CDC Issues Guidance On How To Care For Babies With Zika Virus

While Zika virus isn't spreading in the U.S., experts say it's only a matter of time.
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Ueslei Marcelino / Reuters
Guilherme Soares Amorim, 2 months, who was born with microcephaly, is pictured in his house in Ipojuca, Brazil, February 1, 2016.

By Julie Steenhuysen

CHICAGO (Reuters) - U.S. health officials on Tuesday issued interim guidelines for health care professionals in the United States caring for infants born to mothers who traveled or lived in an area with Zika virus transmission during pregnancy.

The guidelines from the U.S. Centers for Disease Control and Prevention call for pediatricians to work closely with obstetricians caring for pregnant women exposed to the virus during pregnancy, monitoring fetal ultrasounds and testing infants with signs of a birth defect called microcephaly marked by small head size.

The guidelines come after thousands of infants in Brazil were born with microcephaly, which was believed to be linked to Zika infections. In studies of the current outbreak in Brazil, genetic material from the Zika virus has been identified in studies of brain tissue, placenta and amniotic fluid from several infants with microcephaly and from miscarried fetuses from women infected with the virus.

Although Zika transmission has not yet been reported in the United States, mosquitoes that carry the infection are endemic to specific regions of the United States, and experts believe transmission is likely in the coming months as the weather heats up.

In the interim guidelines for pediatricians, the CDC recommends that infants with microcephaly born to women exposed to Zika while pregnant should be tested for the virus. For infants without microcephaly but whose mothers received a positive or inconclusive test for the virus, the guidelines call for the child to be tested for possible Zika infection.

The guidance also informs U.S. doctors that Zika is a nationally notifiable condition, meaning that suspected cases must be reported to state and territorial health departments.

No treatments or vaccines are available for Zika infections.

 

(Reporting by Julie Steenhuysen; Editing by James Dalgleish)

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Zika Virus In Brazil
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In Oct. 2015, Brazil alerted the World Health Organization to a sharp increases of babies born with microcephaly, a birth defect in which babies' heads are abnormally small.

A 4-month-old baby born with microcephaly is held by his mother in front of their house in Olinda, near Recife, Brazil, February 11, 2016.
(credit:Nacho Doce / Reuters)
(02 of08)
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Health officials in Brazil suspected that the sharp rise in microcephaly was linked to the country's ongoing Zika virus outbreak -- a mild, mosquito-borne disease that is estimated to have infected as many as 1.5 million people in Brazil.

Physiotherapist Jeime Lara Leal exercises 19-day-old Sophia, who is Ianka Mikaelle Barbosa's second child and was born with microcephaly, at Pedro l Hospital in Campina Grande, Brazil February 18, 2016.
(credit:Ricardo Moraes / Reuters)
(03 of08)
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Brazilian health officials soon advised women to delay pregnancy if possible, to prevent microcephaly cases. While they say the link between the two conditions is clear, WHO and other authorities say more research needs to be done before confirming the connection.

Jackeline, 26, uses a green bottle to stimulate to her son Daniel who is 4-months old and born with microcephaly, inside of their house in Olinda, near Recife, Brazil, February 11, 2016.
(credit:Nacho Doce / Reuters)
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The zika virus was first identified in Africa, spread to parts of Asia and then reached the Americas in 2014, researchers suspect. The Aedes mosquito carries the disease.

An aedes aegypti mosquito is seen inside a test tube as part of a research on preventing the spread of the Zika virus and other mosquito-borne diseases at a control and prevention center in Guadalupe, neighbouring Monterrey, Mexico, March 8, 2016.
(credit:Daniel Becerril / Reuters)
(05 of08)
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Researchers suspect that the Zika virus is also linked to the spike of a rare, autoimmune disease called Guillain-Barré syndrome that can result in temporary paralysis.

A lab technician analyses blood samples at the 'Sangue Bom' (Good Blood) clinic in Rio de Janeiro, Brazil, on January 25, 2016.
(credit:VANDERLEI ALMEIDA via Getty Images)
(06 of08)
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There is no cure or vaccine for Zika virus. The most reliable way to prevent transmission is to destroy the mosquitos that carry it.

Joseph Blackman, a Miami-Dade County mosquito control inspector, uses a sprayer filled with a pesticide in an attempt to kill mosquitos that are carrying the Zika virus on October 14, 2016 in Miami, Florida.
(credit:Joe Raedle via Getty Images)
(07 of08)
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Zika virus is now endemic in dozens of countries and territories. The U.S. Centers for Disease Control and Prevention issued a travel warning to all Americans, and pregnant women in particular, to follow strict guidelines in preventing mosquito bites when traveling to these areas. Pregnant women were also advised to delay travel if possible, while women who want to become pregnant were advised to speak with their healthcare providers before traveling.

An employee of the Health Ministry sprays anti-mosquito fog in an attempt to control dengue fever at a neighborhood in Jakarta, Indonesia. (Photo by Risa Krisadhi/Pacific Press/LightRocket via Getty Images)
(credit:Pacific Press via Getty Images)
(08 of08)
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Several research institutes and companies are now trying to figure out how to create a vaccine for Zika virus. However, it will be years before anyone develops a reliable vaccine, researchers predict.

A nurse from the FioCruz Foundation applies the dengue vaccine to social worker Ana Paula Rocha, 41, who volunteered for the vaccine tests.
(credit:NurPhoto via Getty Images)

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