​Cape Verde registers the first case of microcephaly with possible connection to zika

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Cape Verde registers the first case of microcephaly with possible connection to zika

by RFI Published on 15.03.2016 Changed 15/03/2016 at 17:59

Cape Verde recorded the first case of microcephaly in newborn with probable relationship to zika virus.

In a press conference, in Praia, the national health director, Tom?s Valdez, said it is the first case of microcephaly with possible links to zika, since the mother will have had during pregnancy, symptoms of infection, despite not having shifted to health structures.

"This is the first probable complication of a situation of suspected zika virus resulting from a pregnancy of a mother who reported having manifested signs and symptoms compatible with an infection zika virus. During the course of the disease, did not you sought health services and during did prenatal reference to the clinical picture. the child born of this delivery was to the clinical conditions of microcephaly. the case was notified under the supervision established for pregnant women, " said the national director health, Tom?s Valdez.

The national director of health ensured that the occurrence has been notified to the World Health Organization (WHO), under the International Health Regulations.

The zika epidemic in Cape Verde was officially declared on 22 October 2015 and until March 6, 2016 7,457 suspected cases were recorded.

http://pt.rfi.fr/cabo-verde/20160315...igacao-ao-zika

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Source: Press Release Suspected case of microcephaly - March 15, 2016

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Press release

The Zika epidemic underway in the country was officially declared on 22 October 2015, after confirmation
laboratory of the etiologic agent of fever by Zika virus.

From this period until the date of March 6, 2016 were reported a total of 7457 suspected cases of Zika in
parents. Local transmission occurred in the country's four islands: Santiago, May. Fire and Boavista. currently still
cases occur on the islands of Santiago and Fogo (S?o Filipe). The islands of Maio and Boavista not
reported cases in recent weeks.

During the epidemic were registered 165 pregnant women with suspected infection zika virus. To the
second week of March 2016 were reported births to 44 pregnant (27%), and in any case if the
children were considered to have a clinical condition compatible with microcephaly. no
also reported cases of Guillain Barr? Syndrome (GBS).

The evolution of the epidemic has been considerable decrease in the number of suspected cases, and this
resolution phase of the epidemic, a decrease in the order of over 25 times compared with the peak
the epidemic that occurred in mid-November 2015.

international context Zika epidemic

Internationally the WHO declared (1 February 2016), the first meeting of the Emergency Committee
to the effect that the fever zika virus constitutes a public health emergency of international concern,
due to the number of cases of microcephaly reported by some country, and also due to disturbances
neurological observed, as the SGB. thus guiding the countries to adopt monitoring measures to
Pregnant and follow-up of cases of microcephaly and also cases of SGB.

On March 8, 2016, held the second meeting of the Emergency Committee that Cape Verde, along
Brazil, Colombia, United States and France, was invited to share its experience in the field of
management zika epidemic. Following this meeting the WHO decided to keep the fever virus as a zika
public health emergency of international concern because of the number of cases of microcephaly reported
and SGB. And he made a series of recommendations, emphasizing on:

a) no travel restrictions to countries with zika epidemic and without hindrance to establishment
of trade inter-country;
b) the strengthening of vector control measures of individual and collective protection;
c) monitoring the epidemic of reinforcement to prevent its spread;
d) developing an appropriate notice about the risk of virus transmission to
general population and specific population groups;
e) a better clinical approach to pregnant women with suspected zika;
f) An alert for the possibility of sexual transmission of the virus and suggesting the promotion of safe sex;
g) and the development of measures for the promotion of research and medicine and vaccines.

1 case of microcephaly in the context of zika epidemic in Cape Verde

On March 14 the birth of a child has been reported with clinical and epidemiological evidence
microcephaly in Praia. Resulting from a full-term pregnancy, a mother referred
retrospectively have manifested signs and symptoms compatible with an infection zika virus.

During the course of the disease the lady did not seek health services. And during the prenatal made no reference
the previous clinical picture.

The child was notified within the established surveillance for pregnant for health services.

This occurrence has been notified to the WHO under the International Health Regulations.

Biological samples were collected for shipment to the laboratory corresponding to the centers network
WHO Collaborating for laboratory confirmation of both the mother and child infection.

In the context of the DNS Technical Guidelines - 002/2016, the child will be followed in pediatric consultations and
pediatric neurology, associating other specialties to precociously stimulate the development of
some capacity and child's basic autonomy.

Will be given psychological support to the child's parents and social support will be developed with the authorities
competent.

ongoing adopted measures:

Following the guidelines DNS techniques - 002/2016, the WHO Emergency Committee's recommendations
Day March 8, all health facilities are geared to more rigorous monitoring,
regular and accompanied by interpersonal communication with pregnant during prenatal care. In the delivery room,
all children born to mothers with suspected or not of infection zika viruses are rigorously evaluated
to rule out any abnormalities. And for all pregnant with suspected infection Zika virus and

They had children without any complications, yet the health structures are oriented
follow these children for a minimum period of 24 months.

The all pregnant with suspected infection zika viruses are collected biological samples for study
laboratory of their HIV status.

The media are disclosed information on measures of individual and collective protection
to avoid exposure to the mosquito vector zika.

general recommendations

To pregnant women:
a) Should pregnant follow the guidance of health professionals, appearing in all
prenatal consultations in the various reproductive health services in the country, as well as for the realization
the requested additional tests;
b) Should pregnant take personal protective measures to avoid mosquito bites;
Women with intentions of becoming pregnant in the coming months:
a) they must seek health services or their doctors for pre-counseling
conceptional;

For the general population remain valid previous recommendations of personal protection measures
and collective: at home, in the vicinity of the house and in the localities. These measures include the elimination of vessels
and containers that serve as mosquito breeding sites; the garbage disposal; among other measures.
And recommended to the population before signs and symptoms consistent with infection v?ruszika seeking
health services.

Praia, March 15, 2016.