2017
DOI: 10.1590/0074-02760160510
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Zika puzzle in Brazil: peculiar conditions of viral introduction and dissemination - A Review

Abstract: This article discusses the peculiar conditions that favoured the unexpected introduction of Zika virus into the poorest northeastern region of Brazil in 2015, its speed of transmission to other Brazilian states, other Latin American countries and other regions, and the severity of related neurological disorders in newborns and adults. Contrasting with evidence that Zika had so far caused only mild cases in humans in the last six decades, the epidemiological scenario of this outbreak in Brazil indicates dramati… Show more

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Cited by 37 publications
(46 citation statements)
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“…Micronesia and then in French Polynesia in 2013-2014, and after affecting most of the South Pacific islands, the virus was eventually detected in the Americas in 2015 [1][2][3][4]. The increased number of infections in humans included cases with unusually severe symptoms such as Guillain-Barr e syndrome and developmental abnormalities in newborns that are now described as congenital Zika syndrome [5][6][7][8]. As there are currently no licensed vaccines or specific therapies, the only way to interrupt ZIKV transmission is by controlling mosquito populations [9].…”
mentioning
confidence: 99%
“…Micronesia and then in French Polynesia in 2013-2014, and after affecting most of the South Pacific islands, the virus was eventually detected in the Americas in 2015 [1][2][3][4]. The increased number of infections in humans included cases with unusually severe symptoms such as Guillain-Barr e syndrome and developmental abnormalities in newborns that are now described as congenital Zika syndrome [5][6][7][8]. As there are currently no licensed vaccines or specific therapies, the only way to interrupt ZIKV transmission is by controlling mosquito populations [9].…”
mentioning
confidence: 99%
“…There are many pieces of evidence for the close relationship between the GBS and ZIKV infection [4,12]. Some other neurologic complications such as meningoencephalitis, acute disseminated encephalomyelitis, acute myelitis, and transverse myelitis have been reported during ZIKV infection [12,[48][49][50].…”
Section: Clinical Features and Differential Diagnosismentioning
confidence: 99%
“…The US National Institute of Health (NIH) has a program that aims to develop a broad-spectrum antiviral drug against all flaviviruses such as dengue and yellow fever [12]. Sixty antiviral drugs were investigated, and 15 of them were found to be active against ZIKV [60].…”
Section: Treatmentmentioning
confidence: 99%
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