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By Amy Orciari Herman
Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD
Here are the latest reports on the Zika virus:
Puerto Rico had 30 confirmed cases of Zika virus from late November 2015 through January 2016, MMWR reports. Just one was travel related. One case was diagnosed in a patient hospitalized with Guillain-Barre syndrome (GBS) and another in a pregnant woman. Zika is likely to spread across Puerto Rico, the CDC asserts, given how common the Aedes aegypti mosquito is there.
The World Health Organization reported spikes in GBS in two more countries: Colombia had 86 cases, or three times the expected amount, from mid-December through mid-January; all had symptoms of Zika infection. In Venezuela, 252 GBS cases were reported in January, frequently with Zika symptoms.
Zika virus can persist in semen for as long as 2 months after symptom onset, according to a letter in Emerging Infectious Diseases. A U.K. man infected with Zika in 2014 while visiting the Cook Islands had Zika detected in his semen 62 days after becoming ill.
The WHO says a test for Zika could be just weeks away, according to the New York Times. However, vaccine trials won't begin for at least 18 months.
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LINK(S):
MMWR article on Puerto Rico (Free)
WHO notice on Guillain-Barre in Colombia and Venezuela (Free)
Emerging Infectious Diseases letter (Free)
New York Times story on Zika test and vaccine (Free)
Background: Full NEJM Journal Watch and Physician's First Watch coverage of Zika (Free)
NEJM Zika outbreak site (Free)