Aborted Microcepahly Fetus Zika Linked In Popayan Colombia

niman · February 26, 2016

Colombian health officials reported on Wednesday a "probable" case of microcephaly possibly linked to Zika, as the country closely watches potential impacts of the mosquito-borne virus.

The country's National Health Institute said Zika virus was identified in the amniotic fluid surrounding a severely deformed and aborted fetus.

The abortion was performed on an 18-year-old mother when she was 28 weeks pregnant.

http://www.reuters.com/article/us-health-zika-colombia-idUSKCN0VX2S9

niman · February 26, 2016

Life | Wed Feb 24, 2016 4:36pm EST

Colombia reports 'probable' case of microcephaly in aborted fetus

BOGOTA

Colombian health officials reported on Wednesday a "probable" case of microcephaly possibly linked to Zika, as the country closely watches potential impacts of the mosquito-borne virus.

The country's National Health Institute said Zika virus was identified in the amniotic fluid surrounding a severely deformed and aborted fetus.

The abortion was performed on an 18-year-old mother when she was 28 weeks pregnant. Photographs were not taken of the fetus, but the doctor in Popayan, in the southwestern region of Cauca, had reported the fetus having an abnormally small head and considered it microcephaly, the institute, known as INS, said.

Zika infection in pregnant women has not been proven to cause microcephaly in newborns.

In Brazil, a huge spike in the birth defect followed the arrival of Zika last year, leading scientists to strongly suspect a link. Colombia has had its own Zika outbreak since October, and is monitoring pregnant women exposed to the virus, but has yet to cite a case of microcephaly.

The Popayan case cannot be confirmed as microcephaly since the remains of the fetus were thrown away immediately after the abortion and tests could not be made, INS said. Traces of Zika were detected in the amniotic fluid, it said.

"Unfortunately in this case, the breach of guidelines by those responsible for handling the case in Cauca prevented an accurate diagnosis being reached," Martha Lucia Ospina, director of the INS said in a statement.

"They discarded the fetal remains that were indispensable to diagnose or rule out Zika and the link with microcephaly and other abnormalities."

Brazil said it has confirmed more than 580 cases of microcephaly, and considers most of them to be related to Zika infections in the mothers. The country is investigating more than 4,100 additional suspected cases of microcephaly.

Colombia - which has reported more than 37,000 cases of Zika including 6,356 in pregnant women - is seen as a key test case for the impacts of a Zika outbreak.

The health minister last week said Colombia is reconsidering its own forecast of babies likely to be born with the rare birth defect linked to Zika.

The government originally projected it could see some 500-600 cases of Zika-linked microcephaly. But it may take several more weeks, or months, for cases to emerge as signs of microcephaly may only be detected very late in pregnancy, experts say.

There is no vaccine or treatment for Zika, which is a close cousin of dengue and chikungunya and causes mild fever, rash and red eyes. An estimated 80 percent of people infected have no symptoms.

(Reporting by Helen Murphy and Luis Jaime Acosta; Editing by Bernard Orr)

niman · February 26, 2016

1. Colombia reports a “probable” case of microcephaly in an aborted fetus

Over 6,000 pregnant women in Colombia have Zika virus, and now the country is reporting its first “probable" microcephaly case, reports Reuters. Health officials said that the virus was present in the amniotic fluid of an aborted fetus, and the fetus, at 28 weeks, was severely deformed. Unfortunately, the fetal remains were improperly discarded, which means the country’s health officials cannot confirm the condition or that the fetus was infected with Zika virus.

The country has established new protocol for tracking pregnant women who test positive for Zika virus, reports NPR. It includes monthly ultrasounds and the careful collection of data about the point of time in their pregnancy the women got Zika virus. Scientists around the world are watching Colombia as more of the women with Zika virus continue to progress in their pregnancies and give birth. The results could help to confirm whether or not Zika virus is responsible for causing severe birth defects in babies.

http://www.huffingtonpost.com/entry/the-latest-on-zika-virus-colombias-first-probable-microcephaly-case_us_56cf45c0e4b0bf0dab3124fa

niman · February 26, 2016

Colombia Registers First ‘Probable’ Microcephaly Case in Aborted Zika Baby

3

0

AP

by MARY CHASTAIN25 Feb 20164

Colombian health officials announced a “probable” microcephaly case in an aborted fetus and discovered the Zika virus in the amniotic fluid.

An 18-year-old girl aborted the baby at 28 weeks in Popayan, located in Cauca. The doctors saw the baby had “an abnormally small head and considered it microcephaly.” The National Health Institute did not examine the baby since doctors threw away the body.

“Unfortunately in this case, the breach of guidelines by those responsible for handling the case in Cauca prevented an accurate diagnosis being reached,” explained director Martha Lucia Ospina. “They discarded the fetal remains that were indispensable to diagnose or rule out Zika and the link with microcephaly and other abnormalities.”

The Zika outbreak reached Colombia in October 2015. The country has recorded 37,000 Zika cases, among them 6,300 pregnant women. Doctors “confirmed the presence of Zika in 522 of those cases.” Unlike Brazil, Colombia has not linked any babies with microcephaly to Zika, even though Colombia has the second-largest number of Zika cases.

Microcephaly occurs when the brain does not form properly during pregnancy or after birth, causing a small head. Children can suffer from seizures, developmental delays, intellectual disability, and feeding problems. Doctors cannot diagnose microcephaly until the third trimester or after birth:

In many cases, microcephaly may not be evident by ultrasound until the third trimester and, therefore, may not be seen on ultrasounds performed earlier in pregnancy. The diagnosis of microcephaly may be made at birth or later in infancy. The baby’s head circumference is much smaller than normal. During the physical exam, the doctor obtains a complete prenatal and birth history of the child. In older babies and children, the doctor may also ask if there is a family history of microcephaly or other medical problems. Sometimes the child is born with a normal head circumference but then acquires microcephaly because of a serious condition, such as certain genetic disorders, stroke, traumatic injury, or poisoning. The doctor will also ask about developmental milestones since microcephaly can be associated with other problems, such as intellectual disability. Developmental delays may require further medical follow-up for underlying problems.

Virologist Gubio Soares, who first identified the pervasive Zika virus in Brazil, suggestedthat legalized abortion in French Polynesia may have prevented scientists from uncovering a link between Zika and severe infant deformities sooner. During a lecture, Soares claimed scientists do not know for sure if a link exists between Zika and microcephaly. This is mainly because women in places where Zika breeds often aborted children who showed signs of microcephaly.

The Centers for Disease Control (CDC) announced that doctors had confirmed the Zika virus in the tissue of infants who died from microcephaly. “This is the strongest evidence to date that Zika is the cause of microcephaly,” explained CDC Director Tom Frieden. “Zika is new, and new diseases can be scary, particularly when they can affect the most vulnerable among us.”

Frieden stopped short of claiming Zika caused the microcephaly. He said scientists need to perform more tests to confirm an actual link.

In Brazil, Dr. Sandra Mattos found data on 100,000 newborns since 2012. At least 1,600 babies born in the last years had microcephaly or smaller-than-normal heads. “We were very, very surprised,” stated Mattos. “Borderline cases seem to be present all along.”

CBC News reports:

Brazilian authorities set the criterion for microcephaly, a measurement of head size, at 32 centimetres for full-term births. Doctors were asked to report babies at or below that level for further investigation.
Mattos said the data analysis also confirmed the number of severe microcephaly cases increased starting in October or November of 2014.

Mattos told the World Health Organization that “other potential factors need to be considered” since 80% of the microcephaly babies live in northeast Brazil.

http://www.breitbart.com/national-security/2016/02/25/colombia-has-probable-microcephaly-case/

niman · February 26, 2016

Brazilian and U.S. health workers from the United States' Centers for Disease Control and Prevention (CDC) draw blood from 3-month-old Esther Kamilly at her home in Joao Pessoa, Brazil, Wednesday as part of a study to determine if the Zika virus is causing babies to be born with a birth defect affecting the brain. Their goal is to persuade about 100 mothers of infants recently born with the defect as well to enroll in the study. They also need participation as controls of two to three times as many mothers from the same areas who delivered babies without microcephaly at about the same time. | AP

WORLD / SCIENCE & HEALTH

Zika a ‘formidable’ crisis; Bogota suspected microcephaly in discarded aborted fetus

AFP-JIJI/AREUTERS

RIO DE JANEIRO/BOGOTA – The Zika virus, believed to be linked to the serious birth defect microcephaly, presents a “formidable” challenge that will be hard to stamp out, World Health Organization chief Margaret Chan said Wednesday.

“Things could get worse before it gets better,” she said in Rio de Janeiro after a fact-finding mission to Brazil, the epicenter of the global health scare.

Chan said part of the challenge in fighting the mosquito-borne virus was the fact that it is so “mysterious.” Even the link to microcephaly remains not fully proven.

“We are dealing with a tricky virus, full of uncertainties, so we should be prepared for surprises,” she said.

Chan praised the Brazilian government’s efforts to stamp out mosquitoes and its coordination with various international bodies, including the WHO and the International Olympic Movement, ahead of the Summer Games in Rio this August.

Brazil is the main focus of a Zika outbreak, with 1.5 million people infected, and authorities have also recorded a spike in microcephaly, a congenital condition that causes abnormally small heads and hampers brain development.

On Tuesday, Brazil’s health ministry reported 583 confirmed cases of babies with microcephaly since October, compared to an annual average of 150.

That was a 14.7 percent rise over the number of confirmed cases the previous week, and authorities were investigating another 4,107 possible cases.

An estimated 120 babies have died due to the birth defect, the ministry said.

Colombian health officials meanwhile reported on Wednesday a “probable” case of microcephaly possibly linked to Zika, as the country closely watches potential impacts of the mosquito-borne virus.

The country’s National Health Institute said Zika virus was identified in the amniotic fluid surrounding a severely deformed and aborted fetus.

The abortion was performed on an 18-year-old mother when she was 28 weeks pregnant. Photographs were not taken of the fetus, but the doctor in Popayan, in the southwestern region of Cauca, had reported the fetus having an abnormally small head and considered it microcephaly, the institute, known as INS, said.

Zika infection in pregnant women has not been proven to cause microcephaly in newborns.

In Brazil, a huge spike in the birth defect followed the arrival of Zika last year, leading scientists to strongly suspect a link. Colombia has had its own Zika outbreak since October, and is monitoring pregnant women exposed to the virus, but has yet to cite a case of microcephaly.

The Popayan case cannot be confirmed as microcephaly since the remains of the fetus were thrown away immediately after the abortion and tests could not be made, INS said. Traces of Zika were detected in the amniotic fluid, it said.

“Unfortunately in this case, the breach of guidelines by those responsible for handling the case in Cauca prevented an accurate diagnosis being reached,” Martha Lucia Ospina, director of the INS, said in a statement.

“They discarded the fetal remains that were indispensable to diagnose or rule out Zika and the link with microcephaly and other abnormalities.”

Brazil said it has confirmed more than 580 cases of microcephaly, and considers most of them to be related to Zika infections in the mothers. The country is investigating more than 4,100 additional suspected cases of microcephaly.

Colombia — which has reported more than 37,000 cases of Zika including 6,356 in pregnant women — is seen as a key test case for the impacts of a Zika outbreak.

The health minister last week said Colombia is reconsidering its own forecast of babies likely to be born with the rare birth defect linked to Zika.

The government originally projected it could see some 500 to 600 cases of Zika-linked microcephaly. But it may take several more weeks, or months, for cases to emerge as signs of microcephaly may only be detected very late in pregnancy, experts say.

There is no vaccine or treatment for Zika, which is a close cousin of dengue and chikungunya and causes mild fever, rash and red eyes. An estimated 80 percent of people infected have no symptoms.

http://www.japantimes.co.jp/news/2016/02/25/world/science-health-world/zika-formidable-crisis-bogota-suspected-microcephaly-discarded-aborted-fetus/#.VtAWgfkrKdt

niman · February 26, 2016

Colombia case not confirmed

Colombia's National Health Institute yesterday reported the country's first "probable" microcephaly case with suspected links to Zika virus, Reuters reported yesterday. Officials said Zika virus was detected in amniotic fluid from the deformed aborted fetus of an 18-year-old woman who was 28 weeks pregnant.

So far only Brazil has reported a steep rise in potentially Zika-linked microcephaly cases, which followed the thought-to-be May 2015 onset of the country's outbreak. As global health officials piece together evidence for a link between the two conditions, they have said they're closely watching for any similar patterns to emerge in Colombia, which was hit later by the virus.

Medical team members did not save or photograph the fetus, so the microcephaly case can't be confirmed, but they said it had an abnormally small head and added that traces of the virus were found in the woman's amniotic fluid.

According to a recent statement from the Pan American Health Organization (PAHO), Colombia has reported about 37,000 Zika virus illnesses, 6,300 of them in pregnant women.

http://www.cidrap.umn.edu/news-perspective/2016/02/case-hints-other-severe-birth-defects-tied-zika

niman · February 26, 2016

Colombia: Aborted fetus may have had microcephaly

Resize Text

By Associated Press February 25 at 12:59 PM

BOGOTA, Colombia — Colombia is reporting the first probable case of Zika-related microcephaly in an aborted fetus as the country is on high alert for spread of the mosquito-borne virus.

Officials said Wednesday that traces of Zika were found in the amniotic fluid of a woman whose fetus appeared to have signs of microcephaly.

However they said the diagnosis could not be confirmed because the fetus was thrown away before more conclusive tests could be performed. Health authorities said Thursday they are investigating why guidelines were not followed.

The abortion was performed on an 18 year-old woman in the southeastern city of Popayan.

More than 6,000 pregnant women have been diagnosed with Zika in Colombia, but so far none has given birth to an infant with microcephaly as has occurred in Brazil.

https://www.washingtonpost.com/world/the_americas/colombia-aborted-fetus-may-have-had-microcephaly/2016/02/25/7e9001c0-dbe9-11e5-8210-f0bd8de915f6_story.html

niman · February 26, 2016

Colombia records 1st case possibly linked to microcephaly virus zika

O ESTADO DE S. PAULO

February 24, 2016 | 18h 48 - Updated: February 24, 2016 | 21h 22

Pregnant 18 was infected by the virus and interrupted pregnancy after learning of malformation

The National Institute of Health (NIH) of Colombia reported the first case of microcephaly probably associated with the virus in a clinic in the city of Popayan, in the southwest of the country. Ali, a young 18 year old had an abortion at 28 weeks of pregnancy after doctors confirmed that the fetus had "congenital anomaly incompatible with life" - in such cases, local law allows women to abort.

The woman who did the abortion was medically supervised by a history of infection zika and within the fulfillment process was done collecting the amniotic fluid sample, which tested positive for the transmission of the mother's virus to the child, he said in a statement director of the INS, Martha Ospina.

She also said that in other accompaniments was already detected the transmission of the virus mothers to children, but until now the babies are healthy.

http://saude.estadao.com.br/noticias/geral,colombia-anuncia-1-caso-de-microcefalia-ligada-ao-zika,10000018117

niman · February 26, 2016

Colombia confirms first case of microcephaly linked to Zika virusAccording to the doctor Juan Jose Alvarado, a woman of 18 years is the city of Popayan, in the southwest, and interrupted pregnancy

By: Agency Brazil

Published: 24/02/2016 14:28 Updated:


The mosquito Aedes aegypti, the Zika virus transmitter. Photo: Venilton Kuchler / ANPR

Health authorities in Colombia announced today (24) the first case of a fetus with malformção, whose mother was infected by Zika virus. According to the doctor Juan Jose Alvarado, a woman of 18 years it is the city of Popayan, in the southwestern and interrupted pregnancy, after clinical trials proved the fetal malformation. The National Institute of Health of Colombia "confirmed the suspicion, after studies in the amniotic fluid of the mother showed the baby was infected by the virus. " According to the statements of Alvarado, the fetus had brain changes, microcephaly, tissue destruction and changes in cranial level. The Cauca Department of Health reported that the case occurred in the city of El Bordo and the termination of pregnancy was a voluntary decision the young. This is the first confirmed case in the country and for the authorities, "shows that the virus alone can affect the baby in the first trimester of pregnancy and possibly during the second quarter." the Zika virus has infected more than 37 thousand people in Colombia and of this total more than 6,000 pregnant women in different regions of the country.

http://www.diariodepernambuco.com.br/app/outros/ultimas-noticias/46,37,46,10/2016/02/24/interna_mundo,628814/colombia-confirma-primeiro-caso-de-microcefalia-ligada-ao-virus-zika.shtml

niman · February 26, 2016

Colombia: Case suspected microcephaly related zika

Photo courtesy of www.hispantv.com

AP

Thursday, February 25, 2016 - 14:00

The authorities health Colombia said on Thursday the case of an aborted fetus suffering microcephaly and whose mother was infected with the virus zika.

However, the Ministry of Health He clarified that this does not allow check that the zika and microcephaly are linked because the tests were not rigorous enough and the remains of the fetus were discarded.

is is a woman of 18 years who `` underwent an abortion to meet the criteria fetus with congenital abnormality incompatible with life '', according to the National Institutes of Health.

Doctors at the hospital in Popayan, southwest of the country, found that the mother was infected with the virus zika and through sonograms and amniotic fluid analysis found that the fetus had microcephaly, so she underwent the abortion .

But the ministry said that the evidence is insufficient to establish the relationship between zika and microcephaly because `` it is necessary to identify the virus in tissues to reach a conclusive diagnosis of congenital anomaly ''. Andrea Ruiz, the press office of the ministry, told The Associated Press that `` there are more than 100 possible causes that can cause microcephaly in a fetus '' so it is not enough amniotic fluid test.

The remains of the fetus, essential to establish whether or not it was a case of microcephaly associated with zika, were dismissed by the hospital.

`` We are reviewing the issue to verify exactly what actions are to be taken 'are', he said by telephone AP Luz Amparo Guzman, secretary of Health department of Cauca.

He added that `` unfortunately in this case the breach of the guidelines surveillance by the responsible for handling the case prevented from reaching an accurate diagnosis ... because the indispensable fetal remains were discarded to diagnose or rule zika and the link with microcephaly. ''

Guzman said that what happened at the medical center is because the zika is a relatively new event in Colombia and many health professionals have doubts about the protocols to be followed with patients infected by the virus.

It was not possible to place telephone spokespeople clinic where he underwent the procedure.

In Colombia they have been officially diagnosed with 37.011 zika patients. Of these, 6,356 are pregnant women. However, medical experts have said there could be more affected by the virus since at least 80% of cases are asymptomatic.

http://www.critica.com.pa/mundo/colombia-caso-sospechoso-microcefalia-relacionado-con-zika-423872

niman · February 26, 2016

Colombia confirms first case of microcephaly linked to Zika virus

Agency Brazil - Health authorities in Colombia announced today (24) the first case of a fetus with malformção, whose mother was infected by Zika virus. According to the doctor Juan Jose Alvarado, a woman of 18 years is the city of Popayan, in the southwestern and interrupted pregnancy, after clinical trials proved the fetal malformation.

The National Institute of Health of Colombia "confirmed the suspicion, after studies in amniotic mother liquid showed that the baby was infected by the virus." According to the statements of Alvarado, the fetus had brain changes, microcephaly, destruction tissues and changes in the cranial level.

The Cauca Department of Health reported that the case occurred in the city of El Bordo and the termination of pregnancy was a voluntary decision of the young.

This is the first confirmed case in the country and for the authorities, "it shows that the virus alone can affect the baby in the first trimester of pregnancy and possibly during the second quarter."

The Zika virus has already infected more than 37,000 people in Colombia and of this total more than 6,000 pregnant women in different regions of the country.

http://www.conexaocidade.com/2016/02/colombia-confirma-primeiro-caso-de.html

niman · February 26, 2016

Case in Popayan be evidence relationship between zika and microcephaly

BY:

WRITING ELHERALDO.CO

The woman decided to abort the fetus was confirmed infected with the virus. Infection occurred at 5 months.

On Tuesday, the case of a woman in Popayan who decided to have an abortion after health authorities determined that his five months of pregnancy the fetus was infected with met Zika virus and found changes in the brain.

The case was reported by the doctor Juan Jose Alvarado, who confirmed that the woman in question is 18 years old.

" They did an ultrasound at 4 months, then he presented flu symptoms and did another ultrasound and changes in the brain were found. In the control he was diagnosed with impaired growth of the baby's head and asked why that had zika interruption , "Alvarado said in an interview with Radio Blu.

The doctor said that it was decided in a scientific committee that was valid abortion. "This case confirms the relationship between infection and neurological involvement. It is important to say that patient infection occurred at 5 months, "he said.

"This also confirms that the fetus can be infected not only the first three months, but after that," Alvarado said of the statements of the health authorities estimated that the risk among zika and microcephaly was up to 3 months.

"When the infection is more likely early affectations is higher, but that does not mean that months later can not be presented. What if we saw is that the damage is very fast, "he said Alvarado and added that the study did direct the National Institutes of Health.

"Changes in the fetus are not going to see immediately when fetuses acquire the infection wait a few months. The message for embrazadas women living in hot climates is that follow-ups are made, "he concluded.

http://www.elheraldo.co/nacional/caso-en-popayan-evidenciaria-relacion-entre-zika-y-microcefalia-245161

niman · February 26, 2016

THURSDAY, 02.25.2016, 10:39

Columbia discloses microcephaly first case which can be connected to Zika virus

Many tried to create a rumor without any scientific basis to discredit the link between poor neurological training and disease.

http://cbn.globoradio.globo.com/comentaristas/luis-fernando-correia/2016/02/25/COLOMBIA-DIVULGA-PRIMEIRO-CASO-DE-MICROCEFALIA-QUE-PODE-ESTAR-LIGADO-AO-VIRUS-ZIKA.htm

niman · February 27, 2016

Investigate death of baby whose mother was diagnosed with zika

The Health Ministry said in Cauca child died five days after birth.

By: POPAYÁN |

1:53 a.m. | February 27, 2016

Photo: REUTERS
The Ministry of Health of Cauca has confirmed that the report of three cases of pregnant women who might have Zika virus.

4

SHARED

After hearing the case of a patient from the, in southern Cauca, municipality of Patia who interrupted her pregnancy voluntarily due to a diagnosis of possible spread of the zika that would have affected the fetus of 28 weeks gestation virus, Ministry of Health of Cauca Lucy Amparo Guzman announced so far unknown details of this case.

The fact is after statements by Juan José Alvarado, medical expert obstetrician Clinic White City of Popayan, who received the patient, 18 years old, and who noted that spread the small "I found multiple alterations in cerebral, he was found microcephaly and damage to brain structures, calcifications and severe damage " .

In this regard, the Ministry of Health reported that on January 21 this year samples were taken into the amniotic fluid of patients to establish possible presence of zika adding: "Notification of the voluntary termination of pregnancy is known after we know that the sample of amniotic fluid sent to the National Institute of Health was positive, it was between 8 and 10 February. "

However, regarding abortion, "following the state of health of the baby , " Lucy Amparo Guzman revealed that "was born on January 26 and had five days of life" ; He explained that "the gestational age of the patient labor was induced and the fetus was born alive" . It was confirmed that weighed 1,300 grams and was 38 centimeters long .

But not everything is there, the official said that the remains of the baby you were given to the family so that you perform the funeral, contrary to what he said in the last hours the director of the National Institute of Health, Martha Lucia Ospina Martinez, who noted that unfortunately " breach of the guidelines surveillance by the responsible for handling the case in Cauca prevented from reaching an accurate diagnosis , as was done in Slovenia, because the essential fetal remains were discarded to diagnose or rule zika and the link with microcephaly and other abnormalities. "

There were flaws in the protocol

The Ministry of Health of Cauca said that with the IPS and EPS which intervened in the case analysis is being conducted to verify effectively failures in care and advance the relevant procedures. "Tracking no protocols is a wake-up call to all providers of health services. He said several IPS and they call health personnel, doctors and specialists, to training and do not go, and end up not knowing the protocol and not sticking to it, "he said.

It also recognized that in this case " there are responsibilities of all stakeholders in the health system ". On Monday a Supervisory Committee will be held to analyze what happened and reviewed from medical protocols exactly what action to take.

Three more cases of pregnant women with probable zika

The Ministry of Health of Cauca has confirmed that the report of three probable cases of pregnant women in comprehensive monitoring in the department, specifically in the municipalities of Santander de Quilichao and Timbío. He stressed that work to receive health services that protocol must be followed. "Also, if there is indeed any involvement in the mental health of the mother by congenital malformations of the fetus, so you can access the voluntary termination of pregnancy if that is their will," he said Guzman.

POPAYÁN

http://www.eltiempo.com/colombia/cali/interrupcion-de-embarazo-por-virus-del-zika-en-el-cauca/16520675?hootPostID=6e8ea4698d85a61e0780eb4c8b36161a

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Aborted Microcepahly Fetus Zika Linked In Popayan Colombia

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