ZIKA VIRUS PRESENTATION BY DR. VIJAY JASWAL M.D. PEDIATRICS PGI CHANDIGARH. CHILD SPECIALIST & NEONATOLOGIST ZIKA VIRUS PRESENTATION BY DR. VIJAY JASWAL M.D. PEDIATRICS PGI CHANDIGARH. CHILD SPECIALIST & NEONATOLOGIST

ZIKA VIRUS EMERGING PUBLIC HEALTH PROBLEM

NOT BOTHERED HUMAN TILL RECENT TIMES BIG OUTBREAK – YAP ISLAND IN PACIFIC OCEAN

TRANSMISSION

WHAT YOU NEED TO KNOW 1.VIRUS SPREADS THROUGH AEDES SPECIES OF MOSQUITO WHICH ALSO SPREADS - DENGUE & CHIKUNGUNIA 2. RISK TO ANYONE TRAVELLING TO AFFECTED COUNTRIES. 3. GLOBAL RISK OUTBREAK IN - PARTS OF AFRICA - SOUTH EAST ASIA - PACIFIC ISLAND WHAT YOU NEED TO KNOW 1.VIRUS SPREADS THROUGH AEDES SPECIES OF MOSQUITO WHICH ALSO SPREADS - DENGUE & CHIKUNGUNIA 2. RISK TO ANYONE TRAVELLING TO AFFECTED COUNTRIES. 3. GLOBAL RISK OUTBREAK IN - PARTS OF AFRICA - SOUTH EAST ASIA - PACIFIC ISLAND

SYMPTOMS PUBLIC SHOULD KNOW

DOCTORS - WHEN TO SUSPECT 1:5 PEOPLE INFECTED BECOME SICK 1. INDIVIDUAL WITH RELEVANT EPIDEMIOLOGIC EXPOSURE AREA OR LOCAL CASES REPORTED WITHIN 2 WEEKS PRIOR TO ONSET OF SYPMTOMS 2. TWO OR MORE OF THE FOLLOWING SYMPTOMS (a). FEVER- LOW GRADE (LAST FOR 2-7 DAYS) (b) MACULOPAPULAR RASH (c). ARTHRALGIA – SMALL JOINTS OF HAND AND FEET (d). CONJUNCTIVITIS- NON PURULENT

BASED ON CLINICAL SYMPTOMS D/D IS BROAD DENGUE / LEPTOSPIROSIS / MALARIA RICKETTSIA / GROUP A STREPOCOCCUS RUBELLA / MEASLES / PARVOVIRUS ENTERO-VIRUS / ADENOVIRUS ALPHA – VIRUS / CHIKUNGUNYA

FEW DIFFERENTIATING TIPS

INVESTIGATIONS

IF PATIENT PRESENTS AFTER 4 DAYS OF SYMPTOMS DO ZIKA VIRUS IGM (SEROLOGY) NEUTROLIZING a/b TITRE > 4 TIMES THAN DENGUE VIRUS. ACUTE & CONVALESCENT SERA TO SEE INCREASE IN a/b TITRE AT INTERVAL OF 2-3 WEEKS. SEROLOGY OF DENGUE AND CHICKUNGUNIA SHOULD ALSO BE PERFORMED

COMPLICATIONS / MAJOR ISSUES 1) CONGENITAL MICROCEPHALY 2) GUILLIAN BARRE SYNDROME