Colombia - MoH - 1st case of fetus malformations in a pregnant woman who was ill with Zika virus in the 2nd trimester - February 24, 2016

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Life | Wed Feb 24, 2016 4:36pm EST Related: HEALTH

Colombia reports 'probable' case of microcephaly in aborted fetus

BOGOTA

REUTERS/JAIME SALDARRIAGA

Colombian health officials reported on Wednesday a "probable" case of microcephaly possibly linked to Zika, as the country closely watches potential impacts of the mosquito-borne virus.

The country's National Health Institute said Zika virus was identified in the amniotic fluid surrounding a severely deformed and aborted fetus.

The abortion was performed on an 18-year-old mother when she was 28 weeks pregnant. Photographs were not taken of the fetus, but the doctor in Popayan, in the southwestern region of Cauca, had reported the fetus having an abnormally small head and considered it microcephaly, the institute, known as INS, said.

Zika infection in pregnant women has not been proven to cause microcephaly in newborns.
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The Popayan case cannot be confirmed as microcephaly since the remains of the fetus were thrown away immediately after the abortion and tests could not be made, INS said. Traces of Zika were detected in the amniotic fluid, it said.

"Unfortunately in this case, the breach of guidelines by those responsible for handling the case in Cauca prevented an accurate diagnosis being reached," Martha Lucia Ospina, director of the INS said in a statement.

"They discarded the fetal remains that were indispensable to diagnose or rule out Zika and the link with microcephaly and other abnormalities."
...

http://www.reuters.com/article/us-health-zika-colombia-idUSKCN0VX2S9

 

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Colombia reported the first case of fetus malformations zika

February 24, 2016

The case occurred in an 18-year-old infected with the virus Zika , who decided to terminate her pregnancy by malformations that were proven in clinical tests

Health authorities in Colombia reported the first case of a fetus had malformations, whose mother was infected by the virus Zika, in the city of Popayan, to the southwest of this Andean country.

The doctor Juan Jose Alvarado, told private broadcaster Caracol, that the case occurred in an 18-year-old infected with the virus Zika , who decided to interrupt her pregnancy in Popayan, by malformations that were checked in clinical examinations.

According to the doctor, a sample of the fetus sent to the National Institute of Health confirmed the "suspect, after examination of the amniotic fluid showed that the baby was affected by the virus ."

According to the statements of Alvarado, the fetus had damages the brain, microcephaly, tissue destruction and changes to cranial level.

Secretary of Health of Cauca, said the case occurred in the village of El Bordo and interruption of pregnancy was voluntary decision of young pregnant.

This is the first confirmed case in a fetus in Colombia the presence of zika and "shows that the virus can affect the baby not only in the first trimester of pregnancy but during the second quarter," authorities said.

Zika virus in Colombia has left more than 37,000 people infected and of this total more than six thousand pregnant women in different regions of the Andean country.

http://amqueretaro.com/el-pais/mundo...iones-por-zika

 

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Google translation -

Official statement

Bogot? DC, February 23, 2016 -. The Director of the National Institute of Health, Martha Lucia Ospina Martinez, vehemently reiterated that all IPS must follow the guidelines set out in the circular 006 and 007 of 2016, compared to the handling of samples for diagnostic Zika.

Statements Ospina Martinez submitted following anomalies presented in the White City Clinic Popayan, compared to the case of a woman 18 years which underwent an abortion, to meet the criteria of fetus congenital anomaly incompatible with life, as established by the Constitutional Court.

The woman was she being followed by a history of possible infection by Zika virus, in the process of attention for its EPS will be paid a sampling amniotic fluid (amniocentesis) shows that it was considered by the National Institutes of Health.

"It is worth remembering that a positive test shows Amniotic Fluid mother-child vertical transmission of the virus, however recent studies and reviews conducted by CDC concluded that it is necessary to identify the virus in tissues to reach a conclusive diagnosis of cause of a congenital anomaly, "said Martha Ospina.

Moreover, he said that "during the monitoring of pregnant women, we have other cases where we have shown the vertical mother-child transmission, but with healthy newborns so far."

Ospina Martinez went further, stating that "unfortunately in this case the breach of the guidelines for monitoring by the responsible for handling the case in Cauca prevented from reaching an accurate diagnosis, as was done in Slovenia, because they rejected fetal remains indispensable to diagnose or rule Zika and bond with microcephaly and other abnormalities, despite being clearly stated in the guidelines and be a patient was under monitoring "

Finally, he announced that in this situation the National Institute of Health classified as a probable case.



http://www.ins.gov.co/Noticias/Pagin...x#.Vs65BvmLTRY

 

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Popayan: fetal remains to check relationship Zika and microcephaly were scrapped

This was denounced by the National Institutes of Health, after the case of a woman who decided to terminate her pregnancy of 28 weeks and birth defects in her baby infected with Zika.

Latin America Popayan Zika virus
The W 25/02/2016 - (5 hours ago)

The National Institute of Health INS reported that those responsible for terminating the pregnancy of a woman of 18 years in Popayan discarded fetal remains, essential to diagnose or rule Zika and bond with microcephaly.

The case corresponds to a citizen infected with Zika, from the municipality of El Patia, south of Cauca, who made the decision to terminate her pregnancy of 28 weeks because the specialists who treated her confirmed that the baby is also infected and had malformations.

The obstetrician White City Clinic doctor Juan Jose Alvarado, said that was taken and sent to the National Institute of Health a sample of amniotic fluid the baby, the result was positive for Zika.

Moreover, he indicated that multiple alterations in the brain, microcephaly and damage to brain structures baby also showed.

"This is the first confirmed case in a fetus in Colombia and shows us that the virus can affect the baby not only in the first trimester of pregnancy but during the second quarter, patients who are pregnant should follow the recommendations of the Ministry to avoid infection, "conceptualized the doctor.

INS ruling

The director of the National Institute of Health, Martha Lucia Ospina, reiterated that all IPS must follow the lines against the handling of samples for diagnostic Zika. In a statement, the Bank also described as "anomalous" versions delivered Clinic Ciudad Blanca.

"It is worth remembering that a positive test shows Amniotic Fluid mother-child vertical transmission of the virus, however recent studies and reviews conducted by CDC concluded that it is necessary to identify the virus in tissues to reach a conclusive diagnosis of cause of a birth defect, "said Ospina.

Also, Officer complained that "unfortunately in this case the breach of the guidelines for monitoring by the responsible for handling the case in Cauca prevented from reaching an accurate diagnosis, as was done in Slovenia, because the remains were discarded necessary to diagnose or rule Zika and bond with microcephaly and other abnormalities, despite being clearly stated in the guidelines and be a patient who was tracked "fetal.

So far it has not revealed the name of the EPS who authorized the procedure for termination of pregnancy and unknown whereabouts of fetal remains that would allow to clarify the link between Zika and microcephaly.

http://www.wradio.com.co/noticias/r...-fueron-desechados/20160225/nota/3069560.aspx
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Controversy over termination of pregnancy in Popayan possible contamination of the fetus with the Zika virus

CAUCA LOCAL

February 25, 2016 - 9:59 A.M. -

Prime abortion in Popayan of a sick baby in the Zika virus gestation controversial statement on health and the National Institute of Health complaint fetal remains were discarded for verification sector.

This procedure decided after health authorities determined that at 5 months of pregnancy the fetus was infected with the virus Zika, allowed the abortion to a woman in Popayan, a process that generated reaction in the health sector.

The Ministry of Health of Cauca, Lucy Amparo Guzman consulted by RCN Radio on the subject indicated that met a Technical Comt? to evaluate.

" With respect to the case was presented that was reviewed the case to date is actually the result of the examination Mom goes confirmed by the National Institute of Health but for the fetus can not have confirmation as there are tests that do not were performed and are required by the protocol for this purpose , "said Secretary of Health RCN Radio.

Meanwhile the National Institute of Health reported that it is " unfortunate in this case the breach of the guidelines for monitoring by the responsible for handling the case in Cauca that prevented reaching an accurate diagnosis, because the fetal remains were discarded necessary to diagnose or rule Zika and bond with microcephaly and other abnormalities , "she issued by the Institute.

On the case RCN Radio insistently tries to communicate with the clinic and the specialist that conducted one of the stages of the event, but at the time reported that they will not decide before the media.

The medical report released by the media, said that " right now we have confirmation of a fetus affected by zika here in Colombia ," adding that " it was found that the fetus can not only be infected in the first three months, but back to them " .

http://www.rcnradio.com/locales/pol...osible-contaminacion-del-feto-virus-del-zika/

 

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Investigate death of baby whose mother was diagnosed with zika

The Health Ministry said in Cauca child died five days after birth.

By: POPAY?N | 5:04 pm | February 26, 2016

After hearing the case of a patient from the, in southern Cauca, municipality of Patia who interrupted her pregnancy voluntarily due to a diagnosis of possible spread of the zika that would have affected the fetus of 28 weeks gestation virus, Ministry of Health of Cauca Lucy Amparo Guzman announced so far unknown details of this case.

The fact is after statements by Juan Jos? Alvarado, medical expert obstetrician Clinic White City of Popayan, who received the patient, 18 years old, and who noted that spread the small "I found multiple alterations in cerebral, he was found microcephaly and damage to brain structures, calcifications and severe damage " .

In this regard, the Ministry of Health reported that on January 21 this year samples were taken into the amniotic fluid of patients to establish possible presence of zika adding: "Notification of the voluntary termination of pregnancy is known after we know that the sample of amniotic fluid sent to the National Institute of Health was positive, it was between 8 and 10 February. "

However, regarding abortion, "following the state of health of the baby , " Lucy Amparo Guzman revealed that "was born on January 26 and had five days of life" ; He explained that "the gestational age of the patient labor was induced and the fetus was born alive" . It was confirmed that weighed 1,300 grams and was 38 centimeters long .

But not everything is there, the official said that the remains of the baby you were given to the family so that you perform the funeral, contrary to what he said in the last hours the director of the National Institute of Health, Martha Lucia Ospina Martinez, who noted that unfortunately " breach of the guidelines surveillance by the responsible for handling the case in Cauca prevented from reaching an accurate diagnosis , as was done in Slovenia, because the essential fetal remains were discarded to diagnose or rule zika and the link with microcephaly and other abnormalities. "

There were flaws in the protocol

The Ministry of Health of Cauca said that with the IPS and EPS which intervened in the case analysis is being conducted to verify effectively failures in care and advance the relevant procedures. "Tracking no protocols is a wake-up call to all providers of health services. He said several IPS and they call health personnel, doctors and specialists, to training and do not go, and end up not knowing the protocol and not sticking to it, "he said.

It also recognized that in this case " there are responsibilities of all stakeholders in the health system ". On Monday a Supervisory Committee will be held to analyze what happened and reviewed from medical protocols exactly what action to take.

Three more cases of pregnant women with probable zika

The Ministry of Health of Cauca has confirmed that the report of three probable cases of pregnant women in comprehensive monitoring in the department, specifically in the municipalities of Santander de Quilichao and Timb?o. He stressed that work to receive health services that protocol must be followed. "Also, if there is indeed any involvement in the mental health of the mother by congenital malformations of the fetus, so you can access the voluntary termination of pregnancy if that is their will," he said Guzman.

POPAY?N

http://www.eltiempo.com/colombia/cali/bebe-en-cauca-habria-muerto-por-virus-del-zika/16520675

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Controversy continues probable case of fetus with zika in Popayan

The Ministry of Health of Cauca contradicted delivered by the National Institute of Health on fetal remains of a woman who decided to terminate her pregnancy version.

Zika virus Santander Popayan
The W 02/26/2016 - (8 hours ago)

After the National Institutes of Health denounced in Popayan were discarded indispensable fetal remains to check links zika and malformations, Secretary of Health of Cauca, Lucy Amparo Guzman, gave a different version and said the fetus, whose pregnancy of 28 weeks was interrupted by decision of the mother, he lived five days.

The fact was released this week by Juan Jose Alvarado, obstetrician Clinic Ciudad Blanca, who conceptualized that after performing the studies and tests a 18 year old woman infected with zika found that the fetus is also infected and He showed alterations in the brain, microcephaly and damage to brain structures.

The director of the INS, Martha Lucia Ospina, reacted and said that "unfortunately breach of the guidelines surveillance by the responsible for handling the case in Cauca prevented from reaching an accurate diagnosis, as was done in Slovenia, because the essential fetal remains were discarded to diagnose or rule zika and the link with microcephaly and other abnormalities. "

However, Departmental Health Secretary explained that on 21 January this year sampled the amniotic fluid of the patient to establish or rule Zika virus. "Notification of the voluntary termination of pregnancy is known after we know that the sample of amniotic fluid sent to the National Institute of Health was positive, it was between 8 and 10 February."

On the voluntary termination of pregnancy, the health of the baby, born Officer reported that on January 26 and had five days of life. "By the gestational age of the patient labor was induced and the fetus was born alive (...) It was confirmed that weighed 1300 grams and was 38 centimeters long."

Contrary to what the INS said the secretary Lucy Guzman Aparo said the baby's remains were handed over to the family to conduct the funeral.

He also noted that some tests were performed not by irregularities in the procedure for establishing the relationship between abnormalities of the baby and Zika virus, were necessary.

Currently, the health authority performs an analysis to verify failures in care and apply the appropriate procedures in the IPS or EPS.

"The monitoring protocol is a wake-up call to all providers of health services. He said several IPS's and they call health personnel, doctors and specialists, to training and do not go, and end up not knowing the protocol and not adhering to it, "he said.

She acknowledged that there was responsibility of all stakeholders in the health system in this case, and announced that on Monday a Supervisory Committee will be held to analyze what happened and establish actions to follow.

More probable cases with zika

The Secretariat reported that has reported three probable cases of pregnant women in comprehensive monitoring in the municipalities of Santander de Quilichao Timb?o and in which it works to ensure appropriate health services.

http://www.wradio.com.co/noticias/r...on-zika-en-popayan/20160226/nota/3071077.aspx