Zika Virus

Update and Precautions to Take

February 4, 2016: Excerpted from CDC

What is Zika virus disease (Zika)?
Zika is a disease caused by Zika virus that is spread to people primarily through the bite of an infected Aedes species mosquito.  This is the same mosquito that transmits dengue, chikungunya and yellow fever. The illness is usually mild with symptoms lasting for several days to a week. Cases of Zika virus are now reported in Texas and Florida. Every day, thousands of people travel by air between the US and South America, where Zika virus is a major concern in many countries. Zika is predicted by the World Health Organization to become a significant worldwide health problem. There is no vaccine or specific medicine to treat Zika virus infections. There may be a causal relationship between Zika virus, birth defects, and possibly Guillain-Barré syndrome (GBS) – see below.

What are the symptoms of Zika?
About 1 in 5 people infected with Zika will get sick. For people who get sick, the illness is usually mild. For this reason, many people might not realize they have been infected. The most common symptoms of Zika virus disease are fever, rash, joint pain, or conjunctivitis (red eyes). Symptoms typically begin 2 to 7 days after being bitten by an infected mosquito.

How is Zika transmitted?
Aedes mosquitoes are aggressive daytime biters and they can also bite at night. Mosquitoes become infected when they bite a person already infected with the virus. Infected mosquitoes can then spread the virus to other people through bites. It can also be transmitted from a pregnant mother to her baby during pregnancy or around the time of birth. We do not know how often Zika is transmitted from mother to baby during pregnancy or around the time of birth. Aedes is a common mosquito in Texas, breeding in standing water, rain gutters, and flooded areas. The CDC is researching the possibility that Zika may be transmitted through sexual contact.

Who is at risk of being infected?
Anyone who is living in or traveling to an area where Zika virus is found who has not already been infected with Zika virus is at risk for infection, including pregnant women.

Does Zika virus infection in pregnant women cause birth defects?
There have been reports of a serious birth defect of the brain called microcephaly (a condition in which a baby’s head is smaller than expected when compared to babies of the same sex and age) and other poor pregnancy outcomes in babies of mothers who were infected with Zika virus while pregnant. Knowledge of the link between Zika and these outcomes is evolving, but until more is known, CDC recommends special precautions for the following groups:

  • Women who are pregnant (in any trimester):
    • Consider postponing travel to any area where Zika virus transmission is ongoing.
    • If you must travel to one of these areas, talk to your doctor first and strictly follow steps to prevent mosquito bites during your trip.
  • Women who are trying to become pregnant:
    • Before you travel, talk to your doctor about your plans to become pregnant and the risk of Zika virus infection.

Does Zika virus infection cause Guillain-Barré syndrome (GBS)?
Guillain-Barré syndrome (GBS) is a rare disorder where a person’s own immune system damages the nerve cells, causing muscle weakness and sometimes, paralysis. These symptoms can last a few weeks or several months. While most people fully recover from GBS, some people have permanent damage and in rare cases, people have died. The Brazil Ministry of Health is reporting an increased number of people affected with GBS. CDC is working to determine if Zika and GBS are related.

What can people do to prevent becoming infected with Zika?
There is no vaccine to prevent Zika. The CDC states that the best way to prevent diseases spread by mosquitoes is to avoid being bitten. Protect yourself and your family from mosquito bites. Here’s how:

  • Wear long-sleeved shirts and long pants.
  • Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.
  • Use Environmental Protection Agency (EPA)-registered insect repellents. All EPA-registered insect repellents are evaluated for effectiveness. Check the label.
    • Always follow the product label instructions.
    • Reapply insect repellent as directed.
    • Do not spray repellent on the skin under clothing.
    • If you are also using sunscreen, apply sunscreen before applying insect repellent.
  • If you have a baby or child:
    • Do not use insect repellent on babies younger than 2 months of age.
    • Dress your child in clothing that covers arms and legs, or
    • Cover crib, stroller, and baby carrier with mosquito netting.
    • Do not apply insect repellent onto a child’s hands, eyes, mouth, and cut or irritated skin.
    • Adults: Spray insect repellent onto your hands and then apply to a child’s face.
  • Treat clothing and gear with permethrin or purchase permethrin-treated items.
    • Treated clothing remains protective after multiple washings. See product information to learn how long the protection will last.
    • If treating items yourself, follow the product instructions carefully.
    • Do NOT use permethrin products directly on skin. They are intended to treat clothing.
  • Sleep under a mosquito bed net if you are overseas or outside and are not able to protect yourself from mosquito bites.

What is the treatment for Zika?
There is no vaccine or specific medicine to treat Zika virus infections.
Treat the symptoms:

  • Get plenty of rest.
  • Drink fluids to prevent dehydration.
  • Take medicine such as acetaminophen to reduce fever and pain.
  • Do not take aspirin or other non-steroidal anti-inflammatory drugs.
  • If you are taking medicine for another medical condition, talk to your healthcare provider before taking additional medication.

How is Zika diagnosed?

  • See your healthcare provider if you develop symptoms (fever, rash, joint pain, red eyes). If you have recently traveled, tell your healthcare provider.
  • Your healthcare provider may order blood tests to look for Zika or other similar viral diseases like dengue or chikungunya.

Should we be concerned about Zika in the United States?
The U.S. mainland does have Aedes species mosquitoes that can become infected with and spread Zika virus. They are common in Texas. U.S. travelers who visit a country where Zika is found could become infected if bitten by a mosquito. With the recent outbreaks, the number of Zika virus disease cases among travelers visiting or returning to the United States will likely increase. These imported cases may result in local spread of the virus in some areas of the United States. CDC has been monitoring these epidemics and is prepared to address cases imported into the United States and cases transmitted locally.

Information from the Centers for Disease Control
http://www.cdc.gov/zika/geo/

Leave a Reply