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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Travel-associated Zika virus disease acquired in the americas through February 2016: A GeoSentinel analysis
Annals of Internal Medicine, Volume 166, No. 2, Year 2017
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Description
Background: Zika virus has spread rapidly in the Americas and has been imported into many nonendemic countries by travelers. Objective: To describe clinical manifestations and epidemiology of Zika virus disease in travelers exposed in the Americas. Design: Descriptive, using GeoSentinel records. Setting: 63 travel and tropical medicine clinics in 30 countries. Patients: Ill returned travelers with a confirmed, probable, or clinically suspected diagnosis of Zika virus disease seen between January 2013 and 29 February 2016. Measurements: Frequencies of demographic, trip, and clinical characteristics and complications. Results: Starting in May 2015, 93 cases of Zika virus disease were reported. Common symptoms included exanthema (88%), fever (76%), and arthralgia (72%). Fifty-nine percent of patients were exposed in South America; 71% were diagnosed in Europe. Case status was established most commonly by polymerase chain reaction (PCR) testing of blood and less often by PCR testing of other body fluids or serology and plaque-reduction neutralization testing. Two patients developed Guillain-Barré syndrome, and 3 of 4 pregnancies had adverse outcomes (microcephaly, major fetal neurologic abnormalities, and intrauterine fetal death). Limitation: Surveillance data collected by specialized clinics may not be representative of all ill returned travelers, and denominator data are unavailable. Conclusion: These surveillance data help characterize the clinical manifestations and adverse outcomes of Zika virus disease among travelers infected in the Americas and show a need for global standardization of diagnostic testing. The serious fetal complications observed in this study highlight the importance of travel advisories and prevention measures for pregnant women and their partners. Travelers are sentinels for global Zika virus circulation and may facilitate further transmission. © 2017 American College of Physicians.
Authors & Co-Authors
Hamer, Davidson Howes
United States, Boston
School of Public Health
Barbre, Kira A.
United States, Decatur
Task Force for Global Health
Chen, Linhwei
Unknown Affiliation
Grobusch, Martín Peter
Netherlands, Amsterdam
Universiteit Van Amsterdam
Schlagenhauf, Patricia
Switzerland, Zurich
Universität Zürich
Goorhuis, Abram
Netherlands, Amsterdam
Universiteit Van Amsterdam
van Genderen, Perry J.J.
Netherlands, Rotterdam
Havenziekenhuis
Molina, Israel
Spain, Barcelona
Hospital Universitari Vall D'hebron
Ásgeirsson, Hilmir
Sweden, Stockholm
Karolinska Universitetssjukhuset
Kozarsky, Phyllis E.
United States, Atlanta
Emory University
Caumes, Éric
France, Paris
Hôpital Universitaire Pitié Salpêtrière
Hagmann, Stefan H.F.
United States, New York
Bronx-lebanon Hospital Center
Mockenhaupt, Frank Peter
Germany, Berlin
Charité – Universitätsmedizin Berlin
Eperon, Gilles A.
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Barnett, Elizabeth D.
United States, Boston
Boston Medical Center
Bottieau, Emmanuel
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Boggild, Andrea K.
Canada, Toronto
Toronto General Hospital
Gautret, Philippe
France, Paris
Inserm
Hynes, Noreen A.
United States, Baltimore
Johns Hopkins School of Medicine
Kuhn, Susan M.
Canada, Calgary
Alberta Children's Hospital
Lash, R. Ryan
United States, Atlanta
Centers for Disease Control and Prevention
Leder, Karin S.
Australia
Victorian Infectious Diseases Reference Laboratory
Libman, Michael D.
Canada, Montreal
Mcgill Faculty of Medicine and Health Sciences
Malvy, Denis Jean Marie
France, Talence
Centre Hospitalier Universitaire de Bordeaux
Perret P, Cecilia
Chile, Santiago
Pontificia Universidad Católica de Chile
Rothe, Camilla
Germany, Hamburg
Bernhard Nocht Institut Fur Tropenmedizin Hamburg
Schwartz, Eli N.
Israel, Tel Hashomer Tel Aviv
Chaim Sheba Medical Center Israel
Wilder-Smith, Annelies
Singapore, Singapore City
Lee Kong Chian School of Medicine
Cetron, Martin S.
United States, Atlanta
Centers for Disease Control and Prevention
Esposito, Douglas H.
United States, Atlanta
Centers for Disease Control and Prevention
Anderson, Susan A.
Unknown Affiliation
Kain, Kevin C.
Unknown Affiliation
Lopéz-Véléz, Rogelio
Unknown Affiliation
Wu, Henry M.
Unknown Affiliation
Statistics
Citations: 63
Authors: 34
Affiliations: 26
Identifiers
Doi:
10.7326/M16-1842
ISSN:
00034819
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Participants Gender
Female