ZIKA VIRUS UPDATE April 25, Prevention and Health Promotion Administration 2 What is Zika virus? Single-stranded, enveloped RNA virus In the Flaviviridae.

Slides:



Advertisements
Similar presentations
Controlling the risk of Chikungunya
Advertisements

Judith Pinkham (Ph.D. Student) Walden University PUBH 8165 Instructor: Dr. Fredric Grant Summer 2013.
Arthropod-borne Viruses Arthropod-borne viruses (arboviruses) are viruses that can be transmitted to man by arthropod vectors. Arboviruses belong to three.
Dengue fever in Singapore & Pakistan. Introduction The most common mosquito-borne viral disease in the world Caused by a virus transmitted by the Aedes.
Dengue Fever Guillermo Mata. Dengue fever also known as break bone fever, is an infectious tropical disease caused by the dengue virus.
DR. M MOHAMMED ARIF. ASSOCIATE PROFESSOR. CONSULTANT VIROLOGIST. HEAD OF THE VIROLOGY UNIT. Arboviruses.
Local Updates in Vaccine- Preventable Diseases Anna Halloran Epidemiologist Spokane Regional Health District February 2016.
Supervisory Epidemiologist
WHO JANUARY 2016-Q&A ZIKA VIRUS Courtesy- The Pharmaceutical Society of Trinidad and Tobago- 02/10/2016.
Presenter Information ….. BLUF BOTTOM LINE: -If you live in or travel to an area with ongoing Zika virus transmission, take precautions to minimize risk.
Mosquito Control Update Board of County Commissioners Work Session February 16,
Zika Virus – An update Dr S Anuradha, Gold Coast Public Health Unit.
An Update on Zika Virus Sonja A. Rasmussen, MD, MS Centers for Disease Control and Prevention (CDC), Atlanta, GA National Library of Medicine webinar March.
ZIKA VIRUS (ZIKV) What you need to know. What is Zika Virus Infection?  Virus belonging to the same family of viruses with Dengue and.
فيروس زيكا Zika Virus Prof. Dr. Abdelraouf A. Elmanama
Quick Insights on Some Viral Issues Dr. Haya Al-Tawalah Clinical Virologist.
Brian Sandoval, Governor Richard Whitley, Director Cody Phinney, Administrator Leon Ravin, MD, Acting Chief Medical Officer March 23, 2016 Department of.
Florida Department of Health (DOH) Lillian Rivera, RN, MSN, PhD Administrator/Health Officer 1 Zika Virus Update February 2016 Florida Department of Health.
Zika Update February Zika-Affected Areas Prior to 2015, Zika virus outbreaks in Africa, Southeast Asia, & Pacific Islands In May 2015, first confirmed.
Zika Virus Update April 5, 2016 Presented by: Vinny Taneja, MBBS;MPH Director Tarrant County Public Health “A Nationally Accredited Health Department”
North Carolina Department of Health and Human Services, Division of Public Health.
Griffin Hospital Occupational Medicine Center Barry S. Ostroff, MD, FACOEM June 7, 2016.
A Healthier You Zika Virus Prevention What is the Zika Virus? Zika is spread to people through the bite of an infected Aedes mosquito. This is the same.
Zika Virus Update Town Hall June 15, 2016 Dr. Howard Haft, Deputy Secretary for Public Health, DHMH Robin Waddell, Deputy Health Officer – Operations,
Infection Prevention Marie Kassai, RN, BSN, MPH, CIC.
Zika Virus Update Elizabeth D. Barnett, MD June 21, 2016.
CDC Responds to ZIKA Zika 101 Updated April 29, 2016.
CONTROL AND SPREAD OF THE ZIKA VIRUS. QUESTIONS ABOUT ETHICS AND TECHNOLOGY 1.Genetic Engineering 2.Medical Records 3.Vaccines 4.Medical Marijuana 5.Drug.
1 Robert Snyder, Jr. MPH Health Officer Florida Department of Health Flagler County.
Anthony Shaya MD, MPH, FACOG. 2 Flavivirus: Originally identified in Africa and Southeast Asia First identified in Uganda’s Zika Forest in 1947 Primarily.
Zika Virus 21 July 2016 Apalachee Regional Planning Council.
Diagnostic Testing for Zika Virus Frederick S. Nolte, PhD, D(ABMM), F(AAM) Professor and Vice-Chair for Laboratory Medicine Department of Pathology and.
ZIKA VIRUS PRESENTATION BY DR. VIJAY JASWAL M.D. PEDIATRICS PGI CHANDIGARH. CHILD SPECIALIST & NEONATOLOGIST ZIKA VIRUS PRESENTATION BY DR. VIJAY JASWAL.
Transmission of Zika Virus Cassandra Salgado, MD, MS, FIDSA, FSHEA Professor of Medicine and Public Health Division Director, Infectious Diseases Medical.
CDC Responds to ZIKA Zika 101 Updated July 28, 2016.
Zika and STI Transmission Clinical Case Study 2 Angélica Espinosa Miranda Universidade Federal do Espirito Santo Departamento de Medicina Social 17th IUSTI.
Zika Virus Identifying an Emerging Threat
Zika virus how it emerged
(from the cdc website, ZIKA DISEASE (from the cdc website,
Zika.
ZIKA CASES (1/15 -9/7/16) USA- 2,964 total Travel associated 2,920
Zika info for international travelers
Ebola and Zika Response in Colorado
Zika Virus Update CAPT Thomas Weiser, MD, MPH Medical Epidemiologist
ZIKA VIRUS.
Dr. JAMAL R Al-Rawi, MBChB, MSc, FICMS
Zika Virus a new global threat
Utah Zika investigation, July 2016
Written by : Ali Mohraq Hadadi, Medical Lab Specialist
Zika Fever What is Zika fever ? Differential diagnosis
Diagnosis: Treatment: Introduction: Prevention: Pathogenesis:
Zika Virus Disease 2/1/2016.
Yellow fever deepak b. saxena.
James H. Diaz, MD, MPH&TM, DrPH  Wilderness & Environmental Medicine 
The Zika Virus Charles Mosler, PharmD, CGP, FASCP
Zika Virus in Pregnancy
Clinical Manifestations and Epidemiology
ZIKA VIRUS IN SOUTH AFRICA
Controlling the risk of Chikungunya
Dengue Virus Infections Investigation Guideline
by Michael Zimmerman, Tyler Chismar and Draven Stanley
By: Jon Brand, Ethan Carter,Logan Metzgar and Mary Schenk
History of Zika Virus 1947 New viral infection identified in the Zika Forrest, Uganda (research to id new viruses funded by the Rockefeller). This virus.
CDC’S Response to Zika ZIKA 101 Updated January 9, 2017.
(Next Slide) Click to get started….
Mosquitoes typically expected in April in TN
Joonsup Lim MCPHS University APPE rotation Student
Zika in Texas Epidemiology & Laboratory Capacity Conference
The Zika Virus & Pregnancy
Zika Virus and Maternal Health
Presentation transcript:

ZIKA VIRUS UPDATE April 25, 2016

Prevention and Health Promotion Administration 2 What is Zika virus? Single-stranded, enveloped RNA virus In the Flaviviridae family Yellow fever West Nile Dengue St. Louis encephalitis A transmission electron micrograph of the Zika virus (CDC)

Prevention and Health Promotion Administration 3 History of Zika virus First discovered in rhesus monkeys 1947 in Uganda, near the Zika Forest Subsequently described in humans in 1952 in Uganda and United Republic of Tanzania Cases in Africa and Asia during 20th century First outbreak outside of Asia or Africa in 2007 in Yap (Federated States of Micronesia) Outbreak in French Polynesia in October 2013

Prevention and Health Promotion Administration 4

Prevention and Health Promotion Administration 5 Recent History of Zika virus

Prevention and Health Promotion Administration 6 Transmission Primarily through the bite of an infected Aedes sp. mosquito Same mosquitoes that spread dengue, chikungunya, and yellow fever Typically lay eggs in containers and standing water Aggressive daytime biters, can also bite at night Prefer to bite people

Prevention and Health Promotion Administration 7 Aedes aegypti and Aedes albopictus Aedes aegyptiAedes albopictus (Asian tiger mosquito)

Prevention and Health Promotion Administration 8 Primary vectors Ae. aegypti Strong preference for human blood Lives around human habitations in urban areas Lays eggs and produces larvae preferentially in artificial containers Primarily daytime feeder; rests indoors High vectorial capacity for Zika (effectiveness of virus transmission in nature) Ae. albopictus Indiscriminate feeder Lives near human habitations in suburban/rural areas Lays eggs and produces larvae in natural or artificial containers Aggressive, daytime feeder in outdoor areas Competent vector of Zika

Prevention and Health Promotion Administration 9 Life cycle of Aedes mosquito

Prevention and Health Promotion Administration 10 Updated Aedes Distribution Maps, March 30, 2016

Prevention and Health Promotion Administration 11 Other modes of transmission From mother to child During pregnancy or delivery from a mother already infected To date, no reports of infants getting Zika virus through breastfeeding Through infected blood or sexual contact Spread of the virus through blood transfusion and sexual contact has been reported Through organ or tissue donation No confirmed cases but theoretically possible

Prevention and Health Promotion Administration 12 Sexual transmission: what we know Zika virus can be spread by a man to his sex partners In known cases of likely sexual transmission, the men had Zika symptoms Virus can be spread before, during, and after men have symptoms The virus can be present in semen longer than in blood

Prevention and Health Promotion Administration 13 Suggested timeframes to wait before trying to get pregnant

Prevention and Health Promotion Administration 14 Incubation Period and Symptoms Incubation period not known Likely few days to 2 weeks Most infections are asymptomatic Most common symptoms Fever Rash – very common, often itchy Joint pain Conjunctivitis (red eyes) Other symptoms include muscle pain and headache

Prevention and Health Promotion Administration 15 Clinical Presentation ZikaDengueChikungunya Fever+++++ Rash Conjunctivitis++-- Arthralgia Myalgia++++ Headache+++ Hemorrhage-++- Shock-+- *Courtesy Dr. Ingrid Rabe, CDC

Prevention and Health Promotion Administration 16 Zika & pregnancy Increased rates of microcephaly noted in Brazil in late x normal (reported) incidence Prior associations with neurological and auto-immune complications in French Polynesia outbreak

April 13, 2016 On the basis of this review, we conclude that a causal relationship exists between prenatal Zika virus infection and microcephaly and other serious brain anomalies.

Prevention and Health Promotion Administration 18 Diagnostic Testing PCR can detect virus in first week after illness onset Serological testing can detect illness for longer IgM detectable starting ~day #4 after illness onset Potential cross-reactivity with other viruses (WNV, YFV, Dengue) making test interpretation sometimes difficult More complex serological tests can be done to help distinguish Zika from other infections; less helpful if previously infected/vaccinated PCR and IgM ELISA now available at DHMH public health laboratory; CDC conducts confirmatory testing No commercial testing available at this time

Prevention and Health Promotion Administration 19 Treatment No specific antiviral treatment No vaccine Supportive — rest, fluids, antipyretics, anti-nausea meds Acetaminophen for fever and pain Avoid aspirin and NSAIDS until dengue ruled out to avoid hemorrhagic complications

Prevention and Health Promotion Administration 20 When providers want to test patients for Zika LHD, DHMH personnel can approve testing at DHMH Labs for: Asymptomatic pregnant women with travel history to Zika-affected area during pregnancy or who become pregnant within 2 weeks of travel Symptomatic travelers (male and female) With 1 or more major symptoms (fever, rash, conjunctivitis, arthralgia), AND Symptom onset within 2 weeks of last day in Zika-affected country Pregnant partners of recent travelers to Zika-affected areas

Prevention and Health Promotion Administration 21 Countries and territories with active Zika virus transmission

Prevention and Health Promotion Administration 22 U.S. Zika virus cases, as of April 20, 2016 Lab-confirmed Zika virus disease cases, reported to ArboNet in US States, as of April 20, 2016 Travel-associated Zika virus disease cases reported: 388 Locally acquired vector- borne cases reported: 0 Total: 388 Pregnant: 33 Sexually transmitted: 8 Guillain-Barre syndrome: 1

Prevention and Health Promotion Administration 23 Maryland confirmed Zika virus infections

Prevention and Health Promotion Administration 24 Threat to Maryland No locally acquired mosquito-borne Zika virus disease cases have been reported in the continental US but there have been locally acquired cases in Puerto Rico, the US Virgin Islands, and other U.S. territories Many travel-associated Zika cases identified in the U.S. and will continue to increase Many infections will not be diagnosed but could potentially serve as source for transmission Travel-associated cases could result in local spread of the virus in the U.S., including in Maryland

Prevention and Health Promotion Administration 25 Air travel between U.S. and Zika affected areas ~30 million people fly to the U.S. each year from countries in the Caribbean and Latin America 1 Unlikely Zika would spread as quickly or as widely in the U.S. 2 Better public health infrastructure More air conditioning and screening Earlier disease detection Better mosquito control 1. Sources: Bureau of Transportation Statistics (air travel data) 2. “Anticipating the international spread of Zika virus from Brazil,” The Lancet. Isaac I. Bogoch and Kamran Khan, University of Toronto; Oliver J. Brady and Moritz U.G. Kraemer, University of Oxford

Prevention and Health Promotion Administration 26 Maryland Public Health Response Providing Zika information to Marylanders via a variety of formats (including website and social media) Providing guidance to MD healthcare providers Working with providers for Zika testing at DHMH (with focus on pregnant women) Coordinating medical management for Zika-infected pregnant women and infants Conducting surveillance and epidemiologic investigations Zika infection (reportable) Microcephaly (reportable, including by hospitals) GBS Mosquito Controlling mosquitoes (in concert with MD Dept of Agriculture)

Prevention and Health Promotion Administration 27 Current Statewide Zika Activities Zika Awareness Week (April 24-30) Governor proclamations to all LHDs LHDs asked to host/sponsor Zika-related activities Zika Prevention Kits for pregnant women Educational information Repellent Larvicide Condoms

Prevention and Health Promotion Administration 28 Vector Control for Zika Virus ≠ Vector Control for West Nile Virus Whereas mosquito-based surveillance is the preferred method for monitoring or predicting West Nile virus outbreaks, it is not the preferred method for monitoring or predicting Zika (dengue, chikungunya, or yellow fever) outbreaks For these arboviruses, it is more efficient to detect cases in people

Prevention and Health Promotion Administration 29 Aedes Surveillance and Control Surveillance Determine presence or absence of Aedes Identify types of containers are producing the most mosquitoes for targeting vector control efforts Understand where mosquito populations occur Monitor the effectiveness of vector control efforts Control Community and property clean up Application of larvicide Application of adulticide Education about personal protection

Prevention and Health Promotion Administration 30 Principal functions of Zika, dengue and chikungunya mosquito-based surveillance programs Determine presence or absence of Ae. aegypti and Ae. albopictus in a geographic area Identify what types of containers are producing the most mosquitoes for targeting vector control efforts Track larval sites if Ae. aegypti or Ae. albopictus are detected in an area Collect mosquito population data and identify geographic areas of high abundance (high-risk) Monitor the effectiveness of vector control efforts Collect data on mosquito infection rates during outbreaks to: identify primary/secondary mosquito vectors establish thresholds at which humans get infected

Prevention and Health Promotion Administration 31 Focused vector control activities when any of the following occurs: a) Any detection of Ae. aegypti; b) Threshold levels of Ae. albopictus are reached; OR c) Travel-associated cases of Zika virus infection are detected

Prevention and Health Promotion Administration 32

Prevention and Health Promotion Administration 33 Mosquito Bite Prevention

Prevention and Health Promotion Administration 34

Prevention and Health Promotion Administration 35

Prevention and Health Promotion Administration 36

Aedes albopictus