Announcement

Collapse
No announcement yet.

Martinique - Zika outbreak 2016

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • #16
    Microcephaly – France - Martinique

    Disease Outbreak News

    9 April 2016


    On 24 March 2016, the National IHR Focal Point for France notified PAHO/WHO of a foetus with concomitant microcephaly and Zika virus infection in Martinique.

    The diagnosis of microcephaly was made during pregnancy on 10 March. On 17 March, the foetus’s samples were collected and tested at the Centre Hospitalier Universitaire of Martinique in Fort-de-France: both amniotic fluid and foetal blood samples resulted positive for Zika virus infection by polymerase chain reaction (PCR). On 22 March, the National Reference Center for arboviruses confirmed the infection with Zika virus.
    Between December and March, the serology performed on the mother's serial samples confirmed infection with Zika virus.

    WHO risk assessment

    This is the first case of Zika virus infection detected in a foetus with microcephaly in Martinique. This report is important because it provides a prospective documentation of Zika virus infection in a mother and her foetus and allows an estimation of the stage of pregnancy at which the mother and the foetus became infected. It also shows that a foetus can be PCR-positive for Zika virus months after the initial infection of the mother. This report provides additional evidence that infection with Zika virus early in pregnancy could be associated with an increased risk of microcephaly. Further investigations, however, will be required to fully comprehend the role of Zika virus infection in the development of congenital abnormalities, such as microcephaly, and to establish any causative links. WHO continues to monitor the epidemiological situation and conduct risk assessment based on the latest available information.

    READ MORE
    “Addressing chronic disease is an issue of human rights – that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

    Comment


    • #17

      Translation Google

      Source: Point au 28 avril 2016. (pdf- 1,48 Mo)

      Emergence of Zika virus in the Caribbean Guyana
      epidemiological Situation
      epidemiologically 28 April 2016 - No. 16/2016
      ...
      | current epidemiological situation in Martinique |


      ...
      From April 18 to 24
      2016 (S2016-16), the estimated number of clinically suggestive cases is increasing compared to four previous weeks
      (1600 evocative estimated cases), equivalent to the levels reported before the Easter school holidays. As of 28
      April estimate the cumulative number of cases suggestive of Zika who consulted a general practitioner was 20,980.
      ...
      Since viral emergence in Martinique, the infection was confirmed biologically in 184 pregnant women. This number
      corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some have already
      give birth. Furthermore, any complication occurring in the fetus of a mother infected with the virus is identified by the device
      monitoring. To date, two fetal microcephaly and one brain malformation have been recorded by the device
      surveillance. Note that one of these two microcephaly detected on ultrasound (prenatal care) in a mother
      with laboratory confirmation for Zika was overturned at birth.

      Fourteen patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
      the emergence of Zika including eleven with laboratory confirmation for the Zika virus and three being for biological investigation
      Zika virus. Some three other severe neurological forms were biologically confirmed for the Zika virus.
      The responsibility of the infection in the occurrence of complications described above has not yet been formally established to
      all.
      No deaths can be directly attributed to Zika has been reported to date.
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #18
        Translation Google

        Source: Point au 12 mai 2016. (pdf- 1,34 Mo)

        Emergence of Zika virus in the Caribbean Guyana
        epidemiological Situation
        epidemiologically 12 May 2016 - No. 18/2016
        ...
        | current epidemiological situation in Martinique |


        ...
        May 8, the estimated cumulative number of consultations with a general practitioner Zika was 23,860.
        ...
        Surveillance for complications associated with infection by Zika

        Since viral emergence in Martinique, the infection was confirmed biologically in 225 pregnant women. This digit
        corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
        already given birth.

        Furthermore, any complication occurring in the fetus of a mother infected with the virus is identified by device
        surveillance. To date, two microcephaly and another fetal brain malformation were detected by ultrasound.

        Nineteen patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
        the emergence of Zika including fifteen with laboratory confirmation for the Zika virus and four current biological investigation.

        Some other severe neurological forms were biologically confirmed for the Zika virus.

        The responsibility of the infection in the occurrence of complications described above has not yet been formally established
        for all.

        No deaths can be directly attributed to Zika has been reported to date.
        ...
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #19
          Source: Point au 19 mai 2016. (pdf- 1,34 Mo)

          Translation Google


          Emergence of Zika virus in the Caribbean Guyana
          epidemiological Situation
          epidemiologically 19 May 2016 - No. 19/2016

          | current epidemiological situation in Martinique |


          ...
          As of May 15, the estimated cumulative number of consultations with a general practitioner Zika was 25,610.
          ...
          Surveillance for complications associated with infection by Zika

          Since viral emergence in Martinique, the infection was confirmed biologically in 255 pregnant women. This number
          corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
          already given birth.

          Furthermore, any complication occurring in the fetus of a mother infected with the virus is identified by device
          surveillance. To date, two microcephaly and another fetal brain malformation were detected by ultrasound.

          Twenty patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
          the emergence of Zika including nineteen with laboratory confirmation for the Zika virus and one current biological investigation.

          Three others severe neurological forms were biologically confirmed for the Zika virus.

          The responsibility of the infection in the occurrence of complications described above has not yet been formally established
          for all.

          One death of a patient with Guillain-Barré syndrome was evaluated as directly attributable to Zika.
          ...
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #20
            Source: Point au 2 juin 2016. (pdf- 1,24 Mo)

            Translation Google

            Emergence
            Zika the Caribbean Guyana
            Epidemiological Situation
            epidemiologically 2 June 2016 - No. 21/2016

            | current epidemiological situation in Martinique |


            ...
            To May 29, the estimated cumulative number of consultations with a general practitioner Zika
            was 27,800.
            ...
            Surveillance for complications associated with infection by Zika

            Since viral emergence in Martinique, the infection was confirmed biologically in 302 pregnant women. This number
            corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
            already given birth. Furthermore, any complication occurring in the fetus of a mother infected with the virus is identified by
            the monitoring device. To date, two microcephaly and two other fetal brain malformations were detected
            ultrasonography in pregnant women infected with the virus Zika

            Twenty-one patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
            the emergence of Zika including nineteen with biological confirmation Zika and two current biological investigation.
            Three other severe neurological forms were biologically confirmed for the Zika virus.
            The responsibility of the infection in the occurrence of complications described above has not yet been formally established
            for all.
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #21
              Source: Point au 16 juin 2016. (pdf- 265,58 Ko)

              Translation Google

              Emergence
              Zika the Caribbean Guyana
              epidemiological Situation
              epidemiological point of 16 June 2016 - No. 23/2016
              ...
              | current epidemiological situation in Martinique |

              ...
              June 12, the estimated cumulative number of consultations
              Zika for a general practitioner was 30,000.
              ...
              Since viral emergence in Martinique, the infection was confirmed biologically in 342 pregnant women. This digit
              corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
              already given birth.

              Twenty-three patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
              the emergence of Zika including nineteen with laboratory confirmation for the Zika virus and four current biological investigation.

              Three other severe neurological forms were biologically confirmed for the Zika virus.

              The responsibility of the infection in the occurrence of complications described above has not yet been formally established
              for all.

              A death of a patient with Guillain-Barré syndrome was evaluated as directly attributable to Zika.
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #22
                Source: Point au 7 juillet 2016. (pdf- 638,69 Ko)

                Translation Google

                Emergence
                Zika the Caribbean Guyana
                epidemiological Situation
                epidemiological point of the July 7, 2016 - No. 26/2016

                ...
                | current epidemiological situation in Martinique |

                ...
                Since the beginning of the epidemic, the cumulative number of
                Zika consultations with a general practitioner is
                estimated at 32,400.
                ...
                Since viral emergence in Martinique, the infection was confirmed biologically in 384 pregnant women. This number
                corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
                already given birth.

                Twenty-five patients with Guillain-Barré syndrome (GBS) were detected by the monitoring system since
                the emergence of Zika including twenty-one with laboratory confirmation for the Zika virus and four under investigation
                biological. Finally, three others severe neurological forms were biologically confirmed for the Zika virus.

                The responsibility of the infection in the occurrence of complications described above has not yet been formally established
                for all.

                A death of a patient with Guillain-Barré syndrome was evaluated as directly attributable to Zika.
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #23
                  Translation Google

                  The epidemic of Zika declining

                  C. Everard Monday, July 18, 2016
                  ...

                  The trend is confirmed for a month in Martinique. Researchers also believe that the epidemic will turn off within three years in Latin America.

                  The good news is rare at the moment but here is one. Zika epidemic is in decline in Martinique and this is clearly visible on the curve below. On the last week of June, only 640 cases of patients with the signs of the disease went check, against 1,140 a month earlier.

                  This brings the number of estimated cases, having consulted, to 32,960 since the beginning of virus circulation. The peak of the epidemic seems well beyond, spreading the same time the fear of the past management system. For now, only one death was directly attributable to zika, in a 84 years old patient who contracted Guillain-Barre syndrome. In Guyana, some regions are also decreasing. In Guadeloupe, where the epidemic began later, the number of weekly cases is stable.

                  UNTIL 10 YEARS

                  In addition, researchers focused on Latin America as a whole. Their work have just been published in the American publication Science.

                  "Our analyzes suggest that the spread of infection zika can not be contained and that the epidemic will shut itself within two to three years," says Professor Neil Ferguson, of the faculty of public health at Imperial College and lead author of this work.

                  Since the virus can not infect the same person twice, the epidemic reached a stage where there are too few people who have not yet been infected so that the transmission will continue, explain the researchers. This is why a new large epidemic can not be restarted until at least ten years, when a new generation has not yet been exposed to zika.

                  The end of the epidemic zika would of course be a good thing, but also pose problems for the ongoing development of vaccines, noted Professor Ferguson.

                  "If our projections are correct, the number of cases of zika have fallen significantly by the end of 2017 or before and that means we will have vaccines ready to be tested and not enough cases of infection in the population to clinical trials, "Neil Ferguson fears.

                  The researchers also point out the large number of gray areas that remain about this virus - responsible for cases of congenital malformations in infants - and others of the same family, such as dengue.

                  http://www.martinique.franceantilles...nce-369094.php
                  "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                  -Nelson Mandela

                  Comment


                  • #24
                    Translation Google

                    Emergence
                    Zika the Caribbean Guyana
                    epidemiological Situation
                    epidemiologically August 18, 2016 - No. 32/2016

                    ...
                    | current epidemiological situation in Martinique |
                    ...
                    Since the beginning of the epidemic, the cumulative number of consultations with a general practitioner Zika is estimated at 34,960.
                    ...
                    Twenty-seven patients with Guillain-Barré syndrome
                    (GBS) were detected by the monitoring system since
                    the emergence of Zika including 26 with laboratory confirmation
                    for the Zika virus and current biological investigation.

                    Finally, three other severe neurological forms were
                    biologically confirmed to Zika virus (Figure 6).

                    Since viral emergence in Martinique, the infection was
                    biologically confirmed in 490 pregnant women. This
                    figure is the cumulative number, since the emergence of
                    viruses, pregnant women who were infected and which
                    some have already given birth. After a decline that began in
                    2016-20 week and continues until week 2016-
                    25, the weekly number of pregnant women with
                    laboratory confirmation for Zika is stable (Figure 7). Due to a delay in the reporting of results, data
                    S2016-32 the week are being consolidated.

                    Furthermore, any complication occurring in the fetus of a
                    mother infected with the virus is identified by device
                    surveillance. To date, three microcephalies and seven
                    other fetal brain malformations were detected by
                    ultrasound among pregnant women confirmed
                    biologically.

                    The responsibility of the infection in the occurrence of
                    complications described above is not yet
                    formally established for all.

                    A death of a patient with Guillain-Barré syndrome
                    was assessed as directly attributable to Zika.

                    http://www.invs.sante.fr/fr/Publicat...u-18-aout-2016
                    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                    -Nelson Mandela

                    Comment


                    • #25

                      Translation Google

                      Emergence of Zika virus in the Caribbean Guyana
                      epidemiological Situation
                      epidemiologically 15 September 2016 - No. 36/2016
                      epidemiological synthesis territory at September 15, 2016
                      ...
                      | current epidemiological situation in Martinique |
                      ...
                      Since the beginning of the epidemic, the cumulative number of consultations with a general practitioner Zika is estimated at 36 100.
                      ...
                      Surveillance for complications associated with infection by Zika

                      Twenty-seven patients with Guillain-Barré syndrome
                      (GBS) were detected by the monitoring system since
                      the emergence of Zika including 26 with laboratory confirmation
                      for the Zika virus and current biological investigation.
                      Finally, five other severe neurological forms were
                      biologically confirmed to Zika virus (Figure 6).
                      Since viral emergence in Martinique, the infection was
                      biologically confirmed in 516 pregnant women. This
                      figure is the cumulative number, since the emergence of
                      viruses, pregnant women who were infected and which
                      some have already given birth. Since the 2016-32 week,
                      weekly number of pregnant women with
                      laboratory confirmation for Zika decreases (Figure 7). In
                      Due to a delay in the reporting of results, data
                      S2016-36 the week are being consolidated.

                      Furthermore, any complication occurring in the fetus of a
                      mother infected with the virus is identified by device
                      surveillance. To date, three microcephaly and eight other
                      fetal brain malformations were detected
                      ultrasound confirmed among pregnant women
                      biologically. An abnormality detected after birth
                      in the baby of a mother biologically confirmed was
                      reported to the monitoring device during the four
                      recent weeks.

                      The responsibility of the infection in the occurrence of
                      complications described above is not yet
                      formally established for all.

                      A death of a patient with Guillain-Barré syndrome
                      was assessed as directly attributable to Zika.
                      ...
                      http://invs.santepubliquefrance.fr/f...septembre-2016
                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

                      Comment


                      • #26

                        Translation Google

                        Zika virus surveillance in the Caribbean Guyana
                        epidemiological Situation
                        epidemiologically of 20 October 2016 - No. 39/2016
                        ...
                        | current epidemiological situation in Martinique |

                        ...
                        At the beginning of June (S2016-23), the outbreak of Zika
                        began its decline, the estimated number of cases
                        suggestive Zika descending steadily, 1140 in
                        S2016-22 S2016-30 to 415.

                        During the month of August until the first week of
                        September the decline stalled and the trend is
                        steady with an average of 270 weekly event
                        estimated. S2016-37 from the week, the phase
                        decline resumed with a continued decline in the
                        estimated number of cases suggestive of less than 200.

                        From 10 to 16 October (S2016-41), the estimated number of cases
                        clinically suggestive of Zika seen in general practice is
                        65. The decline of this indicator confirms this
                        week.

                        Since the beginning of the epidemic, the cumulative number of
                        Zika consultations with a general practitioner is
                        estimated at 36,590.
                        ...
                        Since viral emergence in Martinique, the infection was confirmed biologically in 537 pregnant women. This digit
                        corresponds to the cumulative number since the emergence of the virus, pregnant women with the infection and some
                        already given birth.

                        Thirty patients with Guillain-Barré Syndrome (GBS) were detected by the monitoring system since
                        the emergence of Zika, including 28 with laboratory confirmation for Zika and two current biological investigation. Finally,
                        five other severe neurological forms were biologically confirmed for the Zika virus.

                        The responsibility of the infection in the occurrence of complications described above has not yet been formally established
                        for all.

                        A death of a patient with Guillain-Barré syndrome was evaluated as directly attributable to Zika.
                        ...
                        In Martinique, for five consecutive weeks, the estimated number of cases is clinically suggestive
                        less than 200. In the light of the epidemiological situation, the members of glycemia meeting October 10, 2016
                        proposed transition phase 4 of Psage * "End of epidemic with ongoing viral traffic".
                        This proposal was cohosh at the Management Unit held October 13, 2016.
                        Monitoring of complications associated with infection by Zika virus is maintained.
                        * Monitoring Program, alerting and management of emergencies (emerging arboviruses)
                        ...

                        http://invs.santepubliquefrance.fr/f...0-octobre-2016
                        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                        -Nelson Mandela

                        Comment

                        Working...
                        X