Guadeloupe - Zika outbreak 2016

[Gert van der Hoek]

16 JAN 2016


Two first cases of infection Zika virus, transmitted by mosquitoes, were recorded in Guadeloupe and St. Martin, did said Saturday at the Regional Health Agency (ARS).

The ARS Guadeloupe, St. Martin and St. Bartholomew said in a statement, without confirming the presence of the virus Friday, via the national reference center for arboviruses of Marseille, the laboratory where the samples are sent sick for analysis.

"This is a man residing in Saint-Martin in the first case and a girl living in Grande-Terre (in Guadeloupe) in the second case," said the LRA. These cases are "qualified indigenous (contracted locally, ed) since none of these people has traveled fifteen days before the beginning of the signs", it is specified.

 

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Translation Google

Emergence of Zika virus in the Caribbean Guyana
Epidemiological situation
Epidemiologically January 21 - No. 3/2016
Point au 21 janvier 2016. (pdf- 1,21 Mo)
...
| Current epidemiological situation in Guadeloupe and Northern Islands |

Monitoring of laboratory confirmed cases

On January 15, a case of Zika was biologically confirmed
in Guadeloupe. So this is the first indigenous case of zika
confirmed in Guadeloupe.

In St. Martin, the first confirmed case of biologically Zika
was reported in the latest Epidemiological Point (2016-
02). There was no additional confirmed case.

In Saint-Barth?lemy, no cases of infection of virus Zika
has yet been confirmed biologically. On this territory,
the dengue epidemic (serotype DENV1) was declared
2016-01 Epidemiological week via the Epid?miologique Point.
This phenomenon makes it difficult for tracking clinical possible Zika
cases.


Overall conclusions

After consultation with the Committees of Experts of infectious and emerging diseases, Guadeloupe and
in the Northern Islands respectively, the latter consider that the epidemiological situation
Zika Guadeloupe and Saint-Martin match Psage Phase 2 of "viral circulation
Aboriginal debutante. "
No Zika virus circulation is proved in the community of Saint Barth?lemy.

 

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Point au 29 janvier 2016. (pdf- 1,21 Mo)

Translation google


Emergence of Zika virus in the Caribbean Guyana
Epidemiological situation
Epidemiologically January 29 - No. 4/2016
...

| Current epidemiological situation in Guadeloupe and Northern Islands |
...
On January 27, a total of 10 laboratory confirmed cases of Zika
were identified in Guadeloupe.

In St. Martin, no new laboratory confirmed case
identified during the last week. Since the beginning of the
monitoring, only one person has been confirmed
biologically infected Zika virus.

In Saint-Barth?lemy, no cases of laboratory confirmed Zika
have been reported to date.
In this territory, the epidemic of dengue (serotype DENV1) is
ongoing since the 2016-01 week. This phenomenon makes it
difficult clinical identification of suspected cases of Zika.
...

The management committees of Guadeloupe and St. Martin, met respectively on 25 and 27 January
2016 were officially recorded the passage on level 2 of Psage "Aboriginal debutante viral circulation" on these
territories.
St. Barthelemy Management Committee met January 27, 2016 has officially recorded 1c level: no cases
Aboriginal, detected no viral circulation.

 

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Point au 4 f?vrier 2016. (pdf- 1,22 Mo)

Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically February 4 - No. 5/2016

| current epidemiological situation in Guadeloupe and Northern Islands |

Monitoring of laboratory confirmed cases

Guadeloupe

On February 3, a total of 17 laboratory confirmed cases of Zika
were reported in Guadeloupe.

Among them two pregnant women and one neurological form
(Myelitis) are identified.

The 17 laboratory confirmed cases are spread over 9
communes of Guadeloupe geographically distinct: Le
Gosier (1), Morne ? l?eau (2), Ste Anne (2), Baie Mahault (5),
Lamentin (2), Petit Bourg (2), Goyave (1), Goubeyre (1), Baillif
(1).

Saint-Martin

In St. Martin, no new laboratory confirmed case has
been identified during the previous week. From the beginning
of monitoring, one person was confirmed
biologically infected with Zika virus.

Saint-Barth?lemy

At Saint-Barth?lemy, no cases of biologically confirmed Zika
have been identified to date.

In this territory, the dengue epidemic (serotype DENV1) is
continued since the 2016-01 week. This phenomenon makes it
difficult for clinical identification of suspected cases of Zika.

Conclusions for Guadeloupe and the Northern Islands

Since 25 January 2016, Guadeloupe has passed to Level 2 Psage "viral circulation
Aboriginal debutante. "

On 27 January 2016, St. Martin passed to Level 2 Psage "viral circulation
Aboriginal debutante. "

Saint-Barth?lemy remains at 1c: no indigenous cases detected, no virus circulation.

 

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Point au 18 f?vrier 2016. (pdf- 1,44 Mo)

Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically February 18 - No. 6/2016

| current epidemiological situation in Guadeloupe |

Monitoring of laboratory confirmed cases

17 February, a total of 25 laboratory confirmed cases of Zika were reported in Guadeloupe. Among them, two pregnant women
and one neurological form (myelitis) are identified. 25 These biologically confirmed cases are distributed over the entire
Guadeloupe (12 of the 32 municipalities).

Surveillance of clinically suggestive cases

Sentinel physician network

Given the incipient viral circulation and increasing in
Guadeloupe, monitoring of clinically suggestive cases
seen in consultation by doctors sentinel network was
activated (45 doctors including 28 participants in week S-2016-
06). The extrapolation of the number of consultations to all
GPs will now be in Guadeloupe
presented in Point Epidemio, in addition to the number of
biologically confirmed cases.

Since the 2016-03 week, the weekly number of cases
clinically suggestive of Zika seen in consultation by
GPs increases (Figure 8). February 14,
the estimated cumulative number of consultations was 221,
including 126 in the last two weeks (2016-05 and 06).

Passage emergency

Since the 2016-01 week, the number of cases of cumulative
passing emergency with suspected Zika (ICD10 code
A92.8) is 7 cases (all adults over 15 years in 1 case
CHU Pointe ? Pitre and 6 cases in CH Basse-Terre), 4
week in 2016-06.
...
Since 25 January 2016, the Guadeloupe is passed Level 2 Psage "viral circulation
Aboriginal debutante. " The weekly number of confirmed cases and cases of clinically
evocative gradually increasing.

 

[Pathfinder]

Source: Point au 10 mars 2016. (pdf- 1,19 Mo)

Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically March 10 - No. 9/2016

| current epidemiological situation in Guadeloupe |
...
As of March 9, a total of 77 laboratory confirmed cases of Zika were reported in Guadeloupe. Among them, two pregnant women
and one neurological form are identified.

These 77 laboratory confirmed cases are distributed throughout the Guadeloupe (22 of 32 towns) (Figure 8). The new
affected town is Terre-de-Haut, aux Saintes.
...
The number of cases clinically suggestive of Zika seen
consultation by GPs shows a clear
upward trend (Figure 1). Weekdays 2016-09,
the estimated number of cases was 228. As of March 9,
the estimated cumulative number of consultations was 717
for all of Guadeloupe.
...

 

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Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically March 17 - No. 10/2016
...
Case
cumulated
epidemiological Situation
Guadeloupe 805
...
| current epidemiological situation in Guadeloupe |
...
As of March 16, a total of 105 laboratory confirmed cases of Zika were reported in Guadeloupe. Among them, two pregnant women
and neurological form (myelitis) are identified.
...

http://www.invs.sante.fr/fr/Dossier...ion-vectorielle/Zika/Donnees-epidemiologiques

 

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Source: Point au 1er avril 2016. (pdf- 1,38 Mo)

Translation Google

Emergence of Zika virus in the Caribbean Guyana epidemiological

Situation epidemiologically March 31 - No. 12/2016 |

Guadeloupe
Clinically suggestive cases: 900
...
Since the beginning of the emergence of Zika in Guadeloupe and until March 27, 2016, the number of laboratory confirmed cases
recorded is 139 cases. Among them, three pregnant women and a neurological form (myelitis) are identified. The 139 cases
laboratory confirmed are located throughout Guadeloupe (24 of 32 communes)
...

 

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Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiological point of 7 April 2016 - No. 13/2016

Guadeloupe 1090 clinically suggestive cases *
...
Since the beginning of the emergence of Zika in Guadeloupe and until 3 April 2016, the number of laboratory confirmed cases
recorded 191 cases of which five were pregnant women. Among the confirmed cases one neurological form (myelitis) has
also been identified. The 191 laboratory confirmed cases are distributed throughout Guadeloupe (26 of 32
towns) (Figure 8)

http://www.invs.sante.fr/fr/Publica...ka-aux-Antilles-Guyane.-Point-au-7-avril-2016

 

[Pathfinder]

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
...
Cases
cumulated
Guadeloupe 2099
...
Since the beginning of the emergence of Zika in Guadeloupe and until 24 April 2016, 412 cases were laboratory confirmed
recorded. The biologically confirmed cases are distributed throughout the Guadeloupe (30 of 32 towns) (Figure 8). The
weekly number of confirmed cases is stable last week with 72 confirmed cases (S2016-16) but these data
are not consolidated (Figure 9). In addition the positivity rate is increasing over the past 3 weeks to reach 22%
last week (S2016-16).

Among the confirmed cases, 16 were pregnant women. This figure is the cumulative number, since the emergence of the virus,
pregnant women with the infection and some have already given birth. Meanwhile, any complication occurring in the
fetus of a mother infected with the virus is identified by the monitoring device and none to date have been detected.
On neurological complications, no Guillain-Barre syndrome has been reported, only a myelitis was identified
in a person whose infection was confirmed biologically.

 

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Translation Google
[h=2]Zika 160 health prevention officers will be recruited[/h] Article created on 04.29.2016

​

Guadeloupe is now spent in epidemic phase for the Zika virus.The prefect will finance the recruitment of 160 health prevention workers in communities to strengthen the teams in the field.
The level of epidemiological indicators for the Zika virus has increased very significantly the last days of April. At the management committee that convened, the prefect has decided to move to the epidemic phase of the monitoring program, warning and outbreak management (PSAGE). This provides a permanent and total involvement of everyone in the fight against the proliferation of the virus in order to limit the spread and protect the most vulnerable, including pregnant women. The prefect also announced it will spend an envelope of support contracts in Employment (CAE) and increase the amount of support by the state rates up to 95% of SMIC to support the recruitment of preventive health agents in the fight against the proliferation of Zika virus. 160 contracts are planned: 130 for local communities, communities of communes and urban communities of Guadeloupe, in the community of Saint-Martin and the community of St. Bartholomew; 20 for the county fire service and rescue services ( SDIS ) of Guadeloupe; 10 Regional Health Agency ( ARS ). These contracts (CUI-CAE) are reserved for long-term unemployed (12 months of employment registration over the last 18 months) and for seniors 50 and older. They are concluded for a period of one year, renewable once, for a working week of 26 hours. The training of these agents is provided by the ARS or the employer who recruits them. Pregnant women, priority of prevention and monitoring

The Zika virus disease is harmless for the vast majority of the population with often little significant clinical expression. Requests for consultations are made especially from general practitioners who face it without much difficulty. Recent national and international studies show that only pregnant women are exposed to possible and predictable complications of this disease. The risk of microcephaly is now out for the unborn baby. They therefore require the full attention of governments and regular monitoring are provided: consultations, ultrasounds ... Pregnant women need to adopt protective measures (long clothing, repellent ...) and see immediately if symptoms They should avoid unprotected sex for the duration of pregnancy. The same epidemic phase Prevention Measures Individual preventive measures are the best way to fight against the spread of the disease. They remain the same in epidemic phase and you can view them here:

http://www.guadeloupe.pref.gouv.fr/...ts-de-prevention-sanitaire-vont-etre-recrutes

 

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

Translation Google

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

...
Since the emergence, the number of clinically suggestive cases seen in general practice total 3885 estimated cases.
...
Surveillance for complications associated with infection by Zika

Since the emergence of Zika in Guadeloupe, 29 pregnant women had laboratory confirmation, 11 new women
Pregnant identified this week. This figure is the cumulative number, since the emergence of the virus, pregnant women
having contracted the infection and some have already given birth.

Meanwhile, any complication occurring brain in the fetus of a mother infected with the virus is identified by the
monitoring device and to date none was detected.

On neurological complications, no Guillain-Barre syndrome has been reported, only a myelitis was identified
in a person whose infection was confirmed by laboratory tests.
...

 

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Translation Google

Source: Point au 19 mai 2016. (pdf- 1,34 Mo)
Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically 19 May 2016 - No. 19/2016
...
| current epidemiological situation in Guadeloupe |
...
. Since the emergence, the cumulative number of clinically suggestive cases is estimated at 5025.
...
Surveillance for complications associated with infection by Zika

Since the emergence of Zika in Guadeloupe, 40 pregnant women had laboratory confirmation, 11 new women

Pregnant identified this week. This figure is the cumulative number, since the emergence of the virus, pregnant women
having contracted the infection and some have already given birth.

Meanwhile, any complication occurring brain in the fetus of a mother infected with the virus is identified by the
monitoring device and to date none was detected.

Concerning neurological complications, four patients with Guillain-Barr? syndrome (GBS) were detected
by the monitoring system since January 2016 without the infection of Zika being confirmed to date
for none of them. However, another severe neurological form (myelitis) was biologically confirmed for
Zika virus.
...

 

[Pathfinder]

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

Trnaslation Google

Emergence
Zika the Caribbean Guyana
epidemiological Situation
epidemiologically 2 June 2016 - No. 21/2016
...
current epidemiological situation in Guadeloupe |
...
Since the emergence, the cumulative number of clinically suggestive cases is estimated at 7,830.
...
Surveillance for complications associated with infection by Zika

Since the emergence of Zika in Guadeloupe, 52 women
pregnant had laboratory confirmation, or 2 new
pregnant women identified this week. This figure is the
cumulative number, since the emergence of the virus, of pregnant women
who contracted the infection and some already gave
birth.

Meanwhile, any complication occurring in the brain
fetus of a mother infected with the virus is identified by the
monitoring device and to date none was detected.

On neurological complications, five patients
suffering from Guillain-Barr? syndrome (GBS) were
detected by the monitoring system since January 2016
without infection Zika virus has been confirmed
to date for any of them. In contrast, the infection
confirmed two cases other neurological forms
severe.

 

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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 Guadeloupe |

...
Since the emergence, the cumulative number of cases
clinically suggestive is estimated at 13,030.
...
Since the emergence of Zika in Guadeloupe, 106 women
pregnant had laboratory confirmation, 20
new pregnant women identified this week. This
figure is the cumulative number, since the emergence of the virus,
of pregnant women with the infection and some
have given birth.

On neurological complications, four patients
suffering from Guillain-Barr? syndrome (GBS) were
detected by the monitoring system since January 2016
without infection Zika virus has been confirmed
to date for any of them. However, for four
had another severe neurological form, infection
was confirmed.

A biologically confirmed patient to the Zika virus
died without the responsibility of infection in
occurrence of this death could not be formally established.

 

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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 Guadeloupe |
...
Since the emergence, the cumulative number of clinically suggestive cases is estimated at 20,070.
...
Since the emergence of Zika in Guadeloupe, 225 women
pregnant had laboratory confirmation, or 44
new pregnant women identified since the last Point
Epidemiological. This figure is the cumulative number since
the emergence of viruses, pregnant women with
infection and some have already given birth.

On neurological complications, four patients
suffering from Guillain-Barr? syndrome (GBS) were
biologically confirmed for the Zika virus and 12 others
SGB are under laboratory investigation.

The infection has also been confirmed for five cases with
a severe neurological form of another kind
than the GBS.

Finally, the infection is likely or confirmed for 11
neurological syndromes whose type (GBS or other) has not
been collected.

A biologically confirmed patient to the Zika virus
died without the responsibility of infection in
occurrence of this death could not be formally established.

 

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Translation Google

Emergence
Zika the Caribbean Guyana
epidemiological Situation
epidemiologically August 18, 2016 - No. 32/2016
...
| current epidemiological situation in Guadeloupe |
...
Since the emergence, the cumulative number of clinically suggestive cases is estimated at 28,065 cases.
...
Since the emergence of Zika in Guadeloupe, 393 women
pregnant had laboratory confirmation, or 22
new pregnant women identified from the last point
Epidemiological. This figure is the cumulative number since
the emergence of viruses, pregnant women with
infection and some have already given birth (Figure 15). No
fetal brain malformation have been identified to date in
a pregnant woman who contracted zika.

On neurological complications, 19 patients
suffering from Guillain-Barr? syndrome (GBS) were
biologically confirmed for the virus Zika, 15 others
SGB are waiting for biological confirmation and one GBS was
all negative biological results Zika. Of these 35 cases
in total, eight patients were admitted in ICU
(Figure 16). Infection has also been confirmed in 13 cases
who experienced severe neurological form other than
SGB. Finally, the infection is likely or confirmed for nine
neurological syndromes whose type (GBS or other form)
could not be collected.

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

Finally, a patient suffering from Guillain-Barr? Syndrome and having
had a biological confirmation Zika died.
However, the accountability of Zika in this death is being
assessment by clinicians. Remember, for the first
deceased patient, the infection's responsibility in the
occurrence of this death could not be formally established.

http://www.invs.sante.fr/fr/Publica...ka-aux-Antilles-Guyane.-Point-au-18-aout-2016

 

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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 Guadeloupe |
...
Since the emergence of the virus, the cumulative number of clinically suggestive cases of Zika is estimated at 29,850 cases.
...
Surveillance for complications associated with infection by Zika

Thirty patients with Guillain-Barr? syndrome
(GBS) have been laboratory confirmed for Zika virus,
nine others are in biological confirmation and two
Others had negative laboratory results Zika. Among
the 41 cases in total, eight patients were admitted in service
resuscitation (Figure 15).

The infection has also been confirmed for 15 cases having
presented severe neurological form other than GBS.
Finally, the infection is likely or confirmed for 13 syndromes
neurological whose type (GBS or other) could not
be collected.
Since the emergence of Zika in Guadeloupe, 513 women
pregnant had laboratory confirmation, 20
new pregnant women identified from the last point
Epidemiological. This figure is the cumulative number since
the emergence of viruses, pregnant women with
infection for which laboratory confirmation was
prescribed by a health professional (Figure 16). About
two 10 women have already given birth. no malformations
Congenital linked to the virus were reported on the islands
Guadeloupe.
Responsibility for the infection of Zika in the occurrence of
complications described above is not yet
formally established for all. A total of two patients
laboratory confirmation to zika died on
the archipelago. One of them was diagnosed with GBS and the death was
classified as directly related to the virus while
responsibility of the infection in the onset of the second
death has not been formally established.
...
http://invs.santepubliquefrance.fr/...x-Antilles-Guyane.-Point-au-15-septembre-2016

 

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Translation Google

Zika virus surveillance in the Caribbean Guyana
epidemiological Situation
epidemiologically of 20 October 2016 - No. 39/2016
...
| current epidemiological situation in Guadeloupe |
...
The declining number of clinically suggestive cases
Zika below 200 weekly event
observed the last week of September (S2016-
39) continued in the past two
weeks with respectively 125 and 55 cases
estimated (S2016-40 and S2016-41) (Figure 6).

Since the emergence of the virus, the cumulative number of
cases clinically suggestive of Zika is estimated at
30 775 cases.
...
Since the emergence of Zika in Guadeloupe, 568 pregnant women had laboratory confirmation either 19 new
pregnant women identified since the last Epidemiological Point. This figure is the cumulative number, since the emergence
of viruses, pregnant women with the infection for which laboratory confirmation has been prescribed by a
health professional.

On neurological complications, 37 patients with Guillain-Barr? Syndrome (GBS) were biologically
confirmed for the Zika virus and five GBS are being biological confirmation. Infection was also
confirmed for 15 patients who experienced severe neurological form other than GBS. Finally, the infection is likely or
12 confirmed for neurological syndromes whose type (GBS or other) could not be collected.

Responsibility for infection Zika virus in the onset of the complications described above is not yet
formally established for all.

A total of two patients who had laboratory confirmation to Zika have died since the emergence of the virus on the archipelago.
One of them was diagnosed with Guillain-Barre syndrome and the death was classified as directly related to the virus while
responsibility of the infection in the onset of the second death has not been formally established.
...
A small number of clinically suggestive cases, less than 150 weekly cases is observed
for three consecutive weeks. The Committee of Experts should meet soon to
discuss the evolution of the epidemiological situation.
The Guadeloupe remains placed in phase 3a of Psage * "Epidemic phase requiring action
usual management ".
...
http://invs.santepubliquefrance.fr/...aux-Antilles-Guyane.-Point-au-20-octobre-2016