Point au 18 f?vrier 2016. (pdf- 1,44 Mo)
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Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically February 18 - No. 6/2016
| current epidemiological situation in Guyana |
Surveillance of clinically suggestive cases
The weekly number of clinically suggestive cases
Zika estimated from the data network doctors
sentries and offshore centers for prevention and care
(SHRC) has remained stable over the first two weeks
February, reaching respectively 185 and 170 cases (S2016-05
and S2016-06) (Figure 6). This period includes the holidays
School and fat days, during which many
Doctors have not worked or partially; should therefore
interpreted with caution trend of this indicator.
Since the start of monitoring (S2016-01), a total of 790
cases clinically suggestive of Zika was estimated on the
territory.
The vast majority of cases is shown on sectors
Coastal current epidemic (Sector West, Sector
Kourou and Cayenne Island). Over the last two
weeks (S2016-05 and S2016-06), cases have been identified on
Maroni (1 Apatou, 4 in Grand-Santi and 5 to Maripa-Soula) and
one in Oyapock (1 St Georges).
Surveillance confirmed cases
The weekly number of laboratory confirmed cases of
Zika was stable during the first week of February
(S2016-05) then fell the second week of February (S2016-
06) (Figure 6).
The virus circulation has been demonstrated in Maripa-Soula where
2 indigenous cases were laboratory confirmed.
Note that this indicator does not track the extent of
the epidemic but provides additional information on the
virus circulation in the territory and on the complications. In
Indeed, laboratory confirmation is now reserved:
to patients residing in areas outside epidemic
pregnant women
to patients with serious or
complications
newborns for whom the infection Zika
the mother is suspected during pregnancy or
microcephaly fetus is suspected.
A total of 99 confirmed cases of Zika were recorded in Guyana
between December 2015 and February 2016 (S2015-49 S2016-07 to) by
CNR Arbovirus of the Pasteur Institute of Guyana.
Monitoring visits to the emergency and medical Guard Cayenne
Centre hospitalier Andr?e Rosemon (CHAR), no pass
emergency for Zika was recorded in the 2
recent weeks.
The Medical and Surgical Center in Kourou, the number of passes
Zika for emergency remains low with 2 passes
weekly listed for each of the last two
weeks.
A medical Guard Cayenne (GMC), rising
Zika consultations observed over the last
week of January (S2016-04) was not confirmed and
activity is low with 1 and 2 from recorded consultations
respectively for the 1st and 2nd week of February.
Spatial distribution of clinically suggestive cases
The municipalities of Sinnamary, St Laurent du Maroni and R?mire-Montjoly are where the cumulative incidence of clinically
evocative of Zika was the highest for the last four weeks (S2016-03 to 06) and respectively of 68, 55 and 41
case per 10 000 population (Figure 7).
In the last 4 weeks (at S2016-03 S2016-06), clinically suggestive cases of Zika were recorded on
sectors outside epidemic: 5 in Grand-Santi, Apatou 2 to 5 to Maripa-Soula and 1 in St Georges.
Surveillance for complications associated with infection by Zika
Since the beginning of the emergence of Zika in Guyana, infection
virus was confirmed in 10 pregnant women.
The establishment of a monitoring associated complications
the Zika virus identified three suspected syndrome
Guillain-Barr? occurred during the month of January. infection
by Zika could not be confirmed by RT-PCR, the results
final (serology) are pending.
To date, no death certificate marked "Zika"
was listed in Guyana.
Analysis of the epidemiological situation in Guyana
The epidemic continues on areas of the Guiana coast (St Laurent du Maroni on the Island
Cayenne). Moreover, the circulation of Zika virus has been demonstrated to Maripa-Soula: the
Zika epidemiological situation in this county matches "transmission
Aboriginal debutante. " Note that the CDPS of Apatou, Grand Santi, Maripa-Soula and St
Georges have identified clinically suggestive cases of Zika over the period.
Hospital activity remains quiet on hospitals Cayenne and Kourou.
The Management Committee has formally instructed January 22 pass Level 3 Psage * arbovirus
emerging for the coastal municipalities corresponding to an epidemic situation.