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Zikaoutbreak:WhatyouneedtoknowBBCNews

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Zikaoutbreak:Whatyouneedtoknow
ByJamesGallagher
Healtheditor,BBCNewswebsite
25January2016 Health

AP

TheZikavirus,analarminganddisturbinginfectionthatmaybelinkedtothousandsof
babiesbeingbornwithunderdevelopedbrains,isspreadingthroughtheAmericas.
Someareashavedeclaredastateofemergency,doctorshavedescribeditas"apandemicin
progress"andsomeareevenadvisingwomeninaffectedcountriestodelaygettingpregnant.

Whatarethesymptoms?
Deathsarerareandonlyoneinfivepeopleinfectedisthoughttodevelopsymptoms.
Theseinclude:
mildfever
conjunctivitis(red,soreeyes)
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headache
jointpain
arash
Thereisnovaccineordrugtreatment.Patientsareadvisedtorestanddrinkplentyoffluids.
Butthebiggestconcernistheimpactitcouldhaveonbabiesdevelopinginthewombandthe
surgeinmicrocephaly.

Whatismicrocephaly?

Itiswhenababyisbornwithanabnormallysmallhead,astheirbrainhasnotdeveloped
properly.
Theseverityvaries,butitcanbedeadlyifthebrainissounderdevelopedthatitcannotregulate
thefunctionsvitaltolife.
Childrenthatdosurvivefaceintellectualdisabilityanddevelopmentdelays.
Itcanbecausedbyinfectionssuchasrubella,substanceabuseduringpregnancyorgenetic
abnormalities.
Brazilhadfewerthan150casesofmicrocephalyinthewholeof2014,buttherehavebeenmore
than3,500reportedcasessinceOctober.
ThelinkwithZikahasnotbeenconfirmed.
Butsomebabieswhodiedhadthevirusintheirbrainandithasbeendetectedinplacentaand
amnioticfluidtoo.
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WheredidZikacomefrom?
ItwasfirstidentifiedinmonkeysinUgandain1947.
ThefirsthumancasewasdetectedinNigeriain1954andtherehavebeenfurtheroutbreaksin
Africa,SouthEastAsiaandthePacificIslands.

MostweresmallandZikahasnotpreviouslybeenconsideredamajorthreattohumanhealth.
ButinMay2015itwasreportedinBrazilandhasspreadrapidly.
Ithassincealsobeenreportedin:Barbados,Bolivia,Colombia,theDominicanRepublic,
Ecuador,ElSalvador,FrenchGuiana,Guatemala,Guadeloupe,Guyana,Haiti,Honduras,
Martinique,Mexico,Panama,Paraguay,PuertoRico,SaintMartin,SurinameandVenezuela.
"Itscurrentexplosivepandemicreemergenceis,therefore,trulyremarkable,"theUSNational
InstitutesofHealthsaid.

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Howdoesitspread?

GettyImages

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ItisspreadbyAedesmosquitoes.
TheyarefoundthroughouttheAmericasexceptforCanadaandChilewhereitistoocoldfor
themtosurvive.
Iftheydrinkthebloodofaninfectedpersontheycantheninfectsubsequentpeopletheybite.

Theyarethesameinsectsthatspreaddengueandchikungunyavirus.
And,unlikethemosquitoesthatspreadmalaria,theyaremostlyactiveduringtheday,sobed
netsofferlimitedprotection.
TheWHOexpectsZikatospreadthroughouttheAmericas,butotherscientistshavewarned
thatcountriesinAsiacouldfacelargeoutbreakstoo.

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Whatcanpeopledo?
Asthereisnotreatment,theonlyoptionistoreducetheriskofbeingbitten.
Healthofficialsadvisepeopleto:
useinsectrepellents
coverupwithlongsleevedclothes
keepwindowsanddoorsclosed
Themosquitoeslaytheireggsinstandingwater,sopeoplearealsobeingtoldtoemptybuckets
andflowerpots.
TheUSCentersforDiseaseControlhasadvisedpregnantwomennottotraveltoaffected
areas.

Whatisbeingdone?

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GettyImages

TheBrazilianHealthMinister,MarceloCastro,hassaidanewtestingkitisbeingdevelopedto
identifyinfectionsquickly.
Healsosaidmoremoneywasbeingputintothedevelopmentofavaccine.
Somescientistsarealsotriallingtheuseofgeneticallymodifiedsterilemosquitoesthat
appeartoreducemosquitopopulationsby90%.
Meanwhile,effortsareunderwaytokillthemosquitoeswithinsecticide.

AretheOlympicGamesunderthreat?

AFP

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RiodeJaneiroisthehostcityforthe2016OlympicGamesfrom5to21August.
TheBrazilianauthoritieswillbetargetingthemosquitoes'breedinggroundsintherunuptothe
Games.
However,itsaysfumigationwillbecarriedoutonlyona"casebycase"basisbecauseof
potentialhealthconcernsforathletesandvisitors.
ThereisalsosomehopetherewillbefewermosquitoesinAugustasthemonthisbothcooler
anddrier.
FollowJamesonTwitter.

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