Martinique - Zika outbreak 2016

[Gert van der Hoek]

Two people infected with the Zika virus in Guyana and Martinique

By Pierre LacombePubli? the 12/19/2015 |

The Ministry of Health confirmed the identification, Guyana and Martinique, two first cases of people infected with Zika.

See also: Guyana reports imported Zika case

 

[Shiloh]

Source: http://stluciatimes.com/2015/12/25/martinique-reports-local-zika-virus-transmission

Martinique reports local Zika virus transmission
December 25th, 2015 Headlines

The Caribbean island of Martinique has become the latest country or territory in the Americas to report autochthonous, or local transmission of Zika virus, according to a Pan American Health Organization (PAHO) epidemiological report this week.

This makes the island in the Lesser Antilles in the eastern Caribbean Seathe 11th place in the Americas to report the mosquito borne virus in 2015 and the 12th to report local transmission in total...

 

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Translation Google


Zika: Martinique on alert

L. S. Saturday, January 9, 2016

Health authorities have informed yesterday: Zika is present in Martinique. With 12 confirmed cases, our island passes into Phase 2 of the monitoring program, warning and outbreak management, one that precedes the epidemic. So it must at all costs open hunting mosquitoes.

The cell management Monitoring Program, warning and outbreak management (Psage) met yesterday morning at the Regional Health Agency (ARS), with partners (urban communities, government, academy, Social Security...).

After dengue and chikungunya, it will now be interested in Zika. The first decision: go to level 2 of the program, one that precedes the epidemic phase itself. This means that virus circulation has been proven in Martinique, who knows a beginner indigenous transmission. Suffice to say that now a question of efforts to avoid knowing too serious epidemic. If it is almost impossible to avoid in the current state of the situation, the oft-repeated preventive actions during the chikungunya epidemic will limit the number of cases.

"Since we know that the virus circulating in Brazil, we have implemented heightened surveillance for West Indies and Guiana to detect early cases. We relied on doctors and laboratories. Suggestive case Zika have thus been analyzed to prove the presence of the virus. In mid-December, we moved into another phase, enhanced surveillance, after the first confirmed cases, "says Martine Ledrans, head of interregional Epidemiology Unit (CIRE) Antilles-Guyane.
...
150 SUSPECTS ON A WEEKLY EVENT

To date, 12 indigenous cases have been laboratory confirmed: 3 to Schoelcher, 1 in Fort-de-France, 1 in Lamentin, 5 in Robert, 1 in Sainte-Luce and 1 in Trinity. The data is still incomplete for the last few weeks given the time of transmission and analysis of certain samples. But monitoring by sentinel physicians it was estimated that around 150 suspected cases were seen in consultation only for the week of December 28 to January 3. Cases located in the same areas as those of the first 12 laboratory confirmed.

But the number of those affected could be much more important: the observations of the virus so far show that approximately 50% of patients do not develop any symptoms. They are characterized by rash with or without fever, fatigue, muscle and joint pain, conjunctivitis, headache and retro-orbital pain.
...

http://www.martinique.franceantilles.fr/actualite/une/zika-la-martinique-en-alerte-340394.php

 

[Gert van der Hoek]

Zika epidemic beginning in Martinique and French Guiana

Friday 15 January 2016 7:06 p.m.

The Ministry of Health confirmed Friday night the start of an outbreak of Zika in Martinique and French Guiana. Since the first cases were detected in late December, 47 cases were confirmed in Martinique, 15 cases in Guyana and one case has been confirmed in St. Martin. An action plan has been implemented by the Regional Health Agency (ARS) in the areas concerned.
Zika The virus is transmitted by the same mosquito responsible for the transmission of dengue and chikungunya. In the vast majority of cases (70-80%) the infection goes unnoticed. When speaking, the symptoms are flu-like (fever, headache, body aches) with rashes.

 

[Pathfinder]

Point au 15 janvier 2016. (pdf- 1,07 Mo)
Translation Google

| Current epidemiological situation in Martinique |

Monitoring of laboratory confirmed cases

Monitoring of laboratory confirmed cases is conducted
closely with the medical biology laboratories
city, the Virology Laboratory of the University Hospital of Martinique and
Laboratory National Reference Centre (CNR) of arboviruses
(Institute of Biomedical Research of the Army).

To date, 47 confirmed cases were recorded by date
early signs between S2015-48 and S2016-01 weeks
(November 23, 2016 to Jan. 10, 2016) (Figure 1). Considering
transmission delays levies, results
S2015-01 week remain on hold. In addition, a confirmed case
is under investigation and is not included in Figure 1.

Among the confirmed cases, two pregnant women were recorded
(third trimester) and a GuillainBarr? syndrome
(GBS).

Spatial distribution of suspected and confirmed cases
Surveillance of clinically suggestive cases by
the sentinel physician network

Since 28 December 2015, zika of monitoring by the
sentinel physician network began. It allowed
estimated that about 150 cases of clinically suggestive zika
were seen in consultation for the week of December 28
in 2015 3 January 2016.

For the week of 4 to 10 January 2016, it was 460 cases
clinically suggestive that were seen in consultation
marking a significant increase in viral transmission
(Figure 1).

Spatial distribution of suspected and confirmed cases

The 46 confirmed cases are spread over 16 communes
department: Carbet, Case-Pilote, Ducos, Font Saint-Denis,
Fort de France, Fran?ois, Lamentin, Preacher, Robert, Sainte-Luce,
St. Mary, St. Peter, Sch?lcher, Trinidad, TroisIlets
and Vauclin.

The spatial distribution of new clinically suggestive case
seen by sentinel physicians in week S2016-01
is also presented in Figure 2.

The map shows an increase in the number of common
impacted by viral traffic that always concerns mainly
the center of Martinique, the Caribbean and the North
South.

Some municipalities have confirmed cases without pre-
submit suggestive cases reported by sentinel physicians.
This can be partly explained by the fact that the card pre-
feel the distribution of all confirmed cases and one
suspected cases only for S2016-1 week.


Conclusions for Martinique

The indicators for monitoring the zika reflect a net increase in virus circulation on
the territory of Martinique.

Areas impacted mainly known through monitoring remain the center of Martinique,
Northern Caribbean and some South Commons.

The epidemiological situation in Martinique zika always the Level 2 Psage
arbovirus: beginner indigenous transmission. It will be reviewed shortly by the Committee of Experts
for emerging infectious diseases.

 

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Translation Google

[h=1]Epidemic stage Zika said January 20 2016[/h]
Last updated: 01/21/2016 4:38 p.m.

Wednesday, January 20, 2016, a cell gathered around the prefect, the Director General of the Regional Health Agency and the Executive Councillor of the CTM decided on the recommendations of the expert committee, to place the Martinique Level 3 PSAGE (monitoring program, warning and outbreak management). This is the epidemic stage.

Where are we?
A first case of Zika was identified in Martinique December 18, 2015. According to the latest data available, the number of laboratory confirmed cases has doubled since the end of last week to reach 102. clinically suggestive cases are worth more 1000. All municipalities should be concerned.
How translates disease?
In most cases, the infection results in no symptoms, it is called asymptomatic. Two rare risk of complications require medical monitoring and special vigilance: the possibility for the patient developed Guillain-Barr? syndrome and pregnancy with the risk of microcephaly in fetuses.
Switching to epidemic levels
Wednesday, January 20, 2016, a cell gathered around the prefect, the Director General of the Regional Health Agency and the Executive Councillor of the CTM decided on the recommendations of the expert committee, to place the Martinique Level 3 PSAGE (monitoring program, warning and outbreak management). This is the epidemic stage.
Operational reply
The management unit, now chaired by the prefect, will meet every week, and more if necessary, to coordinate actions.
Building on the experience feedback both dengue epidemics (2011 and 2013) and chikungunya (2014), but also the ZIKA episode in French Polynesia in 2013-2014, the operational response, which is implemented by the Prefect and State services in connection with the CTM and local authorities, is to:

• strengthen vector control in connection with the vector control services (LAV - ARS / CTM) and the SDIS particular by spraying actions and destruction of breeding sites; civic service volunteers (VSC) will be recruited to support this action;
• prepare, structure and strengthen the health response in connection with the ARS, the CHUM CHUM and the laboratory;
• support operations contributing to environmental health, including the management of bulky waste identified as mosquito deposits in connection with the EPCI
• mobilize local actors in the fight against mosquitoes (meeting with mayors Monday, January 25, 2016, meeting Wednesday, January 27, 2016 to all actors of Pediatrics on the issue of monitoring of pregnant women and already the declination preventive actions in all state services);
• now make a communication to the public about the evolution of the epidemic, information about the disease and the involvement of all in the fight against mosquitoes.

Instructions prevention
The ARS Martinique recalls the importance of collective measures against mosquitoes:

• It is imperative to remove all unnecessary water reserve, protect and monitor the cottages that can not be destroyed, to regularly check the cups of flower pots, troughs animals, etc ...

Similarly, to prevent the spread of the disease in Martinique, the public is invited to protect themselves from mosquito bites.Thus, it is advisable to:

• Sleeping under mosquito net;
• Wear long clothing;
• Use personal repellents;
• This is especially important for patients with the signs of the disease.
• It is also recommended that pregnant women observe the protective measures against mosquito bites, check if you have symptoms, and generally to ensure proper monitoring of their pregnancy.

http://www.martinique.pref.gouv.fr/...epidemique-de-Zika-declare-le-20-janvier-2016

 

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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 Martinique |

Monitoring of laboratory confirmed cases

Monitoring of laboratory confirmed cases is conducted
closely with the medical biology laboratories
city, the virology laboratory of the University Hospital of Martinique and
Laboratory National Reference Centre (CNR) of arboviruses
(Institute of Biomedical Research of the Army).

To date, 102 confirmed cases were recorded by date
of beginning of signs between November 23, 2016 and January 20
2016 (Figure 1).

The situation is constantly evolving, the latest data
may change.

Six pregnant women and one Guillain-Barr? syndrome have been
confirmed infected by the Zika virus since the beginning of the
surveillance.

No deaths marked "Zika" has been reported to
date.

Surveillance of clinically suggestive cases by
the sentinel physician network

Each week over 55 sentinel physicians
spread in the whole island transmit the number of consultations for
patients meeting the case definition Zika.

For the first two weeks of January,
respectively 460 and 650 cases that were clinically suggestive
were seen in consultation marking a significant increase of
viral transmission (Figure 1). On January 17, this progression
continues for a total of 1255.

Spatial distribution of evocative and confirmed cases

The spatial distribution of clinically suggestive cases seen by
sentinel physician from December 28 2015 to January 17
2016 is shown in Figure 2. This shows a rapid
increase in the number of communes affected by the
viral circulation, 22 of 34 in total.

In total and to date, only 6 communes in Martinique did not
reported cases of Zika evocative: Basse-Pointe,
Lorraine, Trois Ilets, St. Lucia, Gros Morne and St. Anne.

The 102 confirmed cases are spread over 19 communes
department: Bellefontaine, Carbet, Case-Pilote, Ducos, Font
Saint-Denis, Fort de France, Fran?ois, Le Lamentin, MorneRouge,
Pr?cheur, Rivi?re-Sal?e, Robert, Sainte-Luce, SainteMarie,
Saint-Pierre, Schoelcher, Trinit?, Trois-Ilets et le Vauclin.

Conclusions for Martinique

The set of indicators for epidemiological surveillance of infection Zika testify to the continued viral circulation throughout Martinique.
For this reason, the Prefect of Martinique, on the recommendations of the Expert Committee emerging infectious diseases, announced the passage at level 3a "epidemic Phase calling the usual management measures "January 20, 2016.

 

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Translation Google

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


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

| Current epidemiological situation in Martinique |
...
.
The passage to epidemic, meaning the virus is present on
the whole territory, involves the development of the strategy
diagnostic. It is therefore no longer necessary to prescribe a
Laboratory diagnosis for all suspected cases of Zika.
Laboratory confirmation of an infection to ZiKa is now
reserved for pregnant women and patients with severe forms
or complications (seen at the hospital). Consequently, the data of surveillance of the biologically
confirmed cases will not be any more presented in view of the low relevance
of this indicator to testify the scale of the epidemic.

Each week over 55 sentinel physicians spread
to the whole island transmit the number of consultations for
Patients meeting the clinical case definition
Zika suspect.
...
Since the implementation of this monitoring, the number of cases
clinically suggestive of Zika virus infections seen
weekly in consultation is experiencing a net increase
(Figure 1). On January 24, the estimated number of
Zika consultations with a general practitioner was
2287 with 1064 for the 3rd week of January.
...
Since viral emergence in Martinique, the infection has been confirmed
in eight pregnant women and two patients affected by
Guillain-Barr? syndrome.
No death certificate marked "Zika" was reported
nowadays.
...
The spatial distribution of the cases clinically suggestive Zika
seen by sentinel physicians from 28 December 2015 to 24
January 2016 is shown in Figure 2.
This map shows a homogeneous viral traffic
on the whole island with 10 towns with an incidence
above the county average of 57 cases per 10,000
inhabitants.
To date, only three municipalities have no declaration
suspects: Basse-Pointe, Sainte-Anne and Sainte-Luce.
Six municipalities have no sentinel physicians.
...

The set of indicators for epidemiological surveillance of infection Zika
testify to the continued viral circulation throughout Martinique.
For this reason, the Prefect of Martinique, on the recommendations of the Expert Committee
emerging infectious diseases, announced January 20, 2016, level passage 3a "Phase
Epidemic calling the usual management measures. "

 

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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 Martinique |
...
Surveillance of clinically suggestive cases

Sentinel physician network

Weekly sentinel physicians Island transmit
number of consultations for patients who meet the
Clinically suspect case definition of Zika.

Since the implementation of this monitoring, the number
weekly of clinically suggestive cases of Zika seen
in consultation by GPs increases (Figure 1).

January 31, the estimated cumulative number of consultations
for Zika at a general practitioner was 3940 of which 1645
for the 4th week of January.

SOS network doctors

The number of visits by SOS Doctors now
is reported. During the fourth week of January, 76 visits
for suspected Zika were carried out by SOS M?decins, or 8%
of the total activity of the association.

Visits to adult emergency (PZQ) and
pediatric (MFME)

Visits to pediatric emergencies and adult
for suspected Zika are monitored since the second week of
January. This passage number increasing steadily. For
4th week of January, 14 passages at adult emergencies
and 13 to the MFME were recorded.

Surveillance for complications associated with
infection Zika

Since the viral emergence in Martinique, the infection was
confirmed in thirteen pregnant women and in two patients
suffering from Guillain-Barre syndrome.

No death certificate marked "Zika" was
reported to date.
...
Conclusions for Martinique

Since January 20 2016, Martinique passed at 3a of Psage "epidemic Phase calling
usual management measures. "

The indicators of epidemiological surveillance of infection Zika reflect the
continuing viral circulation across Martinique with a continuous increase
number of clinically suggestive cases seen in town.

 

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Translation Google

Reinforcements are on site to contain the outbreak of zika

Sangha Fagour
Published 02/17/2016 | 7:07 p.m., updated 02/17/2016 | 7:10 p.m.

4 cases of Guillain-Barr? syndrome have been recorded to date in Martinique because of the epidemic of zika. Local health officials have just received the backing of two doctors and eleven nurses to deal with the situation.

Since last week, two doctors and eleven nurses reinforce the intensive care unit of the University Hospital of Martinique. These reinforcements are from the health reserve of France. They can increase the capacity for those most severely affected by the virus zika. 5 extra beds on the existing 15 are available.

Dealing with cases of Guillain Barr?

The objective is to address potential cases of Guillain Barr?. To date, four cases are recorded among which two are confirmed. One patient is still hospitalized. It is estimated that there could be 60 cases of Guillain Barr? on the island.

http://martinique.la1ere.fr/2016/02...-pour-endiguer-l-epidemie-de-zika-332453.html

 

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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 Martinique |
...
Surveillance of clinically suggestive cases

Sentinel physician network

Since the implementation of this monitoring (S2015-53) and
until 31 January 2016, the weekly number of cases
clinically suggestive of Zika seen in consultation by
general practitioners increased rapidly (Figure 1). The
S2016-05 S2016-06 weeks and are marked by the period
school holidays (Carnival) with a significant number of
offices closed private doctors. It should therefore
interpreted with caution trend of this indicator.
February 14, the estimated cumulative number of consultations
Zika for a general practitioner was 6050.

SOS network doctors

The number of visits by SOS Doctors is reported
in Figure 2. In weeks S2016-05 and S2016-06,
respectively 70 and 71 visits for suspected were Zika
conducted by doctors of the association, or 8% of the activity
Total SOS M?decins. These data have been stable
3 weeks.

Transition to adult emergency (PZQ) and
pediatric (MFME)

Crossings Zika pediatric emergencies (Figure 3)
adults (Figure 4) are monitored from the S2016-02 week.
This number of passages is increased for both
first weeks of February with an average
11 weekly appearances on MFME and 15 emergency
adults.

Surveillance for complications associated with
infection Zika

Since viral emergence in Martinique, the infection was
28 confirmed in pregnant women and in two patients
suffering from Guillain-Barre syndrome. Two other GBS
reported but the biological analysis of the infection
Zika virus are underway.
No death certificate marked "Zika" was
reported to date.

The spatial distribution of clinically suggestive cases of Zika
seen by sentinel physicians from January 18 to February 14, 2016
is shown in Figure 5.
This map shows a homogeneous viral traffic
the whole island with 13 towns whose incidence is
above the county average of 108 cases per 10,000
inhabitants.

Conclusions for Martinique

Epidemiological indicators of Zika virus infection demonstrate the continuing epidemic
Martinique is placed in phase 3a of Psage "epidemic phase calling for management actions
usual "since January 20, 2016.
Given the closure of a large number of general practice firms (school holidays
Carnival), the trend of the epidemic will be confirmed in the coming weeks.

 

[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 Martinique |
...
As of March 6, the estimated cumulative number of consultations for Zika with a general practitioner was 10,950.
...
Since viral emergence in Martinique, the infection was confirmed biologically in 63 pregnant women and two
patients with Guillain-Barr? syndrome. Another neurological form was confirmed Zika virus.
Finally, four GBS were reported but the biological analyzes of infection are ongoing Zika virus.

​No death certificate marked "Zika" have been reported to date.
...

 

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Translation Google

Emergence of Zika virus in the Caribbean Guyana
epidemiological Situation
epidemiologically March 17 - No. 10/2016

| current epidemiological situation in Martinique |
...
As of March 17, the estimated cumulative number of consultations with a general practitioner Zika
was 12,600.
...
Since viral emergence in Martinique, the infection was confirmed biologically in 75 pregnant women and three
patients with Guillain-Barr? syndrome. In total, three other severe neurological forms were confirmed to the virus
Zika. Finally, five cases of GBS were reported but the biological analyzes of infection are ongoing Zika virus.

No deaths directly attributed to Zika has been reported to date.
...
http://www.invs.sante.fr/fr/Dossier...ion-vectorielle/Zika/Donnees-epidemiologiques

 

[Pathfinder]

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 |

Current epidemiological situation in Martinique |

As of March 31, the estimated cumulative number of consultations with a general practitioner for Zika was 15,440.
...
Since viral emergence in Martinique, the infection was confirmed biologically in 106 pregnant women. Among those, two fetal microcephaly and another fetal malformation were detected during an ultrasound. Six patients with Guillain-Barr? syndrome have been laboratory confirmed. Furthermore, laboratory investigations for Zika virus are ongoing in three patients with GBS. Finally, three other severe neurological forms were confirmed to the virus Zika.
...

 

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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

| current epidemiological situation in Martinique |
...
As of March 31, the estimated cumulative number of consultations with a general practitioner Zika was 16,650.
...
Surveillance for complications associated with infection by Zika

Since viral emergence in Martinique, the infection was confirmed biologically in 119 pregnant women. Among those,
two fetal microcephaly and one other fetal malformations were detected during an ultrasound. The responsibility
the infection in the occurrence of these malformations is not yet formally established for all.

Seven patients with Guillain-Barr? syndrome were detected by the monitoring system since the emergence of Zika
including 6 laboratory confirmed and one invalidated biologically. Furthermore, laboratory investigations for Zika are
in course in five patients with GBS. Also, 3 others severe neurological forms were confirmed Zika virus.
No deaths can be directly attributed to Zika has been reported to date.

...

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

 

[Gert van der Hoek]

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

 

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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-Barr? 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.

 

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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-Barr? 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.
...

 

[Pathfinder]

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-Barr? 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-Barr? syndrome was evaluated as directly attributable to Zika.
...

 

[Pathfinder]

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-Barr? 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.