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CDC Report Places Risk Of Zika Birth Abnormalities At 1 In 7 Children Whose Mothers Were Infected

Result Is Likely An Underestimate

The latest CDC report from the US Zika Pregnancy and Infant Registry estimates the risk of children having a Zika-associated birth defect, a neurodevelopmental abnormality possibly associated with congenital Zika infection, or both at 14% or 1 in 7 children. More specifically, 6% of children had a Zika-associated birth defect, 9% had one or more neurodevelopmental abnormality possibly associated with congential Zika virus infection, and 1% had both.

Underestimate

This estimate comes from follow-up of a group of 1,450 children aged one year or older born to mothers with laboratory evidence of confirmed or possible Zika virus infection during pregnancy. Since only 68% of the children had some follow-up care, not all children had all of the recommended evaluations, and the full  spectrum of possible defects is not yet known,  it is likely that these estimates are lower than the true number of negative outcomes.

Follow Up

Careful monitoring is considered important for these children since early detection of problems can result in early referral for interventions that can be beneficial especially in the first three years of life.

Transmission Down

Transmission of Zika virus is much lower in the Americas in 2018 than it was at the height of the outbreak in 2016 and later in 2017. Since 2015, CDC has registered a total of 5,716 cases in the United States, most of them (5,430) in travelers returning from affected areas. In the US Territories, CDC has recorded 37,262 cases, most of these (37,115) acquired locally through mosquito transmission. Cases have fallen dramatically in 2017 and 2018. There have been only 34 cases in the US and 74 cases reported in the territories so far this year. Zika is still a threat internationally and travelers should inquire to learn if they are going to a risk area.


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