risk. Hiding the information on the true impact of known obstetric and neurological complications associated with infection only contribute to aggravate the situation and increase the terrible economic and social burden of the same for the affected family group and society in general. Moderator Jaime R. Torres] http://promedmail.org/direct.php?id=20160508.4209511