Zika Microcephaly Live Birth New York City Hospital

niman · July 22, 2016

A baby with Zika-related microcephaly has been born at a New York City hospital, marking the first such delivery in the five boroughs, health officials say.

The baby's mother was infected while in an area known to have mosquitoes transmitting the virus, the health department said. She and the baby, who has been diagnosed with a smaller than normal head and other brain problems, are being monitored by physicians, authorities said.

http://www.nbcnewyork.com/news/local/Zika-Baby-Microcephaly-New-York-City-Hospital-Birth--387941232.html

niman · July 22, 2016

First Baby With Zika-Related Microcephaly Born in New York City

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A mosquito-borne virus that's been linked to birth defects is raising fears among some travelers to South America. Michael George has more. (Published Friday, Jan. 15, 2016)

WHAT TO KNOWPhysicians have requested testing for more than 2,000 pregnant woman who have traveled to areas of active Zika transmission
There have been more than 300 confirmed cases of Zika in New York City
The species of mosquito most commonly associated with Zika's spread hasn't been found in the tri-state, but a similar species lives here.

A baby with Zika-related microcephaly has been born at a New York City hospital, marking the first such delivery in the five boroughs, health officials say.

The baby's mother was infected while in an area known to have mosquitoes transmitting the virus, the health department said. She and the baby, who has been diagnosed with a smaller than normal head and other brain problems, are being monitored by physicians, authorities said.

Zika Mystery: Caregiver Gets Virus From Man Who Died

The baby did test positive for Zika, and the health department says it is working closely with the Centers for Disease Control and Prevention on the case.

Herminia Palacia, deputy mayor for Health and Human Services, said the city has been preparing for a case for months, "and we stand ready to help families caring for an infant with microcephaly. This is a sad reminder that Zika can have tragic consequences for pregnant women."

Global Health Officials Scramble to Fight Zika Virus

Earlier this week, health officials said physicians have requested testing for more than 2,000 pregnant women who have traveled to areas where there is active Zika transmission. Forty-one of them have tested positive.

Pregnant women also continue to be tested for Zika if their sexual partners have traveled to an afflicted area. Virtually all of South and Central America and the Caribbean is considered a hotbed for transmission of the virus.

Fla. Mosquitoes Tested for Zika to Confirm 1st Bites by US Insects

In addition to sexual contact, the virus is spread through specific species of mosquitoes.

The mosquito species most commonly associated with Zika's spread is not found in the tri-state, but a similar species that scientists think could transmit the disease inhabits the area.

Top News Photos of the Week

New York City health officials have said they've been monitoring populations of the insect and applying pesticides to keep mosquito-borne diseases like Zika at bay.

Source: First Baby With Zika-Related Microcephaly Born in New York City | NBC New York http://www.nbcnewyork.com/news/local/Zika-Baby-Microcephaly-New-York-City-Hospital-Birth--387941232.html#ixzz4F9mXSeWV
Follow us: @nbcnewyork on Twitter | NBCNewYork on Facebook

niman · July 22, 2016

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niman · July 22, 2016

Health Department Reports First Baby Born With Zika-Related Microcephaly In NYC

More than 41 pregnant women have tested positive for the Zika virus

Department reminds pregnant women and women trying to get pregnant not to travel to Zika-affected areas

July 22, 2016 – The Health Department today reported the first baby delivered with Zika-related microcephaly at a hospital in New York City. The baby and mother are currently in care and being monitored by physicians. The baby’s mother was infected while in an area with ongoing Zika transmission. The baby has been diagnosed with microcephaly – or a smaller than normal head – and other brain problems. Tests have determined that the baby is positive for Zika. The Health Department is working closely with the Centers for Disease Control and Prevention on this case.

“Today, I am the bearer of sad news: we have confirmed New York City’s first baby born with microcephaly associated with the Zika virus,” said Deputy Mayor for Health and Human Services Dr. Herminia Palacio. “The City has been preparing for this scenario for many months now, and we stand ready to help families caring for an infant with microcephaly. This case is a sad reminder that Zika can have tragic consequences for pregnant women."

“While not surprising, given the travel trends of our global city, this case is a strong reminder of the tragic consequences of the Zika virus. We are monitoring the baby’s health closely and connecting the family with the necessary services to take care of their child,” said New York City Health Commissioner Dr. Mary T. Bassett. “I remind all pregnant women in New York City, and those trying to get pregnant, that they should delay travel to places where there is active Zika transmission. As we see today, the consequences for the child can be devastating.”

Earlier this week, the Health Department announced that physicians have requested testing for more than 2,000 pregnant women who have traveled to areas where there is active transmission of Zika.

Additionally, pregnant women continue to be tested for potential sexual exposure following travel-related Zika exposure of their sexual partner. In the last month, the daily number of test requests has steadily increased. Last Friday alone, the City's Zika Test Call Center received 56 test requests. Of the 2,000 pregnant women who have been tested, 41 have been confirmed to have the Zika virus as of July 15, 2016.

The Health Department’s travel advisory urges pregnant women and those trying to conceive not travel to places where there is active transmission of the Zika virus. These places currently include virtually all South and Central America and the Caribbean. It is also critical to use barrier protection (male and female condoms, dental dams, etc.) when having sex with someone who traveled to an area with active transmission.

If a family emergency or other important matter requires travel to a Zika-affected area, pregnant women should stay indoors during the day and use mosquito repellent. Women who may become pregnant are advised to use an effective contraceptive method to prevent an unplanned pregnancy. Call 311 or visit www.nyc.gov and search for “birth control” for information on free or low cost birth control.

As part of the Mayor’s $21 million investment in preparing the city for Zika, the Health Department expanded the capacity of the Public Health Laboratory to meet the demand for Zika surveillance and testing. In March, the Department established a new dedicated call center for health care providers to process testing requests. Further, the Department distributed travel advisory posters to over a thousand healthcare providers likely to see pregnant women, including urgent care centers, community health centers and OB/GYN practices. The Department continues to work with the American College of Obstetrics and Gynecology to disseminate medical guidance and answer provider questions about testing, on implementing protocols for care management of pregnant women, and collaborating with the CDC on a national registry of Zika-infected pregnant women.

To learn about what the City is doing to prevent the spread of the Zika virus in New York City, read the most recent information about the Zika virus, and access the latest data available, visit the Health Department website: www.nyc.gov/health/zika.

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niman · July 23, 2016

First case of baby born with Zika-related microcephaly reported in New York City

New York City department of health officials sy the baby’s mother was infected after traveling to an area with ongoing Zika transmission

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Health officials say case demonstrates the ‘real risk’ of Zika to Americans

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New York City has reported its first case of a baby born with the birth defect microcephaly related to exposure to the Zika virus, health officials said on Friday.

New York City department of health officials said the baby’s mother was infected after traveling to an area with ongoing Zika transmission. They declined to provide further details about the mother or child.

So far, the city has reported 346 cases of Zika infections, all related to travel. Of these, four have been linked to sexual transmission, including the first case ever of a woman transmitting the virus to a male partner.

US health officials have concluded that Zika infections in pregnant women can cause microcephaly, a birth defect marked by small head size that can lead to severe developmental problems in babies.

According to the US Centers for Disease Control and Prevention, there have now been 12 confirmed cases of babies born with microcephaly in the United States, and more than 400 pregnant woman in the continental US have evidence of Zika infection.

Health officials in Florida have been working with the CDC to determine if Zika has arrived in the United States after two residents who have not traveled to areas infected with Zika tested positive for the mosquito-borne virus.

It was also announced on Friday that a civilian contract worker has become the first person with a confirmed case of Zika on the US base at Guantánamo Bay, Cuba, following a trip to Jamaica.

The worker became infected while off the base and remains under medical supervision but now shows no symptoms of the illness, the US navy said in a statement.

The connection between Zika and microcephaly first came to light last fall in Brazil, which has nowconfirmed more than 1,600 cases of microcephalythat it considers to be related to Zika infections in the mothers.

So far, 1,404 people in 46 US states have contracted Zika, including 15 cases that were sexually acquired. CDC is also investigating one possible case of person-to-person transmission of Zika in Utah.

https://www.theguardian.com/world/2016/jul/22/zika-first-baby-microcephaly-new-york-city

niman · July 23, 2016

Baby born with Zika-related microcephaly in New York City

Eighth baby born with Zika infection in the United States, officials said
The child has brain damage and a smaller than normal head
Tests confirmed the baby and mother both have the Zika virus
It comes as Florida officials scramble to test local mosquitoes for the virus
Miami reported non-travel-related case this week, fears Zika is in the US

By MIA DE GRAAF FOR DAILYMAIL.COM

PUBLISHED: 11:24 EST, 22 July 2016 | UPDATED: 14:52 EST, 22 July 2016

http://www.dailymail.co.uk/health/article-3703673/Baby-born-Zika-related-microcephaly-New-York-City.html

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A baby has been born with Zika-related microcephaly in New York City, officials revealed on Friday.

The child and mother are being monitored by doctors at a public hospital.

Officials confirmed the baby was born with a smaller than normal head and other neurological issues.

Tests confirmed the baby has the Zika virus.

SCROLL DOWN FOR VIDEO

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Birth defects: Zika, primarily spread by mosquitos, can lead to a condition in babies called microcephaly. It stunts the growth of a fetus, potentially leaving a baby with brain damage and a shrunken skull (file image)

HOW DOES ZIKA INFECT A BABY AND WHAT IS MICROCEPHALY?

INFECTION

A mother can pass the virus to her unborn baby during pregnancy or during childbirth.

There are three ways this can happen, according to a recent study.

1. Through the placenta

During the first trimester, it can travel through the placenta by infecting numerous placental cells - something very few viruses can do.

This route is the most damaging to the fetus, and is most likely to leave the child with birth defects, including microcephaly.

2. Through the amniotic sac

In the second and third trimester, the virus can make its way through the amniotic sac.

This route is less likely. The baby would have a much smaller risk of birth defects at this stage than if it were infected in the first trimester.

3. During childbirth

Since the virus can live in the woman's womb lining, there is a chance the baby can become infected when it is born.

BIRTH DEFECTS

There is a range of Zika-related birth defects.

The most common, and most obvious, is microcephaly, which stunts the development of the baby's brain, leaving the skull abnormally small.

Babies with microcephaly will have slow growth, and will likely be smaller than their peers.

Behaviourally, they are hyperactive, impulsive and often irritable.

There is no cure. Treatment involves supportive care and close monitoring.

Infected babies may also have excess fluid in and around the brain, abnormal eye development, clubfoot, inflexible joints, and calcium deposits in the brain.

It is not known how the mother was infected.

This is the eighth case of a child being treated for Zika in the United States.

Health officials did not immediately respond to questions about how the mother became infected.

'Today, I am the bearer of sad news: we have confirmed New York City's first baby born with microcephaly associated with the Zika virus,' Dr Herminia Palacio, Deputy Mayor for Health and Human Services, said on Friday.

'The City has been preparing for this scenario for many months now, and we stand ready to help families caring for an infant with microcephaly.

'This case is a sad reminder that Zika can have tragic consequences for pregnant women.'

As of this week, at least 400 pregnant women have been diagnosed with Zika in the United States - all from mosquito bites abroad or sex with a Zika-infected person.

More than 2,000 pregnant women are being tested for the virus in New York City after traveling to regions which already have Zika.

As of July 15, 41 of those women had been confirmed to have the Zika virus.

Hundreds more are being examined for possible exposure through sex.

New York was the first city to report a case of a woman infecting a man through sex.

The news, which was released on July 15, forced the CDC to rewrite the official guidelines on anti-Zika protection.

Previously, studies had only shown that men could pass on the virus through sex, since Zika was seen to survive for weeks in semen.

However, the New York case showed the virus can also thrive in female sexual organs.

Addressing the news on Friday, New York City Health Commissioner Dr Mary Bassett urged all pregnant women to postpone any plans to travel to a Zika-infected region.

'While not surprising, given the travel trends of our global city, this case is a strong reminder of the tragic consequences of the Zika virus,' she said.

'We are monitoring the baby's health closely and connecting the family with the necessary services to take care of their child.

'I remind all pregnant women in New York City, and those trying to get pregnant, that they should delay travel to places where there is active Zika transmission.

'As we see today, the consequences for the child can be devastating.'

New York City has the highest number of Zika-infected patients, according to the latest CDC figures - closely followed by Florida.

The majority of cases are travel-related, mostly to the Dominican Republic.

Millions of women have been warned to avoid pregnancy or take intense precautions to avoid the Zika virus.

The infection, primarily spread by Aedes aegypti mosquitos, stunts the growth of a fetus, potentially leaving babies with brain damage and shrunken skulls.

But as the epidemic has spread, scientists have been grappling to understand the exact routes Zika takes from mosquito, to mother, to unborn baby.

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Officials fear the Miami case could be the first to come directly from a mosquito bite in the United States. They are now testing US mosquitoes for the virus, which is most commonly carried by the Aedes aegypti (pictured)

On Monday, experts at the University of California released the first comprehensive map showing the two routes the infection can take.

Unlike most viruses - which cannot cross the protective placenta - their research seems to suggest that Zika can.

However, the team said they have evidence to show an older generation antibiotic could block this process.

ZIKA UPDATES: LATEST NEWS ON THE INFECTION IN THE US

FLORIDA FEARS US MOSQUITOES HAVE ZIKA AFTER NON-TRAVEL INFECTION

Miami health officials started trapped mosquitoes this week to test them for Zika.

On Wednesday, a Miami woman was diagnosed with the virus despite not traveling abroad.

Officials fear this case could be the first to come directly from a mosquito bite in the continental United States.

Control teams are now shipping batches of locally-caught mosquitoes to confirm whether the infection has reached the state - while spraying the patient's neighborhood to prevent an outbreak.

UTAH ALSO PROBING NON-TRAVEL INFECTION

Mosquitoes in Utah may also have contracted Zika, officials warned this week.

Crews in Salt Lake City are setting traps in old tires and junkyards and dumping mosquito-eating fish into ponds and abandoned pools.

It is an attempt to get hold of Zika-infected mosquitoes to test them.

Earlier this week, Utah officials revealed a man who cared for his dying father was infected with Zika.

The elderly man had traveled abroad. He also had other health problems.

Since the son's infection doesn't involve travel or sex, it has raised more questions about how the virus might spread.

NEW YORK CITY CONFIRMED WOMEN CAN INFECT MEN THROUGH SEX

A New York City woman in her twenties infected her male partner with the Zika virus through sex, officials revealed on July 15.

It is the first time female-to-male transmission of the germ has been documented.

Zika is usually spread by mosquitoes, and multiple studies have found the virus can survive two months or more in semen - even after symptoms fade.

There is little research on Zika's presence in women, and how they pass it on.

However, the CDC confirmed that a female patient passed on the virus to a man after having sex just once.

NEW TESTS SHOW VIRUS COULD LIVE 3 MONTHS IN SEMEN - RATHER THAN 2

Zika virus has been detected in a man's semen more than three months after he reported symptoms, scientists discovered this week.

Previously, Zika had been found to lurk in semen for up to 62 days - so the new finding of 93 days has caused alarm in the scientific community.

In this newly reported case, the 27-year-old man from France came down with mild symptoms of the virus only days after returning home from Thailand last year.

Doctors described his case in the Lancet Infectious Diseases journal.

The man had decided to freeze his sperm before chemotherapy, which led to French scientists deciding to to test his sample for Zika.

While the virus was found in his semen, it was not found in his blood or urine.

ZIKA FOUND IN ANOTHER MOSQUITO - WHICH IS 20 TIMES MORE COMMON

Another much more common species of mosquito is able to transmit the Zika virus to humans, scientists have discovered.

The alarming finding could make it difficult to limit the spread of the virus, which has been linked to thousands of birth defects as it sweeps rapidly through the Americas.

Until now, the mosquito species Aedes aegypti had been identified as the main transmitter of Zika infections.

But Brazilian scientists have discovered the Culex quinquefasciatus mosquito can carry the virus.

The Culex is 20 times more common than the Aedes aegypti – the bug which also transmits dengue fever and Chikungunya.

It is particularly common in Los Angeles.

niman · July 23, 2016

NYC reports microcephaly; Florida probes possible 2nd local Zika case

Lisa Schnirring | News Editor | CIDRAP News

|

Jul 22, 2016

New York City health officials today reported the first baby born with Zika-related microcephaly in a local hospital, a day after Florida said it was investigating a second suspected local Zika case, this one in Broward County.

Elsewhere, Puerto Rico's governor today turned down a Centers for Disease Control and Prevention (CDC) proposal for aerial spraying for mosquitoes.

The rapidly evolving developments come a day after federal officials announced $60 million more to help states battle Zika virus and as the nation and its territories are well into their summer mosquito seasons.

Baby's mother got sick in an affected area

In a statement, New York City's health department (NYC Health) said the baby's mother was infected while in an area of ongoing Zika transmission. The baby has been diagnosed as having microcephaly and other brain problems, and tests were positive for Zika virus infection, NYC Health said in a press release.

NYC Health Commissioner Mary Bassett, MD, MPH, said in the statement, While not surprising, given the travel trends of our global city, this case is a strong reminder of the tragic consequences of the Zika virus. We are monitoring the baby's health closely and connecting the family with the necessary services to take care of their child."

At a media briefing streamed live online today, Bassett said she learned of the case yesterday and that the baby was born this month. To protect the family's privacy health officials offered no other details, but said they were working with the CDC on the case.

Jay Varma, MD, the health department's deputy commissioner for disease control, said 41 pregnant women who were infected with Zika virus have been reported in the city, the number is growing, and the cases are being evaluated on a regular basis.

NYC Health said the mayor had invested $21 million in Zika preparedness, which included expanding testing capacity and dedicating a call center for health providers to process lab results. As of Jul 15 NYC Health has tested about 2,000 pregnant women.

Because of travel patterns and large populations of immigrants from areas where the virus is circulating, and according to the CDC's latest totals, New York leads the nation in travel-related Zika cases. So far the city has reported 346 cases, including 4 sexually transmitted infections. More than half of infected people reported travel to the Dominican Republic.

Yesterday in an update the CDC said 18 poor birth outcomes have been reported in pregnant women infected with Zika virus, including 12 live births and 6 pregnancy losses.

Florida probes second case

In other Zika developments, the Florida Department of Health yesterday said it was investigating another suspected case involving local transmission, its second such announcement this week. In a statement, it said the possible nontravel-related case is in Broward County, which neighbors Miami-Dade County, the location of the first suspected local case.

In a news release yesterday, Florida Health said Gov Rick Scott asked the state's surgeon general to request help from a CDC medical epidemiologist with investigations into both cases. That help arrived today in the form of Marc Fischer, MD, MPH, a CDC medical epidemiologist, Florida Health said in its daily Zika update.

In the press release, Florida Health said Zika kits and repellent are being distributed to pregnant women in the affected area of Broward County, including through doctors' offices. Health officials are asking residents and visitors to cooperate with requests for blood and urine for testing in the investigation areas.

In its update today, Florida Health said so far about 200 people have been interviewed and tested as part of the two investigations, that it is waiting for more lab results, and that it would share more details when available. It noted that door-to-door outreach with mosquito control is under way in the homes, workplaces, and other locations the two suspected case-patients frequented.

Since yesterday, the state has received reports of 19 more travel-related Zika cases, 1 involving a pregnant woman. It now has 353 such illnesses, 47 of them in pregnant women.

News of the first suspected local case prompted OneBlood, which provides blood services throughout Florida and to parts of Georgia and South Carolina, to announce yesterday that it will start testing donated blood for Zika virus on Aug 1 using a new test that was granted emergency use authorization.

The first step is to screen a portion of collections in unaffected areas, making those blood products available to hospitals with high-risk patients, such as pregnant women, the company said in a statement.

If the case is confirmed as local, OneBlood would stop collections in the affected zip code and supply that area with blood from an unaffected area.

Spraying nixed; other developments

Puerto Rico's governor today rejected a CDC suggestion to begin aerial spraying for mosquitoes with naled, and said he will support spraying with Bti, (Bacillus thuringiensis israelensis) an organic larvicide, the Associated Press (AP) reported today. The CDC has suggested aerial spraying as part of an integrated mosquito control program for the territory, which has been experiencing a surge of Zika activity. According to the AP, Puerto Ricans have organized protests about naled's possible impact on humans and wildlife. Puerto Rico's government was angered when the CDC sent the territory an unannounced shipment of naled, for which the CDC apologized today, saying it moved too quickly in the event that Puerto Rican officials would want to use the pesticide.
A multidisciplinary mission will visit Guinea-Bissau next week to help investigate its recent local Zika cases, the World Health Organization (WHO) said in its weekly update yesterday. Four positive samples were sent to the Pasteur Institute in Dakar on July 1 for gene sequencing to determine if the outbreak strain is the one fueling the outbreak in the Americas or the one that has circulated for many decades in Africa. Results are still pending, the WHO said.
Colombia's number of Zika-related microcephaly cases and related birth defects continues to grow, with 21 now reported, the WHO also noted in its weekly update. The number increased by 3 from last week. Brazil also reported 22 more confirmed cases, boosting its total to 1,709.
The Caribbean island of Saba, a territory of the Netherlands, reported its first local Zika virus transmission, the European Centre for Disease Prevention and Control said today in its latestweekly communicable disease threats report. St Eustatius, Saba's neighbor to the southeast, also recently reported its first local case.

See also:

Jul 22 NYC Health press release

NYC Health Zika background and totals

Jul 21 Florida Health press release

Jul 22 Florida Health Zika update

Jul 21 OneBlood press release

Jul 12 CIDRAP News story "Experts warn spraying may not be very effective against Aedes"

http://www.cidrap.umn.edu/news-perspective/2016/07/nyc-reports-microcephaly-florida-probes-possible-2nd-local-zika-case

Zika Microcephaly Live Birth New York City Hospital

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First Baby With Zika-Related Microcephaly Born in New York City

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WHAT TO KNOW

Physicians have requested testing for more than 2,000 pregnant woman who have traveled to areas of active Zika transmission

There have been more than 300 confirmed cases of Zika in New York City

The species of mosquito most commonly associated with Zika's spread hasn't been found in the tri-state, but a similar species lives here.

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HOW DOES ZIKA INFECT A BABY AND WHAT IS MICROCEPHALY?

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